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Disability in the Digital Age

            A Chart Pack
By Susannah Fox and Jan Lauren Boyles
Disability in the Digital Age
More than 20 years after the initial passage of the Americans with Disabilities Act, internet access remains
unequally distributed. Adults living with disabilities do not engage in networked society at the same rate
as their peers who do not report disability, data from the Pew Internet & American Life Project shows.

According to a September 2010 survey by Pew Internet, nearly three in 10 American adults (27%) live with
a disability that inhibits their daily functioning. The U.S. Census Bureau, which uses a more restrictive
definition of disability, estimates in mid-2012 that nearly one in five Americans (19%) live with a disability.

Individuals who identified a disability use the internet at lower rates than those who did not report
disabilities, Pew Internet data also demonstrates (54% vs. 81%). Again, this data parallels findings from the
Census Bureau, which documented far lower levels of internet use among those with disabilities
compared to those living without disability (48% vs. 74%).

These lower levels of internet activity among those with disabilities stand in stark relief to the rest of the
population, especially as the peer-to-peer healthcare movement accelerates online. By delving deeper
into the demographic data, we now present a more detailed look at adults living with disabilities and their
interplay with the internet.

References:

1) http://www.ada.gov/q%26aeng02.htm

2) http://www.pewinternet.org/Reports/2011/Disability.aspx

2) http://www.census.gov/hhes/www/disability/sipp/disable10.html

3) Table 4: http://www.census.gov/hhes/computer/publications/2010.html
Challenges faced by adults living with
disability
Of those who identified as having a disability, the % who encounter the
following behaviors

                                                                Living with
                                                                 disability

Do you have difficulty or serious difficulty …

Walking or climbing stairs?                                         56%
Concentrating, remembering, or making decisions
because of a physical, mental, or emotional                          40
condition?
Hearing?                                                             34
Doing errands alone such as visiting a doctor’s office
or shopping (because of a physical, mental, or                       29
emotional condition)?
Seeing even when wearing glasses, or are you blind?                  25

Dressing or bathing?                                                 12

Source: Pew Research Center’s Internet & American Life Project, August
9-September 13, 2010 Survey. N=3001 adults for the full sample. N=906
adults who live with a disability. N=2095 who do not live with a disability.
Margin of error is +/- 3.2 percentage points when comparing the two
groups.
The Demographics of Adults Living with Disability
 30% of U.S. adults are living with disability; 70% of U.S. adults do not have a disability.
 This chart shows the proportion of adults who fall into each demographic group. In
 other words, the middle column shows that 48% of those living with a disability are
 male and 52% are female
                                                 Living with
                                                                         No disabilities
                                                  disability
 Gender
 Male                                          48%                             48%
 Female                                         52                              52
 Race
 White, non-Hispanic                            68                              67
 Black, non-Hispanic                            13                              11
 Hispanic                                       13                              14
 Age
 18-29                                          13                              26*
 30-49                                          28                              37*
 50-64                                         29*                              24
 65+                                           29*                              11
 Education
 Grades 1-8                                     8*                               3
 High school, incomplete                       14*                               7
 High school graduate                          39*                              30
 Technical/trade/vocational school
                                                 2                               2
 after high school
 Some college                                   21                              25
 College graduate                                8                              20*
 Post-graduate                                   6                              13*
 Household income
 < $10,000                                     18*                               7
 $10,000 - $19,999                             16*                               9
 $20,000 - $29,999                              12                              10
 $30,000 - $39,999                              10                              10
 $40,000 - $49,999                               8                               8
 $50,000 - $74,999                              10                              14*
 $75,000 - $99,999                               4                              10*
 $100,000 - $150,000 >                           3                               8*
 Parent of a minor child
 Yes                                            30                              34
 No                                            70*                              65
 Student
 Yes                                            15                              16
 No                                             85                              84
* Denotes statistically significant difference
Source: Pew Research Center’s Internet & American Life Project, August 9-
September 13, 2010 Survey. N=3001 adults for the full sample. N=906 adults
who live with a disability. N=2095 adults who do not live with a disability.
Margin of error is +/- 3.2 percentage points when comparing the two groups.
Marital Status

                                                   Living with disability           No disabilities

Married                                                     40%                          51%*
Living with a partner                                        7                             7
Divorced                                                    16*                            9
Separated                                                    3                             2
Widowed                                                     14*                            4
Never been married                                           17                           25*
Single (volunteered)                                         3                             2


