Mobile technology access and use among youth in Nairobi, Kenya: implications for mobile health intervention design.

Autor:	Kharono B; Department of Global Health, University of Washington, Seattle, WA, USA., Kaggiah A; Department of Paediatrics and Child Health, Kenyatta National Hospital, Nairobi, Kenya., Mugo C; Department of Global Health, University of Washington, Seattle, WA, USA.; Department of Paediatrics and Child Health, Kenyatta National Hospital, Nairobi, Kenya., Seeh D; Department of Paediatrics and Child Health, Kenyatta National Hospital, Nairobi, Kenya., Guthrie BL; Department of Global Health, University of Washington, Seattle, WA, USA., Moreno M; Department of Pediatrics, University of Wisconsin-Madison, Madison, WI, USA., John-Stewart G; Department of Global Health, University of Washington, Seattle, WA, USA.; Departments of Epidemiology, Medicine, Pediatrics, University of Washington, Seattle, WA, USA., Inwani I; Department of Paediatrics and Child Health, Kenyatta National Hospital, Nairobi, Kenya., Ronen K; Department of Global Health, University of Washington, Seattle, WA, USA.
Jazyk:	angličtina
Zdroj:	MHealth [Mhealth] 2022 Jan 20; Vol. 8, pp. 7. Date of Electronic Publication: 2022 Jan 20 (Print Publication: 2022).
DOI:	10.21037/mhealth-21-23
Abstrakt:	Background: Social media can be used to support the health of underserved youth beyond clinical settings. Young people are avid users of social media, but estimates of smartphone access among youth in sub-Saharan Africa are lacking, making it difficult to determine context-appropriateness of online and social media interventions. Methods: We conducted a cross-sectional observational survey assessing technology access and use among youth aged 14-24 receiving general outpatient or human immunodeficiency virus (HIV) care in three hospitals in Nairobi, Kenya. Correlates of smartphone access and social media use were evaluated by Poisson regression. Results: Of 600 youth, 301 were receiving general outpatient care and 299 HIV care. Median age was 18 years. Overall, 416 (69%) had access to a mobile phone and 288 (48%) to a smartphone. Of those with smartphones, 260 (90%) used social media. Smartphone access varied by facility (40% at the sub-county hospital vs. 55% at the national referral hospital, P=0.004) and was associated with older age [65% in 20-24-year-old vs. 37% in 14-19-year-old, adjusted prevalence ratio (aPR) 1.58, 95% CI: 1.30-1.92], secondary vs. primary education (aPR 2.59, 95% CI: 1.76-3.81), and HIV vs. general outpatient care (aPR 1.18, 95% CI: 1.01-1.38). Social media use was similarly associated with facility, older age, higher education, and male gender. Conclusions: These data suggest that smartphone-based and social media interventions are accessible in Nairobi, Kenya, in the general population and youth living with HIV, and most appropriate for older youth. Intervention developers and policymakers should consider smartphone and social media interventions as candidates for youth health programs, while noting that heterogeneity of access between and within communities requires tailoring to the specific intervention context to avoid excluding the most vulnerable youth. Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://dx.doi.org/10.21037/mhealth-21-23). CM was supported by National Institutes of Health grant D43TW009580. BLG declares funding from National Institutes of Health (grant P30AI027757). GJS declared funding from National Institutes of Health (grants K24HD054314 and P30AI027757). KR declares funding from National Institutes of Health (grants K18MH122978 and P30AI027757). The other authors have no conflicts of interest to declare. (2022 mHealth. All rights reserved.)
Databáze:	MEDLINE
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