ABSTRACT
Digital health technologies are a major feature of contemporary public health strategies, particularly in relation to the COVID-19 pandemic. However, digital initiatives risk excluding vulnerable groups, thereby propagating poor health outcomes. We assessed how groups at higher risk from COVID-19 report their relationships with key digital health initiatives in the United Kingdom. We found that those who are female, over 60 and of a lower social group are less confident in using digital information to make health decisions. Those over 40, from lower social groups and of lower educational attainment use digital resources less often in seeking COVID-19 health information. Lastly, those over 60, from lower social groups and of lower educational attainment are less confident in distinguishing reliable digital COVID-19 information. This suggests that a ‘digital first’ model of COVID-19 pandemic management may exacerbate existing digital and health inequalities by reinforcing barriers to health information and public health services.