* Denotes statistically significant difference
Source: Pew Research Center’s Internet & American Life Project, August 9-September 13, 2010 Survey.
N=3001 adults for the full sample. N=906 adults who live with a disability. N=2095 who do not live with a
disability. Margin of error is +/- 3.2 percentage points when comparing the two groups.
Employment Status

                                                     Living with disability             No disabilities

Full time                                                     23%                            51%*
Part time                                                       7                            14*
Retired                                                        30*                            13
Not employed for pay                                           23*                            18
Self employed/own business                                      1                              2
Student                                                         1                              1


* Denotes statistically significant difference
Source: Pew Research Center’s Internet & American Life Project, August 9-September 13, 2010 Survey.
N=3001 adults for the full sample. N=906 adults who live with a disability. N=2095 who do not live with a
disability. Margin of error is +/- 3.2 percentage points when comparing the two groups.
Personal Health Status
                                                                            Living with            No
                                                                             disability        disabilities

Are you now living with any of the following health problems or
conditions?

High blood pressure                                                             42%*                18

Asthma, bronchitis, emphysema, or other lung conditions                          24*                 7

Diabetes or sugar diabetes                                                       20*                 7

Heart disease, heart failure or heart attack                                     15*                 3

Cancer                                                                           5*                  1

Any other chronic health problem or condition not already
mentioned                                                                        35*                10

In the last 12 months, have you …

Personally faced a serious medical emergency or crisis?                          27*                 6

Experienced any other significant change in your physical
health, such as gaining or losing a lot of weight, becoming                      31*                11
pregnant, or quitting smoking?

* Denotes statistically significant difference
Source: Pew Research Center’s Internet & American Life Project, August 9-September 13, 2010 Survey.
N=3001 adults for the full sample. N=906 adults who live with a disability. N=2095 who do not live with a
disability. Margin of error is +/- 3.2 percentage points when comparing the two groups.
Technology Profile

                                                                  Living with          No
                                                                   disability      disabilities

Have a cell phone or other device that is also a cell phone           74%             89%*
Use the internet or email                                              54              81*
         (Have dial-up connection at home)                             (8)              (7)
         (Have high-speed connection at home)                         (78)            (88*)
Have desktop computer                                                  47              64*
Have laptop computer or netbook                                        34              59*

* Denotes statistically significant difference
Source: Pew Research Center’s Internet & American Life Project, August 9-September 13, 2010
Survey. N=3001 adults for the full sample. N=906 adults who live with a disability. N=2095 who do
not live with a disability. Margin of error is +/- 3.2 percentage points when comparing the two
groups.
Health Topics
The % of adults living with disability vs. other internet users who have looked online for information about each
of the following topics




                                                                               Living with
Have you ever looked online for information about …                                               No disabilities
                                                                                disability


A specific disease or medical problem                                              64%                 66%
A certain medical treatment or procedure                                            55                  56
Doctors or other health professionals                                               38                  45*
Hospitals or other medical facilities                                               31                  37

Health insurance, including private insurance, Medicare or
Medicaid                                                                            30                  34

Food safety or recalls                                                              26                  30
Drug safety or recalls                                                              25                  23
Environmental health hazards                                                        21                  23
Medical test results                                                                15                  17
Memory loss, dementia, or Alzheimer’s                                               19                  16
Pregnancy and childbirth                                                            11                  20*
Long-term care for an elderly or disabled person                                    15                  11
How to manage chronic pain                                                          18                  13
End-of-life decisions                                                                6                   7
Any other health issue                                                              29                  28
Yes to any of the above topics                                                      78                  80


* Denotes statistically significant difference
Source: Pew Research Center’s Internet & American Life Project, August 9-September 13, 2010 Survey. N=3001
adults for the full sample. N=906 adults who live with a disability. N=2095 who do not live with a disability.
Margin of error is +/- 3.2 percentage points when comparing the two groups.
The Social Life of Health Information
                                                        Living with        No
Have you ever…                                           disability    disabilities

