Households with connections to high speed broadband internet (cable, fiber optic, DSL) (%)

Access to high<sdt id="-713892888" sdttag="goog_rdk_0">-s</sdt>peed broadband, defined by the Federal Communications Commission (FCC) as a minimum connection speed of 25 megabits per second (Mbps) for downloads and 3 Mbps for uploads, has become critical to community health and economic well-being.1,2 Reliable, high<sdt id="-632092101" sdttag="goog_rdk_3">-</sdt>speed internet improves access to education and employment opportunities and is associated with increased economic development, higher home values, and higher educational outcomes at both the grade school and high school levels.2-4 It can also enable people to access health<sdt id="-1271932364" sdttag="goog_rdk_4"></sdt>care resources, <sdt id="1438255839" sdttag="goog_rdk_5">by, for example, </sdt>finding a local doctor or connecting to care remotely.4 For these reasons, lack of high<sdt id="-784039767" sdttag="goog_rdk_8">-</sdt>speed broadband can have a negative impact on health outcomes in the short and long term.

The COVID-19 pandemic and associated shutdowns underscored the importance of broadband access and highlighted the impacts of deep disparities in broadband access across communities.3 Indeed, it is estimated that about 30% of U.S. households do not have high-speed internet access.5 While the rural/urban “digital divide” gets a lot of attention, significant disparities in broadband access can be found within cities as well.6 In fact, in the U.S., urban counties contain a higher share of all unconnected Americans (35%) than do counties that are mostly rural (8%).7 In urban areas, lack of access to broadband is most frequently due to the cost of subscription, low digital literacy, or lack of in-home computing equipment, compared to rural areas<sdt id="2143608884" sdttag="goog_rdk_11">,</sdt> where lack of physical infrastructure is often the principal barrier.8 Lack of access to broadband internet during the pandemic has exacerbated existing disparities for those who are already at higher risk for poorer health outcomes, such as <sdt id="1654173553" sdttag="goog_rdk_13">people of color</sdt> and those who are older, have lower incomes, or are less educated.6,8,9 Within the largest U.S. cities, for example, people of color represent 75% of those who are unconnected, yet only 61% of the population.7

This metric estimates the percentage of households that have connections to high<sdt id="-922566358" sdttag="goog_rdk_20">-</sdt>speed broadband internet in the home. This includes households with cable, fiber optic<sdt id="2114699364" sdttag="goog_rdk_22">, </sdt>or DSL connections, and excludes those with satellite or dial-up connections.10 This metric does not include households <sdt id="-1039672620" sdttag="goog_rdk_24">that </sdt>access the internet entirely through cellular data plans.

<table border="1" cellpadding="1" cellspacing="1" style="width: 500px;"><tbody><tr><td>Strengths of Metric</td>
			<td>Limitations of Metric</td>
		</tr><tr><td>
			<ul><li>In the increasingly digital world, improving access to broadband connection at home is critical for reducing disparities in health outcomes.</li>
				<li>The metric only includes broadband connection types (cable, DSL, and fiber) with higher (and thus more useful) connection speeds. 10</li>
			</ul></td>
			<td>
			<ul><li>This type of self-reported metric asks households for the type of internet connection they have. Some people may not know how they get their internet.</li>
				<li>Not all cable, DSL, and fiber connections are created equal. Some may be faster or slower than others, and this metric does not measure internet speed or quality. Access to only low-speed or low-quality internet may also have a negative impact on health disparities.</li>
			</ul></td>
		</tr></tbody></table>

Broadband connection is calculated by the following formula:
<img alt="broadband equation" data-entity-type="file" data-entity-uuid="a0fb84f7-c41b-4e3f-8c69-4e35f2a568cd" src="https://content.cityhealthdashboard.com/drupal/sites/default/files/inline-images/broadband%20equation_1.png" class="align-center" width="734" height="62" loading="lazy" />For more information on the calculation, please refer to the <a href="/page/823">City Health Dashboard Technical Document</a>.

Estimates for this metric are from <a href="https://www.census.gov/programs-surveys/acs/">American Community Survey</a> data using the S2801 table. Multi-year data are available for this metric. For more information, please refer to <a href="/multi-year-data">Using Multi-Year Data: Tips and Cautions</a>.

1. Federal Communications Commission. 2015 Broadband Progress Report. Washington, DC: Wireline Competition Bureau; February 4, 2015.

2. Conroy T, Deller S, Kures M, et al. Broadband and the Wisconsin Economy. Madison, WI: University of Wisconsin-Madison: Center for Community &amp; Economic Development;2021.

3. Langer Hall S. Digital Redlining. In. NC State University: Institute for Emerging Issues; 2020.

4. Benda NC, Veinot TC, Sieck CJ, Ancker JS. Broadband Internet Access Is a Social Determinant of Health! 2020;110(8):1123-1125.

5. Johns Hopkins University Center for Applied Public Research. Broadband and COVID-19. COVID-19 Economic Response and Recovery Series 2020; <a href="https://appliedresearch.jhu.edu/food-insecurity-and-covid-19/broadband-and-covid-19/">https://appliedresearch.jhu.edu/food-insecurity-and-covid-19/broadband-and-covid-19/</a>.

6. Reddick CG, Enriquez R, Harris RJ, Sharma B. Determinants of broadband access and affordability: An analysis of a community survey on the digital divide. Cities. 2020;106:102904.

7. Siefer A, Callahan B. Limiting Broadband Investment to "Rural Only" Discriminates Against Black Americans and other Communities of Color. In. Columbus, OH: National Digital Inclusion Alliance; 2020.

8. McCloud RF, Okechukwu CA, Sorensen G, Viswanath K. Beyond access: barriers to internet health information seeking among the urban poor. Journal of the American Medical Informatics Association : JAMIA. 2016;23(6):1053-1059.

9.Tomer A, Kneebone E, Shivaram R. Signs of digital distress: Mapping broadband availability and subscription in American neighborhoods. The Brookings Institution;2017.

10. Federal Communications Commission. Types of Broadband Connections. 2014; <a href="https://www.fcc.gov/general/types-broadband-connections">https://www.fcc.gov/general/types-broadband-connections</a>.

 

Last updated: July 26, 2023

Broadband Connection

Households with connections to high speed broadband internet (cable, fiber optic, DSL) (%)

Why do we measure broadband connection?

How do we measure broadband connection?

Strengths and Limitations

Calculation

Data Source

References