Causio Francesco Andrea, Beccia Flavia, Tona Diego Maria, Verduchi Alessandra, Cristiano Antonio, Calabrò Giovanna Elisa, Pastorino Roberta, van El Carla, Boccia Stefania
Section of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Department of Human Sciences, Society and Health, University of Cassino and Lazio Meridionale, Cassino, Italy.
Eur J Public Health. 2025 Jun 1;35(3):401-406. doi: 10.1093/eurpub/ckaf036.
This study investigates public perceptions and engagement with mobile health (mHealth) across eight European countries: Italy, the Netherlands, France, Germany, Spain, Poland, Romania, and Hungary. The focus is on attitudes toward health app usage and data sharing, addressing data privacy and security concerns while highlighting generational and educational differences. A cross-sectional survey was conducted with 6581 participants from the selected countries. The survey assessed current usage of health apps, interest in future use, willingness to share health data, and concerns about data privacy. Demographic factors such as age, education level, and geographical location were analyzed to determine their influence on mHealth engagement. The survey revealed that 21.87% of respondents currently use health apps, while 42.71% expressed interest in future use. Regarding data sharing, 52.82% were willing to share health data with healthcare providers, and 25.48% with public and private research institutions. However, concerns about data misuse (72.34%) and hacking (63.68%) were prevalent. Significant generational differences emerged, with older generations showing lower adoption rates of health apps. Education level was a key factor; individuals with tertiary education were more likely to use health apps and demand transparency. The findings emphasize the need for targeted strategies to improve digital literacy, address privacy concerns, and ensure equitable access to mHealth technologies across Europe. Tailored interventions are essential to bridge generational and educational gaps in mHealth engagement while fostering trust in data security measures.
本研究调查了意大利、荷兰、法国、德国、西班牙、波兰、罗马尼亚和匈牙利这八个欧洲国家公众对移动健康（mHealth）的认知和参与情况。重点关注对健康应用程序使用和数据共享的态度，解决数据隐私和安全问题，同时突出代际和教育差异。对来自选定国家的6581名参与者进行了横断面调查。该调查评估了健康应用程序的当前使用情况、未来使用兴趣、共享健康数据的意愿以及对数据隐私的担忧。分析了年龄、教育水平和地理位置等人口统计学因素，以确定它们对移动健康参与度的影响。调查显示，21.87%的受访者目前使用健康应用程序，而42.71%的受访者表示对未来使用感兴趣。在数据共享方面，52.82%的人愿意与医疗保健提供者共享健康数据，25.48%的人愿意与公共和私人研究机构共享。然而，对数据滥用（72.34%）和黑客攻击（63.68%）的担忧普遍存在。出现了显著的代际差异，老一代对健康应用程序的采用率较低。教育水平是一个关键因素；受过高等教育的人更有可能使用健康应用程序并要求透明度。研究结果强调需要制定有针对性的策略，以提高数字素养，解决隐私问题，并确保整个欧洲公平获取移动健康技术。量身定制的干预措施对于弥合移动健康参与方面的代际和教育差距，同时增强对数据安全措施的信任至关重要。