Read someone else's commentary or experience
about health or medical issues on an online news            34%            34%
group, website or blog
Watched an online video about health or medical
issues                                                       26             25
Gone online to find others who might have health
concerns similar to yours                                    20             18
Tracked your weight, diet or exercise routine
online                                                       13             16
Tracked any other health indicators or symptoms
online                                                       20             16
Signed up to receive email updates or alerts about
health or medical issues                                     18             13
Have used the internet to do any of these                    58             55
* Denotes statistically significant difference
Source: Pew Research Center’s Internet & American Life Project, August 9-September
13, 2010 Survey. N=3001 adults for the full sample. N=906 adults who live with a
disability. N=2095 who do not live with a disability. Margin of error is +/- 3.2
percentage points when comparing the two groups.
Health Care Reviews Online
                                                        Living with        No
Have you ever…                                           disability    disabilities
Consulted online reviews of particular drugs or
medical treatments                                          27%            24%
Consulted online rankings or reviews of doctors or
other providers                                              13             16
Consulted online rankings or reviews of hospitals
or other medical facilities                                  13             15
Posted your experiences with a particular drug or
medical treatment online                                     9*             2
Posted a review online of a doctor                           8*              4
Posted a review online of a hospital                          5              3
Have used the internet to do any of these                    38             34
* Denotes statistically significant difference
Source: Pew Research Center’s Internet & American Life Project, August 9-September
13, 2010 Survey. N=3001 adults for the full sample. N=906 adults who live with a
disability. N=2095 who do not live with a disability. Margin of error is +/- 3.2
percentage points when comparing the two groups.
Sources of Health Information for Adults Living with
Disability

                                               Professional sources
Who is more helpful when you                                                  Fellow patients,
                                                 like doctors and
need…                                                                       friends, and family
                                                      nurses



Times when professionals matter most
An accurate medical diagnosis                           88%                          6%

Information about prescription drugs                     83                          10

Information about alternative
treatments                                               66                          20

A recommendation for a doctor or
specialist                                               66                          24

A quick remedy for an everyday
health issue                                             48                          43

Practical advice for coping with day-
to-day health situations                                 45                          44

A recommendation for a hospital or
other medical facility                                   67                          22

Times when non-professionals matter most
Emotional support in dealing with a
health issue                                             37                          53


Source: Pew Research Center’s Internet & American Life Project, August 9-September 13, 2010
Survey. N=3001 adults for the full sample. N=906 adults who live with a disability. N=2095 who do
not live with a disability. Margin of error is +/- 3.2 percentage points when comparing the two
groups.
Methodology
The results in this chart pack are based on data from telephone interviews
conducted by Princeton Survey Research Associates International between
August 9 and September 13, 2010, among a sample of 3,001 adults, age 18 and
older.

Interviews were conducted in English and Spanish. A combination of landline
and cellular random digit dial samples was used to represent all adults in the
continental United States who have access to either a landline or cellular
telephone.

For results based on the total sample, one can say with 95% confidence that the
error attributable to sampling is plus or minus 2.5 percentage points. For results
based internet users (n=2,065), the margin of sampling error is plus or minus 2.9
percentage points.

In addition to sampling error, question wording and practical difficulties in
conducting telephone surveys may introduce some error or bias into the findings
of opinion polls.

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Disability in the Digital Age

