From: Patterns of digital health access and use among US adults: a latent class analysis
 | H5C1 (n = 3,287) | H5C2 (n = 3,498) | H5C3a (n = 3,349) | H5C4 (n = 3,864) | Total (N = 13,993) |
---|---|---|---|---|---|
% (95% CI) | % (95% CI) | % (95% CI) | % (95% CI) | % (95% CI) | |
Sex | |||||
 Male | 48.09 (47.81, 48.38) | 48.12 (47.75, 48.50) | 48.12 (47.53, 48.70) | 47.57 (46.93, 48.22) | 47.98 (47.73, 48.22) |
 Female | 50.29 (49.89, 50.69) | 50.52 (50.14, 50.91) | 50.16 (49.57, 50.74) | 50.22 (49.74, 50.70) | 50.30 (50.06, 50.53) |
 Missing | 1.62 (1.17, 2.07) | 1.35 (0.89, 1.81) | 1.72 (0.92, 2.53) | 2.20 (1.46, 2.95) | 1.73 (1.41, 2.05) |
Age (years) | |||||
 18–34 | 21.14 (18.35, 23.92) | 23.11 (20.53, 25.70) | 22.90 (20.16, 25.65) | 25.47 (23.44, 27.50) | 23.17 (21.89, 24.44) |
 35–49 | 27.67 (24.49, 30.85) | 26.09 (23.81, 28.37) | 24.60 (21.77, 27.43) | 24.80 (22.71, 26.89) | 25.78 (24.47, 27.09) |
 50–64 | 29.03 (27.32, 30.75) | 29.79 (27.84, 31.75) | 30.07 (28.00, 32.14) | 26.95 (25.24, 28.66) | 28.95 (28.02, 29.89) |
  ≥ 65 | 18.63 (18.41, 18.85) | 18.99 (18.69, 19.30) | 19.53 (19.30, 19.76) | 19.98 (19.61, 20.35) | 19.29 (19.14, 19.43) |
Missing | 3.53 (2.46, 4.60) | 2.02 (1.46, 2.57) | 2.90 (1.77, 4.02) | 2.80 (1.96, 3.64) | 2.81 (2.35, 3.27) |
Race/ethnicity | |||||
 Non-Hispanic Asian | 5.10 (4.88, 5.32) | 4.76 (4.07, 5.45) | 4.93 (4.33, 5.53) | 4.83 (4.34, 5.32) | 4.90 (4.64, 5.17) |
 Non-Hispanic Black | 9.45 (8.58, 10.32) | 9.99 (9.49, 10.48) | 10.50 (10.02, 10.97) | 10.32 (9.76, 10.89) | 10.07 (9.76, 10.38) |
 Hispanic | 14.48 (14.01, 14.95) | 14.71 (14.16, 15.26) | 15.47 (15.18, 15.75) | 15.73 (15.55, 15.91) | 15.10 (14.90, 15.30) |
 Non-Hispanic White | 60.39 (59.39, 61.39) | 59.75 (58.76, 60.74) | 58.48 (57.54, 59.42) | 58.70 (57.58, 59.82) | 59.33 (58.82, 59.83) |
 Non-Hispanic Otherb | 2.52 (2.33, 2.71) | 3.00 (2.51, 3.50) | 2.73 (2.40, 3.07) | 3.09 (2.61, 3.56) | 2.84 (2.64, 3.03) |
 Missing | 8.06 (6.64, 9.48) | 7.79 (6.39, 9.19) | 7.89 (6.51, 9.27) | 7.33 (5.98, 8.68) | 7.76 (7.07, 8.46) |
Sexual orientation | |||||
 Heterosexual | 90.11 (88.42, 91.79) | 89.02 (86.97, 91.07) | 89.30 (87.69, 90.92) | 88.42 (86.90, 89.94) | 89.21 (88.34, 90.07) |
 Non-heterosexual | 4.57 (2.92, 6.23) | 4.46 (2.84, 6.07) | 4.25 (2.87, 5.64) | 5.06 (3.76, 6.36) | 4.59 (3.84, 5.34) |
 Missing | 5.32 (4.39, 6.25) | 6.52 (4.99, 8.04) | 6.44 (5.08, 7.80) | 6.52 (5.44, 7.60) | 6.20 (5.58, 6.83) |
Annual household income | |||||
  < $20,000 | 15.82 (14.00, 17.64) | 15.85 (13.55, 18.14) | 17.07 (13.98, 20.16) | 13.89 (12.21, 15.57) | 15.65 (14.50, 16.80) |
 $20,000—$49,999 | 24.61 (22.47, 26.74) | 22.79 (20.44, 25.14) | 21.53 (19.13, 23.94) | 22.12 (20.15, 24.08) | 22.75 (21.65, 23.86) |
 $50,000—$74,999 | 17.36 (15.43, 19.29) | 16.00 (13.83, 18.16) | 17.07 (14.96, 19.19) | 16.74 (14.03, 19.45) | 16.79 (15.66, 17.92) |
  ≥ $75,000 | 32.99 (30.47, 35.52) | 35.29 (32.47, 38.12) | 35.27 (32.67, 37.87) | 38.92 (35.97, 41.88) | 35.64 (34.27, 37.00) |
