Dataset Information

Internet access and partnership formation in the United States.

ABSTRACT: The Internet has fundamentally altered how we communicate and access information and who we can interact with. However, the implications of Internet access for partnership formation are theoretically ambiguous. We examine their association using data from the National Longitudinal Survey of Youth (NLSY97) and Current Population Survey (CPS) in the United States. We find that the relationship between Internet access and partnership states (in the NLSY97) or partnership status (in the CPS) is age-dependent. While negative at the youngest adult ages, the association becomes positive as individuals reach their mid- to late 20s, for both same-sex and different-sex partnerships. The results suggest that Internet access is positively associated with union formation when individuals enter the stage in the young adult life course when they feel ready to commit to a long-term partnership. Our study contributes to a growing literature that highlights the implications of digital technologies for demographic processes.Supplementary material for this article is available at: https://doi.org/10.1080/00324728.2021.1999485.

SUBMITTER: Sironi M

PROVIDER: S-EPMC9621102 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature

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Internet access and partnership formation in the United States.

Sironi Maria M Kashyap Ridhi R

Population studies 20211123 3

The Internet has fundamentally altered how we communicate and access information and who we can interact with. However, the implications of Internet access for partnership formation are theoretically ambiguous. We examine their association using data from the National Longitudinal Survey of Youth (NLSY97) and Current Population Survey (CPS) in the United States. We find that the relationship between Internet access and partnership states (in the NLSY97) or partnership status (in the CPS) is age- ...[more]

PMID: 34812122

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Project description:Regular HIV testing enables early identification and treatment of HIV among at-risk men who have sex with men (MSM). Characterizing HIV testing needs for Internet-using MSM informs development of Internet-facilitated testing interventions. In this systematic review we analyze HIV testing patterns among Internet-using MSM in the United States who report, through participation in an online study or survey, their HIV status as negative or unknown and identify demographic or behavioral risk factors associated with testing. We systematically searched multiple electronic databases for relevant English-language articles published between January 1, 2005 and December 16, 2014. Using meta-analysis, we summarized the proportion of Internet-using MSM who had ever tested for HIV and the proportion who tested in the 12 months preceding participation in the online study or survey. We also identified factors predictive of these outcomes using meta-regression and narrative synthesis. Thirty-two studies that enrolled 83,186 MSM met our inclusion criteria. Among the studies reporting data for each outcome, 85 % (95 % CI 82-87 %) of participants had ever tested, and 58 % (95 % CI 53-63 %) had tested in the year preceding enrollment in the study, among those for whom those data were reported. Age over 30 years, at least a college education, use of drugs, and self-identification as being homosexual or gay were associated with ever having tested for HIV. A large majority of Internet-using MSM indicated they had been tested for HIV at some point in the past. A smaller proportion-but still a majority-reported they had been tested within the year preceding study or survey participation. MSM who self-identify as heterosexual or bisexual, are younger, or who use drugs (including non-injection drugs) may be less likely to have ever tested for HIV. The overall findings of our systematic review are encouraging; however, a subpopulation of MSM may benefit from targeted outreach. These findings indicate unmet needs for HIV testing among Internet-using MSM and identify subpopulations that might benefit from targeted outreach, such as provision of HIV self-testing kits.

Project description:Background and purposeMechanical thrombectomy helps prevent disability in patients with acute ischemic stroke involving occlusion of a large cerebral vessel. Thrombectomy requires procedural expertise and not all hospitals have the staff to perform this intervention. Few population-wide data exist regarding access to mechanical thrombectomy.MethodsWe examined access to thrombectomy for ischemic stroke using discharge data from calendar years 2016 to 2018 from all nonfederal emergency departments and acute care hospitals across 11 US states encompassing 80 million residents. Facilities were classified as hubs if they performed mechanical thrombectomy, gateways if they transferred patients who ultimately underwent mechanical thrombectomy, and gaps otherwise. We used standard descriptive statistics and unadjusted logistic regression models in our primary analyses.ResultsAmong 205 681 patients with ischemic stroke, 100 139 (48.7% [95% CI, 48.5%–48.9%]) initially received care at a thrombectomy hub, 72 534 (35.3% [95% CI, 35.1%–35.5%]) at a thrombectomy gateway, and 33 008 (16.0% [95% CI, 15.9%–16.2%]) at a thrombectomy gap. Patients who initially received care at thrombectomy gateways were substantially less likely to ultimately undergo thrombectomy than patients who initially received care at thrombectomy hubs (odds ratio, 0.27 [95% CI, 0.25–0.28]). Rural patients had particularly limited access: 27.7% (95% CI, 26.9%–28.6%) of such patients initially received care at hubs versus 69.5% (95% CI, 69.1%–69.9%) of urban patients. For 93.8% (95% CI, 93.6%–94.0%) of patients with stroke at gateways, their initial facility was capable of delivering intravenous thrombolysis, compared with 76.3% (95% CI, 75.8%–76.7%) of patients at gaps. Our findings were unchanged in models adjusted for demographics and comorbidities and persisted across multiple sensitivity analyses, including analyses adjusting for estimated stroke severity.ConclusionsWe found that a substantial proportion of patients with ischemic stroke across the United States lacked access to thrombectomy even after accounting for interhospital transfers. US systems of stroke care require further development to optimize thrombectomy access.

Dataset Information

Internet access and partnership formation in the United States.

Publications

Internet access and partnership formation in the United States.

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