根据对审查的审查,制定数字健康 (FORWARD) 响应和适应设计的性别框架
Anna Kalbarczyk1, Katya Saksena1,2, Michelle Colder Carras1,2
1Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD USA.
BMC digital health
|December 19, 2025
概括
在低收入和中等收入国家的数字健康干预措施中,由于各种障碍,女性经常被排除在外. 一个新的框架,Gender FORWARD,为设计包容性数字健康计划提供指导,以解决这些性别差异.
科学领域:
- 数字健康数字健康
- 全球卫生平等全球卫生平等
- 性别研究是性别研究.
背景情况:
- 在低收入和中等收入国家 (LMICs) 中,数字卫生干预措施 (DHIs) 的获取,利用和结果存在持续的性别差异.
- 障碍包括有限的手机所有权,数字素养,负担能力和社会文化规范,加之是制度因素和国家战略中缺乏性别平等.
- 虽然DHI的有效性越来越多地被研究,但实施性别平等的计划仍然不清楚.
研究的目的:
- 通过对系统性审查的总体审查,综合LMICs中DHIs的性别相关结果.
- 识别女性参与 DHI 的障碍和促进因素.
- 提出一个框架来设计性别平等的DHI.
主要方法:
- 进行了对LMICs的DHIs系统审查的综合审查,重点关注与性别相关的结果.
- 包括报告定量结果的审查与置信区间和研究设计.
- 使用性别平等连续体进行分类的干预,并根据PRISMA指南报告发现.
主要成果:
- 只有5.5%的审查研究明确使用性别视角.
- 女性的主要障碍包括有限的手机拥有权,财务依赖和社会文化限制.
- 考虑到性别和变革的方法显示出希望,但未得到充分利用和评估;衡量与性别有关的影响是有限的.
结论:
- 建议在数字健康中针对响应性和适应性设计的性别框架 (FORWARD),以指导DHI设计.
- 性别前进计划解决了个人,劳动力和生态系统层面的差异.
- 该框架旨在改善数字健康公平,确保干预措施具有包容性,可访问性和跨性别可持续性.
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