Internet non-use among Canadian Indigenous older adults: Aboriginal Peoples Survey (APS)

Hossam Ali‐Hassan · Rama Eloulabi · Asvini Keethakumar

19 citations0/0 files storedBMC Public Health

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Technology Use by Older Adults ICT Impact and Policies Indigenous Health, Education, and Rights

Abstract

BACKGROUND: Older adults benefit considerably from Internet use, as it can improve their overall health and quality of life, for example through accessing healthcare services and reducing social isolation. The aim of this study is to assess the prevalence and characteristics of Indigenous older adults in Canada who do not use the Internet. METHODS: The Aboriginal Peoples Survey (APS) 2017 was used and analysis was restricted to those above 65 years of age. The main outcome variable was non-use of the internet in a typical month. Multivariable logistic regression was conducted to assess the relationship between each of the sociodemographic, socioeconomic, lifestyle and health factors and internet non-use. RESULTS: The prevalence of Indigenous older adults who reported never using the Internet in a typical month was 33.6% with the highest prevalence reported by residents of the Canadian territories while the lowest prevalence was reported in British Columbia. After adjustment, results indicated that older age (OR = 4.02, 95% CI 3.54-4.57 comparing 80+ to 65-69 years of age), being a male (OR = 1.52, 95% CI 1.41-1.63), married (OR = 1.34, 95% CI 1.25-1.44), and living in rural areas (OR = 1.95, 95% CI 1.79-2.13) increased the odds of not using the Internet. First Nation individuals and those who have a strong sense of belonging to the Indigenous identity were more likely to not use the Internet compared to their counterparts. In addition, those who were less educated (OR = 8.74, 95% CI 7.03-1 0.87 comparing less than secondary education to Bachelor's Degree and above), unemployed (OR = 1.41, 95% CI 1.26-1.57), smoked cigarettes, used marijuana and those with lower self-perceived mental health and unmet health needs were at increased odds of Internet non-use compared to their counterparts. CONCLUSIONS: Findings from this study show that a large proportion of the Indigenous older adults in Canada do not use the internet. It is necessary to address Indigenous communities' lack of internet access and to create interventions that are consistent with Indigenous values, traditions, and goals.

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2013The Digital Divide Among Low-Income Homebound Older Adults: Internet Use Patterns, eHealth Literacy, and Attitudes Toward Computer/Internet Use 2003Older adults' use of information and communications technology in everyday life 2015A nuanced understanding of Internet use and non-use among the elderly 2013Internet Use Among Older Adults: Association With Health Needs, Psychological Capital, and Social Capital 2006Internet use and non-use: views of older users 2015Mapping the two levels of digital divide: Internet access and social network site adoption among older adults in the USA 2013Predictors of Older Adults' Technology Use and Its Relationship to Depressive Symptoms and Well-being 2014The Digital Health Divide

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