Framework
The framework in Sieck et al. (2021) presents digital inclusion as a “super social determinant of health,” meaning that access to the internet and digital literacy influence nearly every other determinant such as education, employment, and healthcare. What stood out to me in Figure 1 was the way digital access connects to all aspects of social well-being from health equity to economic opportunity. Without connectivity, people can’t access tele-health, apply for jobs, or even receive critical health information. The framework highlights how technology is no longer optional; it’s a necessity for participation in modern society.
Usefulness of the Framework
I think this is an excellent framework for describing the impact of the digital divide because it emphasizes the interconnectedness of digital access and health outcomes. By positioning digital inclusion as foundational, Sieck et al (2021) make it clear that efforts to improve public health or reduce inequality must include digital access as a core component. This perspective pushes beyond viewing technology as a convenience; it frames it as a public health and social justice priority.
Sanders & Scanlon (2021): The Digital Divide as a Social Justice Issue
The Section that impacted me most was the discussion of structural barriers such as income inequality and geographic location. Sander and Scanlon (2021) effectively argued that the digital divide mirrors other systemic inequalities, especially in rural and low-income communities. Their argument was persuasive because they connected lack of access to broader issues of power and privilege, showing that this isn’t just about owning a device but about who gets to fully participate in society. I think they defined the problem accurately by framing it as a social justice issue rather than simply a technological one.
Strategies to Address the Divide
The most promising strategy they proposed was increasing investment in infrastructure and public private partnerships to expand broadband access. This is both realistic and impactful because it addresses the root cause, which is limited connectivity. However, the suggestion of achieving “universal digital equity” through voluntary corporate initiatives seemed less feasible, as it relies too heavily on private companies prioritizing equity over profit. I believe strong government involvement and policy reform are more sustainable long-term solutions.
Adapting Clinical Skills for Telehealth
Craig et al. (2021) showed how affirmative cognitive behavior therapy (CBT) could be successfully adapted to telehealth for LGBTQ+ youth, emphasizing inclusivity, safety, and accessibility. I found their approach effective because it acknowledged how marginalized clients may face barriers to in person care, including stigma or unsafe environments. By using telehealth, clinicians could create a supportive virtual space that affirms clients’ identities. This connects directly to the concerns raised in the other two articles, which are access and equity. Even the best therapeutic interventions mean little if clients cant’s access the technology to participate, which ties back to the importance of digital inclusion and systemic advocacy.
References
Craig, S. L., Eaton, A. D., McInroy, L. B., & Leung, V. W. Y. (2021). Adapting clinical Skills to telehealth: Applications of affirmative cognitive behavioral theory with LGBTQ+ youth. Clinical Social Work Journal, 49(1), 53-63.
Sanders, C. K., & Scanlon, E. (2021). The digital divide is a social justice issue. Journal of Social Work Values and Ethics, 18(1), 132-141.
Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021). Digital inclusion as a social determinant of health. NPJ Digital Medicine, 4(1), 52.
Hi! I really like how you tied all three articles together around equity and access. You made a great point that digital inclusion is more than just having technology; it’s a public health and social justice issue. I agree that lasting change will need government action, not just private efforts. Your link between telehealth and access was especially strong without reliable internet; even the best care can’t reach those who need it most. I think as a whole, every blog I have read, we all agree on the same thing that technology can be tied into social justice.