Race/Ethnicity, Nativity Status, and Patient Portal Access and Use

Xuewei Chen, Elizabeth Schofield, Jennifer L. Hay, Erika A. Waters, Marc T. Kiviniemi, Heather Orom

Research output: Contribution to journalArticlepeer-review


We examined whether patient portals (online medical records) access and use differed between groups of various races/ethnicities and nativity status. We used data from the nationally representative Health Information National Trends Survey (N=3,191). We used logistic regression to examine associations between nativity status and the following three binary outcomes: (1) being offered access to patient portals by patients’ health care providers/insurers, (2) being encouraged to use one by their health care providers, and (3) having used one within the past 12 months. We also investigated whether race/ ethnicity moderated the relation between nativity status and these three outcomes. Among Asians, the likelihood of being offered access to a patient portal depended on nativity status. U.S.-born Asians had the highest rate of being offered access to a portal (66%) and foreign-born Asians had the lowest rate (38%). There were no differences as a function of nativity status for other races/ ethnic groups.

Original languageEnglish
Pages (from-to)1135-1145
Number of pages11
JournalJournal of Health Care for the Poor and Underserved
Issue number3
StatePublished - Aug 2022

Bibliographical note

Publisher Copyright:
© Meharry Medical College.


  • Electronic medical records
  • health disparities
  • immigrant health
  • patient-physician communication
  • personal health information

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


Dive into the research topics of 'Race/Ethnicity, Nativity Status, and Patient Portal Access and Use'. Together they form a unique fingerprint.

Cite this