Greenleaf Abigail R, Millington Monique, Robles-Torres Laura, Asiimwe Fred, Diakabana Huguette, Francis Sarah D, Mharadze Tendayi, Justman Jessica
Mailman School of Public Health - Columbia University, ICAP at Columbia University, New York, New York, USA.
Mailman School of Public Health - Columbia University Heilbrunn Department of Population and Family Health, New York, New York, USA.
J Glob Health. 2025 Apr 18;15:04123. doi: 10.7189/jogh.15.04123.
In sub-Saharan Africa, mHealth interventions and phone-based data collection are increasingly popular but little is known about who can be reached by these programmes. We used national probability surveys to examine characteristics of youth (15-24 years) mobile phone owners in seven Southern African countries: Botswana, Eswatini, Lesotho, Malawi, Mozambique, Zambia, and Zimbabwe.
Population-based HIV Impact Assessment surveys are cross-sectional, nationally representative household-based surveys conducted between November 2019 and February 2022. Data were analysed using multivariable logistic regression.
Eighty-four percent of youth in Eswatini, 83% in Botswana, 76% in Lesotho, 61% in Zimbabwe, 47% in Mozambique, 46% in Zambia and 32% in Malawi were mobile phone owners. In all countries, odds of phone ownership were higher amongst persons ages 20-24 (compared to 15-19) and those with secondary education or higher. In the three countries with ownership less than 50%, women had lower odds of owning a phone than men, and all wealth quintiles had higher odds of ownership than the lowest wealth quintile.
Mobile phone ownership was consistently higher among certain demographic groups. Public health practitioners employing mobile phones for youth health programmes in Sub-Saharan Africa may not reach the general youth population.
在撒哈拉以南非洲，移动健康干预措施和基于手机的数据收集越来越普遍，但对于这些项目能够覆盖哪些人群却知之甚少。我们利用全国概率调查来研究南部非洲七个国家（博茨瓦纳、斯威士兰、莱索托、马拉维、莫桑比克、赞比亚和津巴布韦）15至24岁青年手机拥有者的特征。
基于人群的艾滋病毒影响评估调查是2019年11月至2022年2月期间进行的具有全国代表性的横断面家庭调查。使用多变量逻辑回归分析数据。
斯威士兰84%的青年、博茨瓦纳83%的青年、莱索托76%的青年、津巴布韦61%的青年、莫桑比克47%的青年、赞比亚46%的青年和马拉维32%的青年拥有手机。在所有国家，20至24岁人群（与15至19岁人群相比）以及受过中等及以上教育的人群拥有手机的几率更高。在手机拥有率低于50%的三个国家，女性拥有手机的几率低于男性，所有财富五分位数人群拥有手机的几率均高于最低财富五分位数人群。
某些人口群体的手机拥有率一直较高。在撒哈拉以南非洲为青年健康项目使用手机的公共卫生从业者可能无法覆盖全体青年人群。