  • 1. Disability in the Digital Age A Chart Pack By Susannah Fox and Jan Lauren Boyles
  • 2. Disability in the Digital Age More than 20 years after the initial passage of the Americans with Disabilities Act, internet access remains unequally distributed. Adults living with disabilities do not engage in networked society at the same rate as their peers who do not report disability, data from the Pew Internet & American Life Project shows. According to a September 2010 survey by Pew Internet, nearly three in 10 American adults (27%) live with a disability that inhibits their daily functioning. The U.S. Census Bureau, which uses a more restrictive definition of disability, estimates in mid-2012 that nearly one in five Americans (19%) live with a disability. Individuals who identified a disability use the internet at lower rates than those who did not report disabilities, Pew Internet data also demonstrates (54% vs. 81%). Again, this data parallels findings from the Census Bureau, which documented far lower levels of internet use among those with disabilities compared to those living without disability (48% vs. 74%). These lower levels of internet activity among those with disabilities stand in stark relief to the rest of the population, especially as the peer-to-peer healthcare movement accelerates online. By delving deeper into the demographic data, we now present a more detailed look at adults living with disabilities and their interplay with the internet. References: 1) http://www.ada.gov/q%26aeng02.htm 2) http://www.pewinternet.org/Reports/2011/Disability.aspx 2) http://www.census.gov/hhes/www/disability/sipp/disable10.html 3) Table 4: http://www.census.gov/hhes/computer/publications/2010.html
  • 3. Challenges faced by adults living with disability Of those who identified as having a disability, the % who encounter the following behaviors Living with disability Do you have difficulty or serious difficulty … Walking or climbing stairs? 56% Concentrating, remembering, or making decisions because of a physical, mental, or emotional 40 condition? Hearing? 34 Doing errands alone such as visiting a doctor’s office or shopping (because of a physical, mental, or 29 emotional condition)? Seeing even when wearing glasses, or are you blind? 25 Dressing or bathing? 12 Source: Pew Research Center’s Internet & American Life Project, August 9-September 13, 2010 Survey. N=3001 adults for the full sample. N=906 adults who live with a disability. N=2095 who do not live with a disability. Margin of error is +/- 3.2 percentage points when comparing the two groups.
  • 4. The Demographics of Adults Living with Disability 30% of U.S. adults are living with disability; 70% of U.S. adults do not have a disability. This chart shows the proportion of adults who fall into each demographic group. In other words, the middle column shows that 48% of those living with a disability are male and 52% are female Living with No disabilities disability Gender Male 48% 48% Female 52 52 Race White, non-Hispanic 68 67 Black, non-Hispanic 13 11 Hispanic 13 14 Age 18-29 13 26* 30-49 28 37* 50-64 29* 24 65+ 29* 11 Education Grades 1-8 8* 3 High school, incomplete 14* 7 High school graduate 39* 30 Technical/trade/vocational school 2 2 after high school Some college 21 25 College graduate 8 20* Post-graduate 6 13* Household income < $10,000 18* 7 $10,000 - $19,999 16* 9 $20,000 - $29,999 12 10 $30,000 - $39,999 10 10 $40,000 - $49,999 8 8 $50,000 - $74,999 10 14* $75,000 - $99,999 4 10* $100,000 - $150,000 > 3 8* Parent of a minor child Yes 30 34 No 70* 65 Student Yes 15 16 No 85 84 * Denotes statistically significant difference Source: Pew Research Center’s Internet & American Life Project, August 9- September 13, 2010 Survey. N=3001 adults for the full sample. N=906 adults who live with a disability. N=2095 adults who do not live with a disability. Margin of error is +/- 3.2 percentage points when comparing the two groups.
  • 5. Marital Status Living with disability No disabilities Married 40% 51%* Living with a partner 7 7 Divorced 16* 9 Separated 3 2 Widowed 14* 4 Never been married 17 25* Single (volunteered) 3 2 * Denotes statistically significant difference Source: Pew Research Center’s Internet & American Life Project, August 9-September 13, 2010 Survey. N=3001 adults for the full sample. N=906 adults who live with a disability. N=2095 who do not live with a disability. Margin of error is +/- 3.2 percentage points when comparing the two groups.
  • 6. Employment Status Living with disability No disabilities Full time 23% 51%* Part time 7 14* Retired 30* 13 Not employed for pay 23* 18 Self employed/own business 1 2 Student 1 1 * Denotes statistically significant difference Source: Pew Research Center’s Internet & American Life Project, August 9-September 13, 2010 Survey. N=3001 adults for the full sample. N=906 adults who live with a disability. N=2095 who do not live with a disability. Margin of error is +/- 3.2 percentage points when comparing the two groups.
  • 7. Personal Health Status Living with No disability disabilities Are you now living with any of the following health problems or conditions? High blood pressure 42%* 18 Asthma, bronchitis, emphysema, or other lung conditions 24* 7 Diabetes or sugar diabetes 20* 7 Heart disease, heart failure or heart attack 15* 3 Cancer 5* 1 Any other chronic health problem or condition not already mentioned 35* 10 In the last 12 months, have you … Personally faced a serious medical emergency or crisis? 27* 6 Experienced any other significant change in your physical health, such as gaining or losing a lot of weight, becoming 31* 11 pregnant, or quitting smoking? * Denotes statistically significant difference Source: Pew Research Center’s Internet & American Life Project, August 9-September 13, 2010 Survey. N=3001 adults for the full sample. N=906 adults who live with a disability. N=2095 who do not live with a disability. Margin of error is +/- 3.2 percentage points when comparing the two groups.
