Jabour Sarah M, Page Alexis, Hall Seventy F, Rodriguez Lycinda, Shields Wendy C, Alvanzo Anika Ah
Division of General Internal Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, United States.
School of Social Work, University of Buffalo, Buffalo, NY, United States.
J Med Internet Res. 2018 Aug 14;20(8):e248. doi: 10.2196/jmir.9962.
Information and communication technologies (ICT) offer the potential for delivering health care interventions to low socioeconomic populations who often face barriers in accessing health care. However, most studies on ICT for health education and interventions have been conducted in clinical settings.
The aim of this study was to examine access to and use of mobile phones and computers, as well as interest in, using ICT for receipt of behavioral health information among a community sample of urban, predominately black, women with low socioeconomic status.
Participants (N=220) were recruited from hair salons and social service centers and completed audio-computer assisted self-interviews.
The majority of the participants (212/220, 96.3%) reported use of a cell phone at least weekly, of which 89.1% (189/212) used smartphones and 62.3% (137/220) reported computer use at least weekly. Of the women included in the study, 51.9% (107/206) reported using a cell phone and 39.4% (74/188) reported using a computer to access health and/or safety information at least weekly. Approximately half of the women expressed an interest in receiving information about stress management (51%-56%) or alcohol and health (45%-46%) via ICT. Smartphone ownership was associated with younger age (odds ratio [OR] 0.92, 95% CI 0.87-0.97) and employment (OR 5.12, 95% CI 1.05-24.95). Accessing health and safety information weekly by phone was associated with younger age (OR 0.96, 95% CI 0.94-0.99) and inversely associated with higher income (OR 0.42, 95% CI 0.20-0.92).
Our findings suggest that ICT use, particularly smartphone use, is pervasive among predominantly black women with low socioeconomic status in urban, nonclinical settings. These results show that ICT is a promising modality for delivering health information to this population. Further exploration of the acceptability, feasibility, and effectiveness of using ICT to disseminate behavioral health education and intervention is warranted.
信息通信技术（ICT）为向社会经济地位较低的人群提供医疗保健干预措施提供了可能性，这些人群在获得医疗保健方面往往面临障碍。然而，大多数关于ICT用于健康教育和干预的研究都是在临床环境中进行的。
本研究的目的是调查城市中社会经济地位较低的、以黑人为主的女性社区样本中手机和电脑的使用情况、获取情况，以及对使用ICT接收行为健康信息的兴趣。
从理发店和社会服务中心招募参与者（N = 220），并完成音频计算机辅助自我访谈。
大多数参与者（212/220，96.3%）报告至少每周使用一次手机，其中89.1%（189/212）使用智能手机，62.3%（137/220）报告至少每周使用一次电脑。在纳入研究的女性中，51.9%（107/206）报告至少每周使用手机，39.4%（74/188）报告至少每周使用电脑获取健康和/或安全信息。大约一半的女性表示有兴趣通过ICT接收有关压力管理（51%-56%）或酒精与健康（45%-46%）的信息。拥有智能手机与年龄较小（优势比[OR]0.92，95%置信区间0.87-0.97）和就业（OR 5.12，95%置信区间1.05-24.95）相关。每周通过手机获取健康和安全信息与年龄较小（OR 0.96，95%置信区间0.94-0.99）相关，并与较高收入呈负相关（OR 0.42，95%置信区间0.20-0.92）。
我们的研究结果表明，在城市非临床环境中，社会经济地位较低的以黑人为主的女性中，ICT的使用，尤其是智能手机的使用非常普遍。这些结果表明，ICT是向这一人群提供健康信息的一种有前景的方式。有必要进一步探索使用ICT传播行为健康教育和干预的可接受性、可行性和有效性。
