Can't surf, won't surf: The digital divide in mental health
Open accessAbstract
BACKGROUND: New health information technology (HIT) increasingly plays a role in health care as technology becomes cheaper and more widespread. However, there is a danger that those who do not use or have access to technology will not benefit from HIT innovations, thus creating a "digital divide". AIMS: To assess the extent to which mental health service users have access to, skills in using and appetite for various technologies. METHODS: A cross-sectional survey was used to assess technology use and access patterns of 121 people from community mental health services. Data were analysed using logistic regression. RESULTS: Technology use and access were very similar to that of the general population with older individuals reporting less familiarity, access and confidence across a range of technologies. Black, minority and ethnic (BME) groups were more likely to access computers outside of their own homes than white individuals. Older participants experiencing psychosis indicated a desire to increase their computer use. CONCLUSIONS: The findings reported here contrast with recent evidence suggesting that those who do not engage with technology are "self-excluders". Furthermore, BME groups may need extra support regarding provision of technology in order to engage with HIT.
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The digital divide further evolved into inequalities in human capital, increasing rural-urban differences in physical and mental health.
“Previous studies confirmed that the digital divide further evolved into inequalities in human capital, increasing rural–urban differences in physical and mental health (e.g., Ennis et al., 2012; Shah et al., 2020).”
From COVID-19 pandemic and adolescent mental health in China: Micro evidence and socioeconomic mechanisms (2022) · cites this paper as Ennis et al., 2012
The Introduction describes differences in technology access by education, age, medical condition, and employment, while the Discussion examines technology use among mental health service users. Neither section addresses whether the digital divide produces inequalities in human capital or increases rural–urban differences in physical and mental health. Searches for those terms and their paraphrases found no supporting passage. (LLM, conf=0.75)
Experimental — accuracy not yet measuredThe failure of mental health apps can no longer be explained by a digital divide in technology access, though equitable access to ICTs for people with lived experience remains a problem.
“This failure can no longer be attributed to a "digital divide" concerning access to technology, although equitable access to ICTs by PWLE remains an issue 108,109 .”
From Ethical challenges in contemporary psychiatry: an overview and an appraisal of possible strategies and research needs (2024) · cites this paper as [109]
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The h-index, the citation rating, impact factors and the aspiring researcher
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Herpertz, J., Richter, M. F., Barkhau, C., Storck, M., Blitz, R., Steinmann, L. A., Goltermann, J., Dannlowski, U., Baune, B. T., Varghese, J., et al. (2022) · Psychiatry Research · doi:10.1016/j.psychres.2022.114773 · Cited by 7 · see citing works
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- Authors
- Ennis, L., Rose, D., Denis, M., Pandit, N., & Wykes, T.
- Affiliations
- King's College London (GB)
- South London and Maudsley NHS Foundation Trust (GB)
- Corresponding author
- Ennis, Liam
- Venue
- Journal of Mental Health
- Publisher
- Informa UK Limited
- Published
- 2012-06-19
- Volume
- 21
- Issue
- 4
- Pages
- 395-403
- ISSN
- 0963-8237 (ISSN-L)
- 1360-0567
- PMC
- PMC3433178
- OpenAlex
- W2065266979
- Cited by
- 127
- References
- 12
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 8 · 2023: 10 · 2022: 11 · 2021: 11 · 2020: 13 · 2019: 17 · 2018: 12 · 2017: 8 · 2016: 6 · 2015: 9 · 2014: 7 · 2013: 5
- FWCI
- 16.89
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- cc-by
- Locations
- Journal of Mental Health (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Portal (King's College London) (publishedVersion)
- Funders
- National Institute for Health and Care Research (RP-PG-0606-1050)
- Topics
- Social Sciences › Demography › Technology Use by Older Adults
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Physical Sciences › Computer Science › Information Systems › ICT in Developing Communities
- Keywords
- digital divide, mental health service users, health information technology, access to technology, technology use, technological competence, older adults, psychosis, community mental health services, self-exclusion
- MeSH terms
- Adolescent, Adult, Aged, Attitude to Computers, Mental Disorders, Community Mental Health Services, Cross-Sectional Studies, Female, United Kingdom, Health Services Accessibility, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Socioeconomic Factors, Logistic Models, Telemedicine
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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