Emory University, Atlanta, GA, USA.
Johns Hopkins University, Baltimore, MD, USA.
Health Promot Pract. 2022 Jul;23(4):619-630. doi: 10.1177/15248399211002831. Epub 2021 Mar 26.
In addressing the sexual and reproductive health (SRH) disparities for Black and Latina women, there is a need for the development of innovative programs, framed using theoretical underpinnings that are culturally and contextually tailored so that they align with lived experiences. Mobile health (mHealth) interventions offer considerable potential as a means of providing effective SRH education and services. However, there has been a lack of research assessing culturally and contextually tailored mHealth SRH interventions for Black and Latina women.
A comprehensive literature search was undertaken using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Literature was reviewed to evaluate whether a culturally and contextually tailored approach was utilized in the development and implementation of mHealth interventions for Black and Latina women.
A total of 12 articles were included in our synthesis, which encompassed mobile phone-, telephone-, and computer-based mHealth interventions for Black and Latina women. Cultural and/or gender-specific tailoring was included in 10 studies. Reduction of risky sexual behaviors and increased contraception usage were reported in 92% ( = 11) of the studies. Interventions that incorporated tailored content and fostered interaction reported high rates of follow-up.
Tailored mHealth interventions can be effective in promoting behavior change and improving SRH outcomes for Black and Latina women. However, there is a need for more research assessing user engagement and retention for Black and Latina women, and whether improvements in SRH outcomes are sustainable over the long term.
为了解决黑人和拉丁裔女性在性与生殖健康（SRH）方面的差距，需要开发创新的项目，这些项目需要以理论为基础，并根据文化和背景进行调整，以使其与生活经历相契合。移动健康（mHealth）干预措施作为提供有效 SRH 教育和服务的手段具有很大的潜力。然而，缺乏评估针对黑人和拉丁裔女性的文化和背景调整的 mHealth SRH 干预措施的研究。
按照 PRISMA（系统评价和荟萃分析的首选报告项目）指南进行了全面的文献检索。对文献进行了回顾，以评估在为黑人和拉丁裔女性开发和实施 mHealth 干预措施时是否采用了文化和背景调整的方法。
我们的综合研究共纳入了 12 篇文章，其中包括针对黑人和拉丁裔女性的手机、电话和计算机为基础的 mHealth 干预措施。10 项研究中包括了文化和/或性别特定的调整。92%（=11）的研究报告了降低风险性行为和增加避孕措施使用的效果。纳入了量身定制内容并促进互动的干预措施报告了较高的随访率。
针对特定人群的 mHealth 干预措施可以有效促进行为改变，改善黑人和拉丁裔女性的 SRH 结果。然而，需要进一步研究来评估黑人和拉丁裔女性的用户参与度和保留率，以及 SRH 结果的改善是否在长期内具有可持续性。