  • 8. Technology Profile Living with No disability disabilities Have a cell phone or other device that is also a cell phone 74% 89%* Use the internet or email 54 81* (Have dial-up connection at home) (8) (7) (Have high-speed connection at home) (78) (88*) Have desktop computer 47 64* Have laptop computer or netbook 34 59* * Denotes statistically significant difference Source: Pew Research Center’s Internet & American Life Project, August 9-September 13, 2010 Survey. N=3001 adults for the full sample. N=906 adults who live with a disability. N=2095 who do not live with a disability. Margin of error is +/- 3.2 percentage points when comparing the two groups.
  • 9. Health Topics The % of adults living with disability vs. other internet users who have looked online for information about each of the following topics Living with Have you ever looked online for information about … No disabilities disability A specific disease or medical problem 64% 66% A certain medical treatment or procedure 55 56 Doctors or other health professionals 38 45* Hospitals or other medical facilities 31 37 Health insurance, including private insurance, Medicare or Medicaid 30 34 Food safety or recalls 26 30 Drug safety or recalls 25 23 Environmental health hazards 21 23 Medical test results 15 17 Memory loss, dementia, or Alzheimer’s 19 16 Pregnancy and childbirth 11 20* Long-term care for an elderly or disabled person 15 11 How to manage chronic pain 18 13 End-of-life decisions 6 7 Any other health issue 29 28 Yes to any of the above topics 78 80 * Denotes statistically significant difference Source: Pew Research Center’s Internet & American Life Project, August 9-September 13, 2010 Survey. N=3001 adults for the full sample. N=906 adults who live with a disability. N=2095 who do not live with a disability. Margin of error is +/- 3.2 percentage points when comparing the two groups.
  • 10. The Social Life of Health Information Living with No Have you ever… disability disabilities Read someone else's commentary or experience about health or medical issues on an online news 34% 34% group, website or blog Watched an online video about health or medical issues 26 25 Gone online to find others who might have health concerns similar to yours 20 18 Tracked your weight, diet or exercise routine online 13 16 Tracked any other health indicators or symptoms online 20 16 Signed up to receive email updates or alerts about health or medical issues 18 13 Have used the internet to do any of these 58 55 * Denotes statistically significant difference Source: Pew Research Center’s Internet & American Life Project, August 9-September 13, 2010 Survey. N=3001 adults for the full sample. N=906 adults who live with a disability. N=2095 who do not live with a disability. Margin of error is +/- 3.2 percentage points when comparing the two groups.
  • 11. Health Care Reviews Online Living with No Have you ever… disability disabilities Consulted online reviews of particular drugs or medical treatments 27% 24% Consulted online rankings or reviews of doctors or other providers 13 16 Consulted online rankings or reviews of hospitals or other medical facilities 13 15 Posted your experiences with a particular drug or medical treatment online 9* 2 Posted a review online of a doctor 8* 4 Posted a review online of a hospital 5 3 Have used the internet to do any of these 38 34 * Denotes statistically significant difference Source: Pew Research Center’s Internet & American Life Project, August 9-September 13, 2010 Survey. N=3001 adults for the full sample. N=906 adults who live with a disability. N=2095 who do not live with a disability. Margin of error is +/- 3.2 percentage points when comparing the two groups.
  • 12. Sources of Health Information for Adults Living with Disability Professional sources Who is more helpful when you Fellow patients, like doctors and need… friends, and family nurses Times when professionals matter most An accurate medical diagnosis 88% 6% Information about prescription drugs 83 10 Information about alternative treatments 66 20 A recommendation for a doctor or specialist 66 24 A quick remedy for an everyday health issue 48 43 Practical advice for coping with day- to-day health situations 45 44 A recommendation for a hospital or other medical facility 67 22 Times when non-professionals matter most Emotional support in dealing with a health issue 37 53 Source: Pew Research Center’s Internet & American Life Project, August 9-September 13, 2010 Survey. N=3001 adults for the full sample. N=906 adults who live with a disability. N=2095 who do not live with a disability. Margin of error is +/- 3.2 percentage points when comparing the two groups.
  • 13. Methodology The results in this chart pack are based on data from telephone interviews conducted by Princeton Survey Research Associates International between August 9 and September 13, 2010, among a sample of 3,001 adults, age 18 and older. Interviews were conducted in English and Spanish. A combination of landline and cellular random digit dial samples was used to represent all adults in the continental United States who have access to either a landline or cellular telephone. For results based on the total sample, one can say with 95% confidence that the error attributable to sampling is plus or minus 2.5 percentage points. For results based internet users (n=2,065), the margin of sampling error is plus or minus 2.9 percentage points. In addition to sampling error, question wording and practical difficulties in conducting telephone surveys may introduce some error or bias into the findings of opinion polls.