Mobile Health Tobacco Cessation Interventions to Promote Health Equity: Current Perspectives.
Mobile Health Tobacco Cessation Interventions to Promote Health Equity: Current Perspectives.
复制标题
移动卫生烟草戒烟干预措施以促进健康公平：当前的观点。
DOI：
10.3389/fdgth.2022.821049
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发表时间：
2022
影响因子：
--
通讯作者：
Spring, Bonnie
中科院分区：
文献类型：
--
作者：
Battalio, Samuel L.;Pfammatter, Angela F.;Kershaw, Kiarri N.;Hernandez, Alexis;Conroy, David E.;Spring, Bonnie
关键词：
尽管美国烟草使用趋势显示出整体改善，但社会劣势继续导致显著的差异。传统的戒烟干预措施和公共政策举措未能公平地惠及社会弱势群体。移动的数字技术的进步为开发资源节约型移动的保健干预措施创造了新的机会，相对于传统方法，这种干预措施具有更大的覆盖面，同时仍然保持相当或更高的功效。它们的可负担性，可扩展性和效率潜力使mHealth戒烟干预措施成为帮助纠正烟草使用差异的工具。我们讨论了我们对社会弱势群体使用的mHealth戒烟干预措施的科学状况的看法。在此过程中，我们概述了现有的健康差异和健康的社会决定因素（SDOH）模型，并讨论了移动健康干预措施可能被优化以抵消或解决烟草使用的社会决定因素的影响的潜在方法。由于来自社会弱势背景的吸烟者面临着多层次的障碍，可以动态地提高烟草使用的风险，我们讨论了先进的移动健康干预措施，根据上下文动态地适应。我们还考虑了在为社会弱势群体设计、评估和实施mHealth戒烟干预措施时可能出现的并发症和陷阱。总而言之，这篇透视文章为最需要的社会弱势群体优化mHealth戒烟干预提供了概念基础。
Although US tobacco use trends show overall improvement, social disadvantage continues to drive significant disparities. Traditional tobacco cessation interventions and public policy initiatives have failed to equitably benefit socially-disadvantaged populations. Advancements in mobile digital technologies have created new opportunities to develop resource-efficient mobile health (mHealth) interventions that, relative to traditional approaches, have greater reach while still maintaining comparable or greater efficacy. Their potential for affordability, scalability, and efficiency gives mHealth tobacco cessation interventions potential as tools to help redress tobacco use disparities. We discuss our perspectives on the state of the science surrounding mHealth tobacco cessation interventions for use by socially-disadvantaged populations. In doing so, we outline existing models of health disparities and social determinants of health (SDOH) and discuss potential ways that mHealth interventions might be optimized to offset or address the impact of social determinants of tobacco use. Because smokers from socially-disadvantaged backgrounds face multi-level barriers that can dynamically heighten the risks of tobacco use, we discuss cutting-edge mHealth interventions that adapt dynamically based on context. We also consider complications and pitfalls that could emerge when designing, evaluating, and implementing mHealth tobacco cessation interventions for socially-disadvantaged populations. Altogether, this perspective article provides a conceptual foundation for optimizing mHealth tobacco cessation interventions for the socially-disadvantaged populations in greatest need.
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