Department of Community Nursing, China Medical University, Shenyang, China.
School of Public Health, Peking University, Beijing, China.
J Med Internet Res. 2023 Feb 17;25:e44225. doi: 10.2196/44225.
Despite the increased development and use of mobile health (mHealth) devices during the COVID-19 pandemic, there is little knowledge of willingness of the Chinese people to use mHealth devices and the key factors associated with their use in the post-COVID-19 era. Therefore, a more comprehensive and multiangle investigation is required.
We aimed to probe Chinese attitudes regarding the use of mHealth and analyze possible associations between the attitude of willingness to use mHealth devices and some factors based on the socioecological model.
A survey was conducted using quota sampling to recruit participants from 148 cities in China between June 20 and August 31, 2022. Data from the survey were analyzed using multiple stepwise regression to examine the factors associated with willingness to use mHealth devices. Standardized regression coefficients (β) and 95% CIs were calculated using multiple stepwise regression.
The survey contained a collection of 21,916 questionnaires and 21,897 were valid questionnaires, with a 99.91% effective response rate. The median score of willingness to use mHealth in the post-COVID-19 era was 70 points on a scale from 0 to 100. Multiple stepwise regression results showed that the female gender (β=.03, 95% CI 1.04-2.35), openness personality trait (β=.05, 95% CI 0.53-0.96), higher household per capita monthly income (β=.03, 95% CI 0.77-2.24), and commercial and multiple insurance (β=.04, 95% CI 1.77-3.47) were factors associated with the willingness to use mHealth devices. In addition, people with high scores of health literacy (β=.13, 95% CI 0.53-0.68), self-reported health rating (β=.22, 95% CI 0.24-0.27), social support (β=.08, 95% CI 0.40-0.61), family health (β=.03, 95% CI 0.03-0.16), neighbor relations (β=.12, 95% CI 2.09-2.63), and family social status (β=.07, 95% CI 1.19-1.69) were more likely to use mHealth devices.
On the basis of the theoretical framework of socioecological model, this study identified factors specifically associated with willingness of the Chinese people to use mHealth devices in the post-COVID-19 era. These findings provide reference information for the research, development, promotion, and application of future mHealth devices.
尽管在 COVID-19 大流行期间移动医疗（mHealth）设备得到了越来越多的开发和使用，但对于中国人在后 COVID-19 时代使用 mHealth 设备的意愿以及与其使用相关的关键因素知之甚少。因此，需要进行更全面和多角度的调查。
我们旨在探讨中国人对使用 mHealth 的态度，并基于社会生态学模型分析与使用 mHealth 设备的意愿相关的可能关联因素。
采用配额抽样法，于 2022 年 6 月 20 日至 8 月 31 日期间从中国的 148 个城市招募参与者进行调查。使用多元逐步回归分析来检验与使用 mHealth 设备意愿相关的因素。使用多元逐步回归计算标准化回归系数（β）和 95%置信区间（CI）。
该调查共收集了 21916 份问卷，其中 21897 份有效问卷，有效响应率为 99.91%。在后 COVID-19 时代，使用 mHealth 的意愿中位数得分为 70 分（满分 100 分）。多元逐步回归结果显示，女性（β=0.03，95%CI 1.04-2.35）、开放型人格特质（β=0.05，95%CI 0.53-0.96）、较高的家庭人均月收入（β=0.03，95%CI 0.77-2.24）和商业和多种保险（β=0.04，95%CI 1.77-3.47）是与使用 mHealth 设备意愿相关的因素。此外，健康素养得分较高（β=0.13，95%CI 0.53-0.68）、自我报告健康评分（β=0.22，95%CI 0.24-0.27）、社会支持（β=0.08，95%CI 0.40-0.61）、家庭健康（β=0.03，95%CI 0.03-0.16）、邻里关系（β=0.12，95%CI 2.09-2.63）和家庭社会地位（β=0.07，95%CI 1.19-1.69）较高的人群更有可能使用 mHealth 设备。
基于社会生态学模型的理论框架，本研究确定了与中国人在后 COVID-19 时代使用 mHealth 设备意愿相关的具体因素。这些发现为未来 mHealth 设备的研究、开发、推广和应用提供了参考信息。
