了解不同阶段移动卫生利用中的不平等:系统审查和元分析
Seongwoo Yang1,2, Myoung Jin Cha1, Robin van Kessel3,4
1Department of Digital Health, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea.
Journal of medical Internet research
|August 14, 2025
概括
移动健康 (mHealth) 的使用显示了不平等. 年龄较大,收入较低和教育程度较低,阻碍了获取和采用,而就业,私人保险和健康行为则促进了这一点. 需要量身定制的干预措施来促进公平的移动健康利用.
科学领域:
- 数字健康数字健康
- 健康 公平 卫生 公平
- 移动卫生干预行动 移动卫生干预行动
背景情况:
- 移动健康 (mHealth) 提供了改善患者护理的潜力,但面临着显著的消耗,限制了其影响.
- 人口和国家的移动健康获取和采用的差异可能会加剧健康不平等和数字沟.
研究的目的:
- 系统地审查和元分析导致在访问,采用,遵守和维护阶段的移动健康利用不平等的因素.
- 确定影响公平的移动健康参与的人口,社会经济和行为因素.
主要方法:
- 对2000-2024年间的移动健康研究进行系统审查和元分析,包括对智能手机,应用程序和可穿戴设备的研究.
- 包括报告四个mHealth阶段不平等指标的研究;使用数字健康公平框架提取数据.
- 对于至少三项研究报告的因素的随机效应元分析,评估与I2统计数据的异质性.
主要成果:
- 年龄较大对移动健康的采用产生负面影响 (OR 0.47). 高等教育和收入对获得和采用有积极的影响.
- 就业,并发症和私人保险显示出与移动医疗的获取和采用有重大关联.
- 女性和身体活跃的个人显示出更高的mHealth采用率.
结论:
- 移动健康的利用是多方面的,在所有参与阶段存在不平等.
- 量身定制的干预措施对于解决特定阶段的障碍和促进公平的移动健康使用至关重要.
- 解决弱势群体的数字访问问题,并通过教育和支持促进参与,可以弥合健康差距.
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