Cited by 33ICT Impact and PoliciesHealth disparities and outcomesEnvironmental Justice and Health Disparities

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Racial/ethnic and income disparities in neighborhood-level broadband access in 905 US cities, 2017–2021

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Abstract

OBJECTIVES: Broadband access is an essential social determinant of health, the importance of which was made apparent during the COVID-19 pandemic. We sought to understand disparities in broadband access within cities and identify potential solutions to increase urban access. STUDY DESIGN: This was a descriptive secondary analysis using multi-year cross-sectional survey data. METHODS: Data were obtained from the City Health Dashboard and American Community Survey. We studied broadband access in 905 large US cities, stratifying neighborhood broadband access by neighborhood median household income and racial/ethnic composition. RESULTS: In 2017, 30% of urban households across 905 large US cities did not have access to high-speed broadband internet. After controlling for median household income, broadband access in majority Black and Hispanic neighborhoods was 10-15% lower than in majority White or Asian neighborhoods. Over time, lack of broadband access in urban households decreased from 30% in 2017 to 24% in 2021, but racial and income disparities persisted. CONCLUSIONS: As an emerging social determinant, broadband access impacts health across the life course, affecting students' ability to learn and adults' ability to find and retain jobs. Resolving lack of broadband access remains an urban priority. City policymakers can harness recent infrastructure funding opportunities to reduce broadband access disparities.

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  • Internet access may be limited in many households, especially in rural communities or based upon race or ethnicity.

    “Internet access may be limited in many households, especially in rural communities or based upon race or ethnicity. 87”

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Research works printed but not linked: 14

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Metadata

Authors
Li, Y., Spoer, B. R., Lampe, T. M., Hsieh, P. Y., Nelson, I. S., Vierse, A., Thorpe, L. E., & Gourevitch, M. N.
Affiliations
NYU Langone Health (US)
Corresponding author
Li, Y.
Venue
Public Health
Publisher
Elsevier BV
Published
2023-04
Volume
217
Pages
205-211
ISSN
0033-3506 (ISSN-L)
OpenAlex
W4323974785
Cited by
33
References
1
Citations by year
2026: 5 · 2025: 14 · 2024: 12 · 2023: 2
FWCI
3.64
Type
journal article
Language
en
Open access
Locations
  • Public Health (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion, cc-by-nc-nd)
Funders
Robert Wood Johnson Foundation (78440)
Topics
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › ICT Impact and Policies
  • Social Sciences › Health › Health disparities and outcomes
  • Social Sciences › Sociology and Political Science › Environmental Justice and Health Disparities
Keywords
broadband access, digital divide, racial disparities, income inequality, social determinants of health, urban neighborhoods, COVID-19 pandemic, high-speed internet
MeSH terms
COVID-19, Adult, Cities, Cross-Sectional Studies, Health Services Accessibility, Humans, Pandemics

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