The Relationship Between Individual Characteristics and Interest in Using a Mobile Phone App for HIV Self-Management: Observational Cohort Study of People Living With HIV.
The Relationship Between Individual Characteristics and Interest in Using a Mobile Phone App for HIV Self-Management: Observational Cohort Study of People Living With HIV.
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DOI：
10.2196/mhealth.7853
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发表时间：
2017-07-27
影响因子：
5
通讯作者：
Cook RL
中科院分区：
文献类型：
--
作者：
Lucero RJ;Frimpong JA;Fehlberg EA;Bjarnadottir RI;Weaver MT;Cook C;Modave F;Rathore MH;Morano JP;Ibanez G;Cook RL
人类免疫缺陷病毒(HIV)仍然是美国的一个主要健康问题，据估计，美国有120万人携带艾滋病毒。作为健康人2020的一部分，疾病预防和健康促进办公室针对艾滋病毒流行和管理方面持续存在的人口和地理差异。初步证据表明，移动保健技术(智能手机应用程序)可能是支持艾滋病毒携带者(PLWH)弱势群体中艾滋病毒自我管理的一种有希望的方式，这些人无法获得适当的卫生保健服务。这项研究考察了PLWH的个体特征与使用免费手机应用程序进行HIV自我管理的兴趣程度之间的关联。这项研究使用了2014至2016年间在佛罗里达队列研究中收集的横断面调查数据(N=766)。使用双变量分析和Logistic回归分析了PLWH的个体特征与使用免费手机应用程序进行HIV自我管理的兴趣程度之间的关联。总体而言，85.5%(655/766)的受访者有兴趣使用支持艾滋病毒自我管理的免费手机应用程序。参与者对方便与医疗服务提供者沟通的APP功能(568/740，76.8%)或帮助识别相关医疗服务(556/745，74.6%)的兴趣最高。年龄(OR 0.959，95%CI 0.936-0.982)、教育程度(OR 1.281，95%CI 1.027-1.598)和残疾或无工作能力(OR 0.296，95%CI 0.145-0.606)均与使用免费手机应用程序进行艾滋病毒自我管理的兴趣显著相关。这项研究表明，大多数PLWH对使用免费手机应用程序自我管理自己的情况感兴趣。这一发现可以为支持有效的艾滋病毒自我管理的手机应用程序的开发提供信息。
The human immunodeficiency virus (HIV) continues to be a major health issue in the United States, and an estimated 1.2 million people in the United States are living with HIV. As part of Healthy People 2020, the Office of Disease Prevention and Health Promotion has targeted the persistent demographic and geographic disparities in HIV prevalence and management. Preliminary evidence suggests that mobile health technology (smartphone apps) may be a promising way to support HIV self-management among vulnerable populations of people living with HIV (PLWH) who lack access to appropriate health care services. This study examines the association between individual characteristics of PLWH and level of interest in using a free mobile phone app for HIV self-management. This study was conducted using cross-sectional survey data collected in the Florida Cohort Study between 2014 and 2016 (N=766). Associations between individual characteristics of PLWH and level of interest in using a free mobile phone app for HIV self-management were examined using bivariate analysis and logistic regression. Overall, 85.5% (655/766) of respondents were interested in using a free mobile phone app that supports HIV self-management. Participants expressed the highest interest in app functions that facilitate communication with health care providers (568/740, 76.8%) or help to identify relevant health care services (556/745 74.6%). Age (OR 0.959, 95% CI 0.936-0.982), education (OR 1.281, 95% CI 1.027-1.598) and disability or inability to work (OR 0.296, 95% CI 0.145-0.606) were all significantly associated with being interested in using a free mobile phone app for HIV self-management. This study indicates that a majority of PLWH are interested in using a free mobile phone app to self-manage their condition. The findings can inform the development of mobile phone apps that support effective HIV self-management.
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