新加坡社区居住成年人中HealthHub应用程序使用情况的患病率及影响因素

Prevalence and determinants of HealthHub app utilization among community-dwelling adults in Singapore.

作者信息

Goda Mahir Bakulkumar, Pang Alexander Shao-Rong, Ong Benedict Ding Chao, Lim Fang Nian Joanne, Tan Alvin Kian Wei, Goh Lay Hoon

机构信息

Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.

Ministry of Health Holdings Pte Ltd, Elementum, Singapore, Singapore.

出版信息

PLoS One. 2025 Jul 17;20(7):e0327053. doi: 10.1371/journal.pone.0327053. eCollection 2025.

DOI:10.1371/journal.pone.0327053

PMID:40674400

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12270099/

Abstract

INTRODUCTION

Singapore's aging population, projected to reach 18.7% by 2030, will increase chronic disease burden and strain healthcare resources. Digital health technologies, like Singapore's HealthHub Application (HHA), are crucial for improving patient outcomes and healthcare delivery. However, the use of HHA among older adults in Singapore remains poorly understood. This study aimed to examine the prevalence of HHA use among community-dwelling Singaporeans and identify factors associated with its use.

METHODS

A cross-sectional survey was conducted in a public housing estate in Singapore, using random sampling to select housing units. Eligibility criteria included being a Singaporean or permanent resident, aged 40 years and above, possessing English proficiency, and absence of cognitive impairment. Participants completed a self-administered electronic questionnaire in English covering socio-demographics, health literacy, use of digital health technologies, and perceptions of HHA. Responses were categorized and analysed using descriptive statistics, univariate analysis, and multivariable logistic regression.

RESULTS

Of the 422 completed responses, 216 (51.2%) of participants reported HHA use. Higher HHA usage was associated with younger age, higher education levels, and greater self-perceived knowledge of health management. Older adults, particularly those aged 70 and above, and participants with secondary education or below had significantly lower HHA usage compared to their counterparts. Additionally, better health literacy as measured by positive perceptions of health knowledge were significantly associated with HHA usage.

CONCLUSION

The adoption of digital health technologies like HHA is lower among older adults with lower education and health knowledge in Singapore. Targeted efforts to improve digital skills, awareness, and usability are needed to promote HHA uptake and support equitable healthcare access in an aging population.

摘要

引言

预计到2030年，新加坡老年人口将达到18.7%，这将增加慢性病负担并使医疗资源紧张。数字健康技术，如新加坡的健康中心应用程序（HHA），对于改善患者治疗效果和医疗服务至关重要。然而，新加坡老年人对HHA的使用情况仍知之甚少。本研究旨在调查新加坡社区居民中HHA的使用 prevalence，并确定与其使用相关的因素。

方法

在新加坡的一个公共屋邨进行了一项横断面调查，采用随机抽样选择住房单元。纳入标准包括为新加坡公民或永久居民，年龄在40岁及以上，具备英语能力，且无认知障碍。参与者用英语完成一份自我管理的电子问卷，内容涵盖社会人口统计学、健康素养、数字健康技术的使用以及对HHA的看法。使用描述性统计、单变量分析和多变量逻辑回归对回答进行分类和分析。

结果

在422份完整回复中，216名（51.2%）参与者报告使用了HHA。较高的HHA使用率与较年轻的年龄、较高的教育水平以及更强的自我感知健康管理知识相关。与同龄人相比，老年人，尤其是70岁及以上的老年人，以及中学及以下学历的参与者HHA使用率显著较低。此外，通过对健康知识的积极看法衡量的更好的健康素养与HHA使用显著相关。