Akiogbe Olugbenga, Feng Hanlin, Kurata Karin, Niwa Makoto, Cao Jianfei, Zhang Shuo, Kageyama Itsuki, Kobayashi Yoshiyuki, Lim Yeongjoo, Kodama Kota
Graduate School of Design and Architecture, Nagoya City University, Nagoya 464-0083, Japan.
Graduate School of Technology Management, Ritsumeikan University, Ibaraki 567-8570, Japan.
Behav Sci (Basel). 2025 Feb 14;15(2):213. doi: 10.3390/bs15020213.
Although mobile health (mHealth) technologies have emerged as a revolutionary approach to enhance healthcare delivery, few studies have examined how it is perceived and accepted in different cultures. This study investigated mHealth's social acceptance among young people in Japan and China, with a focus on cultural influences on technology adoption. A comparative analysis approach was adopted, employing an extended unified theory of acceptance and use of the technology model. University students from both countries, recruited using harmonized sampling methods, completed questionnaires. We employed descriptive statistics to summarize the sample characteristics, confirmatory factor analysis to validate the constructs, multigroup analysis to test for measurement invariance and ensure the applicability of the model in both cultural contexts, and comparative path analysis to explore differences in the various factors influencing mHealth acceptance in each cultural setting. The findings revealed distinct cultural effects on mHealth acceptance. Japanese young people showed cautious acceptance influenced by societal norms and infrastructure, whereas Chinese young people demonstrated strong engagement driven by government support and the growing digital health industry. The study emphasizes the importance of considering cultural and systemic dynamics when integrating mHealth into youth healthcare models and suggests tailored strategies for successful implementation.
尽管移动健康（mHealth）技术已成为一种提升医疗服务的革命性方法，但很少有研究探讨其在不同文化中的认知和接受情况。本研究调查了日本和中国年轻人对移动健康的社会接受度，重点关注文化对技术采用的影响。采用了比较分析方法，运用扩展的技术接受与使用统一理论模型。通过协调的抽样方法招募了来自两国的大学生，并让他们完成问卷。我们使用描述性统计来总结样本特征，通过验证性因素分析来验证结构，进行多组分析以检验测量不变性并确保模型在两种文化背景下的适用性，还进行了比较路径分析以探索影响每种文化背景下移动健康接受度的各种因素的差异。研究结果揭示了文化对移动健康接受度的显著影响。日本年轻人受社会规范和基础设施影响表现出谨慎接受，而中国年轻人则在政府支持和数字健康产业不断发展的推动下表现出强烈参与度。该研究强调了在将移动健康整合到青少年医疗模式中时考虑文化和系统动态的重要性，并提出了成功实施的针对性策略。
