New media use by patients who are homeless: the potential of mHealth to build connectivity
Open accessAbstract
BACKGROUND: Patients experiencing homelessness represent a disproportionate share of emergency department (ED) visits due to poor access to primary care and high levels of unmet health care needs. This is in part due to the difficulty of communicating and following up with patients who are experiencing homelessness. OBJECTIVE: To determine the prevalence and types of "new media" use among ED patients who experience homelessness. METHODS: This was a cross-sectional observational study with sequential enrolling of patients from three emergency departments 24/7 for 6 weeks. In total, 5788 ED patients were enrolled, of whom 249 experienced homelessness. Analyses included descriptive statistics, and unadjusted and adjusted odds ratios. RESULTS: 70.7% (176/249) of patients experiencing homelessness own cell phones compared to 85.90% (4758/5539) of patients in stable housing (P=.001) with the former more likely to own Androids, 70% (53/76) versus 43.89% (1064/2424), and the latter more likely to have iPhones, 44.55% (1080/2424) versus 17% (13/76) (P=.001). There is no significant difference in new media use, modality, or frequency for both groups; however, there is a difference in contract plan with 50.02% (2380/4758) of stably housed patients having unlimited minutes versus 37.5% (66/176) of homeless patients. 19.78% (941/4758) of patients in stable housing have pay-as-you-go plans versus 33.0% (58/176) of homeless patients (P=.001). Patients experiencing homelessness are more likely to want health information on alcohol/substance abuse, mental health, domestic violence, pregnancy and smoking cessation. CONCLUSIONS: This study is unique in its characterization of new media ownership and use among ED patients experiencing homelessness. New media is a powerful tool to connect patients experiencing homelessness to health care.
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70% (176/249) of individuals struggling with homelessness in the past year had a cell phone, and 43.2% (76/176) of those had a smartphone.
“A study of patients attending hospital emergency departments reported that 70% (176/249) of individuals struggling with homelessness in the past year had a cell phone (or a smartphone—76/176, 43.2%) in their possession (71).”
From Mobile intervention for individuals with psychosis, dual disorders, and their common comorbidities: A literature review (2019) · cites this paper as [71]
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- Authors
- Post, L. A., Vaca, F. E., Doran, K. M., Luco, C., Naftilan, M., Dziura, J., Brandt, C., Bernstein, S., Jagminas, L., & D'Onofrio, G.
- Affiliations
- Yale University (US)
- New York University (US)
- Corresponding author
- Post, Lori Ann
- ORCID
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2013-09-03
- Volume
- 15
- Issue
- 9
- Pages
- e195
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC3786002
- OpenAlex
- W2090501263
- Cited by
- 71
- References
- 38
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 6 · 2023: 7 · 2022: 7 · 2021: 8 · 2020: 1 · 2019: 11 · 2018: 5 · 2017: 8 · 2016: 4 · 2015: 5 · 2014: 5
- FWCI
- 8.42
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Yale University
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- homelessness, new media use, mobile health, emergency department patients, mobile phone ownership, smartphone operating systems, mobile phone plans, health information needs, unmet health needs
- MeSH terms
- Adolescent, Adult, Aged, Connecticut, Cross-Sectional Studies, Emergency Service, Hospital, Female, Health Services Needs and Demand, Ill-Housed Persons, Humans, Male, Middle Aged, Pregnancy, Telemedicine, Internet, Cell Phone, Young Adult
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