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Rural-Urban Disparities in Mobile Health Application Ownership and Utilization Among Cancer Survivors.

Asos Mahmood1,2, Aram Mahmood3, Satish Kedia4

  • 1Center for Health System Improvement, College of Medicine, University of Tennessee Health Science Center, Memphis, TN.

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Rural cancer survivors are less likely to use mobile health (mHealth) apps compared to urban survivors. This digital health disparity may limit access to vital health information and support for this population.

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Area of Science:

  • Digital Health
  • Cancer Survivorship
  • Health Disparities

Background:

  • Mobile health (mHealth) applications offer potential benefits for cancer survivors' quality of life and health outcomes.
  • Understanding the rural-urban distribution of mHealth app ownership and utilization is crucial.

Purpose of the Study:

  • To explore characteristics of cancer survivors owning and using mHealth apps.
  • To examine rural-urban disparities in mHealth app ownership and utilization among cancer survivors.

Main Methods:

  • Utilized data from the "Health Information National Trends Survey-Surveillance, Epidemiology, and End Results" pilot study (2021).
  • Sample included 942 cancer survivors owning smart devices.
  • Analyses involved weighted proportions and multivariable regression modeling.

Main Results:

  • 60.3% of cancer survivors used mHealth apps; 16.9% lived in rural areas.
  • 45.0% of rural survivors used mHealth apps vs. 63.5% of urban survivors.
  • Rural survivors had 46.0% lower odds of mHealth app ownership/utilization (aOR=0.54).

Conclusions:

  • Rural cancer survivors exhibit lower mHealth app ownership and utilization compared to urban counterparts.
  • Rural survivors face barriers to healthcare access and affordability.
  • mHealth technology could improve healthcare delivery and address access barriers for rural cancer survivors.