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. 2021 Jul 23;23(7):e27982. doi: 10.2196/27982

Table 3.

Difference in the adjusted rates of telemedicine use between April 2020 and August-September 2020 by socioeconomic status measures.

Measure Number of participants Adjusted rate, % Differencea, % (95% CI) P valueb Difference in differencesa (95% CI) P valueb


April 2020 August-September 2020



Educational attainment







University or higher 7915 2.3 6.6 4.3 (2.7 to 5.9) <.001 Reference N/Ac

College 4581 1.9 4.0 2.1 (1.3 to 2.9) <.001 −2.2 (−4.0 to −0.4) .01

High school or lower 12,030 1.9 3.5 1.6 (0.9 to 2.4) <.001 −2.7 (−4.4 to −0.9) .003
Urbanicity of residence







Urban 14,666 2.1 5.2 3.2 (2.4 to 3.9) <.001 Reference N/A

Rural 9860 2.0 3.8 1.8 (1.2 to 2.4) <.001 −1.4 (−2.3 to −0.4) .004
Income level







High 5458 1.7 4.6 2.8 (1.8 to 3.8) <.001 Reference N/A

Medium 6814 1.9 4.7 2.8 (1.5 to 4.2) <.001 0 (−1.6 to 1.7) .99

Low 7151 2.3 4.4 2.1 (1.3 to 2.9) <.001 −0.7 (−2.0 to 0.6) .34

Not answered 5103 2.1 5.4 3.2 (1.1 to 5.4) .003 0.4 (−2.0 to 2.8) .79

aWe calculated the differences in the adjusted rates of telemedicine use between April 2020 and August-September 2020 for each socioeconomic status measure (educational attainment, urbanicity of residence, or income level). Then, we examined how the difference in the rates of telemedicine use between the two time points varied by educational attainment, urbanicity of residence, or income level (difference in differences). The analyses were weighted to account for selection in an internet survey. For each analysis, standard errors were clustered at the prefecture level.

bThe P values were adjusted post hoc to account for multiple comparisons with the use of the Benjamini-Hochberg method.

cN/A: not applicable.