 Missing | 9.22 (7.28, 11.16) | 10.07 (8.71, 11.44) | 9.06 (7.64, 10.48) | 8.33 (6.84, 9.82) | 9.17 (8.38, 9.95) |
Education | |||||
  < High school | 8.47 (6.67, 10.27) | 8.86 (7.31, 10.41) | 7.14 (5.65, 8.63) | 7.81 (6.27, 9.36) | 8.07 (7.27, 8.87) |
 High school graduate | 22.48 (20.65, 24.32) | 21.97 (20.40, 23.53) | 23.12 (21.18, 25.06) | 21.89 (20.21, 23.58) | 22.36 (21.48, 23.24) |
 Some college, vocational, or technical training | 32.17 (30.62, 33.72) | 39.43 (37.76, 41.10) | 38.99 (37.11, 40.86) | 38.10 (36.42, 39.78) | 37.19 (36.34, 38.04) |
 College graduate or postgraduate | 34.85 (34.43, 35.26) | 28.38 (28.10, 28.65) | 28.76 (28.45, 29.06) | 29.44 (29.24, 29.64) | 30.34 (30.19, 30.49) |
 Missing | 2.03 (1.45, 2.61) | 1.37 (0.80, 1.94) | 2.00 (1.24, 2.75) | 2.76 (1.76, 3.75) | 2.04 (1.67, 2.42) |
Marital status | |||||
 Single and never married | 29.32 (28.77, 29.86) | 29.95 (29.59, 30.31) | 29.45 (28.54, 30.35) | 29.86 (29.32, 30.41) | 29.64 (29.33, 29.96) |
 Married or living as married | 53.77 (52.92, 54.62) | 51.83 (50.52, 53.14) | 54.52 (53.47, 55.57) | 53.15 (52.01, 54.30) | 53.32 (52.77, 53.87) |
 Divorced, separated, or widowed | 14.27 (13.58, 14.96) | 16.89 (15.56, 18.22) | 13.69 (12.80, 14.58) | 13.99 (13.25, 14.74) | 14.71 (14.23, 15.18) |
 Missing | 2.64 (1.81, 3.47) | 1.33 (0.85, 1.82) | 2.34 (1.26, 3.41) | 2.99 (1.99, 4.00) | 2.33 (1.89, 2.77) |
Adults in household | |||||
 1 | 18.20 (16.06, 20.34) | 19.01 (17.17, 20.85) | 20.76 (18.68, 22.83) | 18.00 (16.35, 19.65) | 18.99 (18.03, 19.96) |
  ≥ 2 | 81.80 (79.66, 83.94) | 80.99 (79.15, 82.83) | 79.24 (77.17, 81.32) | 82.00 (80.35, 83.65) | 81.01 (80.04, 81.97) |
Children in household | |||||
 0 | 62.84 (60.22, 65.46) | 65.63 (63.39, 67.87) | 63.78 (61.10, 66.47) | 61.83 (59.36, 64.30) | 63.51 (62.26, 64.77) |
  ≥ 1 | 30.74 (28.22, 33.27) | 28.35 (26.40, 30.30) | 29.43 (27.18, 31.68) | 32.15 (29.28, 35.03) | 30.18 (28.96, 31.39) |
 Missing | 6.42 (5.09, 7.74) | 6.02 (4.50, 7.54) | 6.79 (5.04, 8.53) | 6.01 (4.55, 7.48) | 6.31 (5.55, 7.07) |
Rural/urban residency | |||||
 Metropolitan | 85.82 (84.02, 87.62) | 86.30 (84.54, 88.06) | 86.77 (84.95, 88.59) | 87.76 (86.29, 89.23) | 86.67 (85.81, 87.53) |
 Non-metro urban | 12.26 (10.62, 13.89) | 12.65 (10.84, 14.45) | 11.89 (10.03, 13.74) | 11.20 (9.76, 12.64) | 11.99 (11.15, 12.84) |
 Non-metro rural | 1.93 (1.12, 2.74) | 1.06 (0.62, 1.49) | 1.34 (0.79, 1.90) | 1.04 (0.62, 1.45) | 1.34 (1.05, 1.63) |
Census region | |||||
 Northeast | 17.90 (17.85, 17.94) | 17.81 (17.79, 17.84) | 17.69 (17.55, 17.82) | 17.54 (17.54, 17.54) | 17.73 (17.70, 17.77) |
 Midwest | 21.11 (21.09, 21.13) | 20.97 (20.91, 21.04) | 20.94 (20.87, 21.00) | 20.83 (20.83, 20.84) | 20.96 (20.94, 20.98) |
 South | 37.54 (37.50, 37.57) | 37.62 (37.54, 37.69) | 37.73 (37.66, 37.80) | 37.92 (37.91, 37.92) | 37.70 (37.68, 37.73) |
