title: Differences in media access and use between rural Native American and White children.
abstract: BACKGROUND
  Native American children experience greater disparities in the number and magnitude of health-related diseases than White children. Multimedia-based health interventions may afford valuable opportunities for reaching this underserved demographic; however, limited data are available describing the use of media technologies among Native Americans. This study characterized diverse media access and use between rural Native American and White children.
  
  
  METHODS
  Surveys were administered to students (n=477) aged 10-15 years in grades 6-8 across four public middle schools in the rural Upper Peninsula of the Midwestern USA state of Michigan.
  
  
  RESULTS
  Native American children (n=41) were more likely than White children (n=436) to have a video game system in their bedroom (65.9% vs 45.4%; p=0.01) and watch more minutes of television on Saturdays (110.3±91.7 vs 80.7±80.8; p=0.03). Native American children also had fewer computers within the home (1.20±0.81 vs 1.68±1.21; p=0.01) than White children and less household internet access (75.6% vs 87.1%; p=0.04), but demonstrated more use in minutes after school (79.9±97.9 vs 51.1±71.6; p=0.02) and on Saturdays (92.6±107.4 vs 60.0±85.1; p=0.02).
  
  
  CONCLUSIONS
  This represents the first cross-cultural comparison of media access and use between Native American and White children from rural Michigan. Greater computer and internet use observed among the Native American children surveyed in this study supports the use of web-based public health initiatives aimed at reducing health disparities within this vulnerable group.
authors.affiliation: Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA, USA; Center on Media and Child Health, Department of Adolescent Medicine, Boston Children's Hospital, Boston, Massachuesetts, USA. yulin.hswen@childrens.harvard.edu.
authors.forename: Yulin
authors.initials: Y
authors.lastname: Hswen
authors.affiliation: The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA. John.A.Naslund@Dartmouth.edu.
authors.forename: John A
authors.initials: JA
authors.lastname: Naslund
authors.affiliation: Center on Media and Child Health, Department of Adolescent Medicine, Boston Children's Hospital, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA. David.bickham@childrens.harvard.edu.
authors.forename: David S
authors.initials: DS
authors.lastname: Bickham
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002648:Child; D005260:Female; D006801:Humans; D007198:Indians, North American; D020407:Internet / Q000706:statistics & numerical data*; D008297:Male; D012424:Rural Population; D012737:Sex Factors; D013690:Television / Q000706:statistics & numerical data*; D018910:Video Games / Q000706:statistics & numerical data*; D044465:White People
keywords: Assessment; Health Promotion; North America; Youth