Does women's mobile phone ownership matter for health? Evidence from 15 countries
Does women's mobile phone ownership matter for health? Evidence from 15 countries
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DOI：
10.1136/bmjgh-2020-002524
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发表时间：
2020-05-01
影响因子：
8.1
通讯作者：
Mohan, Diwakar
中科院分区：
文献类型：
--
作者：
LeFevre, Amnesty E.;Shah, Neha;Mohan, Diwakar
移动的电话有可能增加获得健康信息的机会，改善患者与提供者之间的沟通，并影响所接受的健康服务的内容和质量。关于在拥有移动的电话方面存在性别差距的证据有限，还有待努力将妇女拥有手机与寻求护理和生殖、孕产妇、新生儿和儿童健康做法联系起来。这项分析的目的是评估家庭和妇女获得手机及其对15个国家的RMNCH健康结果的影响，其中人口与健康调查数据的手机所有权。多层次逻辑回归模型被用来探讨与妇女的手机所有权的相关因素，沿着与手机所有权的关联，以广泛的RMNCH指标。研究结果表明：（1）在拥有移动的电话方面的性别差距各不相同，但可能很大，在一些国家，拥有移动的电话的妇女不到一半;（2）农村和较贫穷妇女在拥有电话方面的性别差距更大;（3）妇女拥有手机通常与更好的生殖、孕产妇、新生儿和儿童健康指标相关;（4）在女性手机拥有者中，使用RMNCH寻求护理和实践因其收入状况而异;（5）如果数据差距和各种衡量标准得到解决，可以做更多的工作来释放移动的手机对妇女健康的潜力。研究结果强化了这样一种观点，即如果不解决手机拥有率方面的性别差距，数字健康计划可能会加剧现有的健康不平等。
Mobile phones have the potential to increase access to health information, improve patient-provider communication, and influence the content and quality of health services received. Evidence on the gender gap in ownership of mobile phones is limited, and efforts to link phone ownership among women to care-seeking and practices for reproductive maternal newborn and child health (RMNCH) have yet to be made. This analysis aims to assess household and women's access to phones and its effects on RMNCH health outcomes in 15 countries for which Demographic and Health Surveys data on phone ownership are available. Multilevel logistic regression models were used to explore factors associated with women's phone ownership, along with the association of phone ownership to a wide range of RMNCH indicators. Study findings suggest that (1) gender gaps in mobile phone ownership vary, but they can be substantial, with less than half of women owning mobile phones in several countries; (2) the gender gap in phone ownership is larger for rural and poorer women; (3) women's phone ownership is generally associated with better RMNCH indicators; (4) among women phone owners, utilisation of RMNCH care-seeking and practices differs based on their income status; and (5) more could be done to unleash the potential of mobile phones on women's health if data gaps and varied metrics are addressed. Findings reinforce the notion that without addressing the gender gap in phone ownership, digital health programmes may be at risk of worsening existing health inequities.