Philp, Fraser 
ORCID: 0000-0002-8552-7869, Faux-Nightingale, Alice, Bateman, James, Clark, Heather, Johnson, Oliver, Klaire, Vijay, Nevill, Alan, Parry, Emma, Warren, Kate, Pandyan, Anand et al (show 1 more authors)
(2022)
Observational cross-sectional study of the association of poor broadband provision with demographic and health outcomes: the Wolverhampton Digital ENablement (WODEN) programme.
BMJ Open, 12 (11).
e065709-e065709.
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Abstract
<jats:sec><jats:title>Objectives</jats:title><jats:p>The association between impaired digital provision, access and health outcomes has not been systematically studied. The Wolverhampton Digital ENablement programme (WODEN) is a multiagency collaborative approach to determine and address digital factors that may impact on health and social care in a single deprived multiethnic health economy. The objective of this study is to determine the association between measurable broadband provision and demographic and health outcomes in a defined population.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>An observational cross-sectional whole local population-level study with cohorts defined according to broadband provision.</jats:p></jats:sec><jats:sec><jats:title>Setting/participants</jats:title><jats:p>Data for all residents of the City of Wolverhampton, totalling 269 785 residents.</jats:p></jats:sec><jats:sec><jats:title>Primary outcomes</jats:title><jats:p>Poor broadband provision is associated with variation in demographics and with increased comorbidity and urgent care needs.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Broadband provision was measured using the Broadband Infrastructure Index (BII) in 158 City localities housing a total of 269 785 residents. Lower broadband provision as determined by BII was associated with younger age (p<0.001), white ethnic status (p<0.001), lesser deprivation as measured by Index of Multiple Deprivation (p<0.001), a higher number of health comorbidities (p<0.001) and more non-elective urgent events over 12 months (p<0.001).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Local municipal and health authorities are advised to consider the variations in broadband provision within their locality and determine equal distribution both on a geographical basis but also against demographic, health and social data to determine equitable distribution as a platform for equitable access to digital resources for their residents.</jats:p></jats:sec>
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | epidemiology, COVID-19, general medicine (see internal medicine), health services administration & management, health policy, organisational development |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health Faculty of Health and Life Sciences > Institute of Population Health > School of Health Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 03 Nov 2022 09:39 |
| Last Modified: | 08 Mar 2023 14:52 |
| DOI: | 10.1136/bmjopen-2022-065709 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3165953 |
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