 West | 23.46 (23.40, 23.52) | 23.60 (23.56, 23.63) | 23.65 (23.58, 23.72) | 23.71 (23.70, 23.71) | 23.60 (23.58, 23.63) |
Health insurance coverage | |||||
 Yes | 90.62 (90.13, 91.10) | 89.89 (89.28, 90.51) | 90.08 (89.19, 90.97) | 89.78 (89.13, 90.44) | 90.09 (89.75, 90.43) |
 No | 8.17 (8.14, 8.19) | 8.33 (8.21, 8.44) | 8.27 (8.18, 8.37) | 8.88 (8.73, 9.03) | 8.41 (8.36, 8.47) |
 Missing | 1.22 (0.74, 1.70) | 1.78 (1.18, 2.38) | 1.65 (0.74, 2.56) | 1.34 (0.68, 1.99) | 1.49 (1.15, 1.84) |
Regular healthcare provider | |||||
 Yes | 64.67 (62.09, 67.24) | 64.47 (61.90, 67.04) | 62.83 (59.68, 65.98) | 61.39 (58.97, 63.81) | 63.33 (61.98, 64.68) |
 No | 34.29 (31.67, 36.91) | 33.86 (31.29, 36.43) | 35.02 (31.83, 38.22) | 37.22 (34.89, 39.55) | 35.11 (33.76, 36.46) |
 Missing | 1.05 (0.60, 1.50) | 1.67 (0.76, 2.58) | 2.15 (1.07, 3.22) | 1.38 (0.94, 1.83) | 1.56 (1.18, 1.95) |
Healthcare visit in past year | |||||
 Yes | 81.75 (79.49, 84.01) | 79.98 (77.32, 82.64) | 82.57 (80.03, 85.12) | 82.65 (80.94, 84.35) | 81.74 (80.58, 82.90) |
 No | 17.00 (14.77, 19.22) | 18.93 (16.42, 21.44) | 16.62 (14.06, 19.18) | 16.74 (14.98, 18.50) | 17.32 (16.18, 18.46) |
 Missing | 1.26 (0.80, 1.72) | 1.09 (0.29, 1.89) | 0.81 (0.22, 1.40) | 0.61 (0.37, 0.86) | 0.94 (0.66, 1.22) |
General health | |||||
 Excellent, very good, good | 82.23 (79.79, 84.68) | 84.69 (82.84, 86.54) | 83.36 (80.94, 85.77) | 85.28 (83.54, 87.02) | 83.90 (82.83, 84.96) |
 Fair or poor | 16.86 (14.50, 19.21) | 14.71 (12.84, 16.58) | 15.05 (12.81, 17.30) | 14.01 (12.29, 15.72) | 15.15 (14.12, 16.18) |
 Missing | 0.91 (0.47, 1.36) | 0.60 (0.35, 0.85) | 1.59 (0.71, 2.47) | 0.71 (0.37, 1.06) | 0.96 (0.69, 1.22) |
Chronic health conditions | |||||
 0 | 47.53 (44.94, 50.12) | 48.71 (46.24, 51.19) | 48.66 (45.95, 51.38) | 46.51 (44.61, 48.41) | 47.85 (46.63, 49.07) |
 1 | 28.05 (25.47, 30.62) | 27.14 (24.91, 29.38) | 27.23 (24.70, 29.75) | 28.76 (26.48, 31.05) | 27.80 (26.59, 29.00) |
  ≥ 2 | 21.23 (19.51, 22.94) | 20.83 (19.09, 22.58) | 20.51 (18.50, 22.51) | 21.47 (19.65, 23.30) | 21.01 (20.10, 21.93) |
 Missing | 3.20 (2.35, 4.05) | 3.31 (2.39, 4.23) | 3.60 (2.63, 4.58) | 3.25 (2.40, 4.10) | 3.34 (2.89, 3.79) |
Depression or anxiety disorder | |||||
 Yes | 22.74 (20.32, 25.16) | 23.69 (21.08, 26.30) | 22.85 (20.23, 25.46) | 24.07 (21.97, 26.18) | 23.34 (22.12, 24.56) |
 No | 75.50 (73.10, 77.90) | 74.23 (71.43, 77.02) | 75.15 (72.42, 77.88) | 74.93 (72.79, 77.08) | 74.95 (73.69, 76.22) |
 Missing | 1.76 (1.08, 2.44) | 2.08 (1.29, 2.88) | 2.00 (1.32, 2.68) | 0.99 (0.58, 1.40) | 1.71 (1.38, 2.03) |
Weekly physical activity | |||||
  < 150 minutes | 57.54 (54.61, 60.47) | 64.20 (61.55, 66.84) | 62.01 (58.98, 65.03) | 59.30 (56.25, 62.36) | 60.76 (59.30, 62.22) |
  ≥ 150 minutes | 41.11 (38.28, 43.94) | 32.81 (30.26, 35.36) | 34.53 (31.84, 37.22) | 37.24 (34.47, 40.00) | 36.41 (35.06, 37.77) |
 Missing | 1.35 (0.92, 1.79) | 2.99 (2.23, 3.76) | 3.46 (2.34, 4.59) | 3.46 (2.12, 4.81) | 2.83 (2.33, 3.32) |