Information and Communication Technology Use Among Low-Income Pregnant and Postpartum Women by Race and Ethnicity: A Cross-Sectional Study.
Information and Communication Technology Use Among Low-Income Pregnant and Postpartum Women by Race and Ethnicity: A Cross-Sectional Study.
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DOI：
10.2196/jmir.3916
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发表时间：
2015-07-03
影响因子：
7.4
通讯作者：
Bennett W
中科院分区：
文献类型：
--
作者：
Chilukuri N;West M;Henderson JL;Lawson S;Ehsanipoor R;Costigan K;Polk S;Bennett W
怀孕和产后期为影响妇女及其家人的围产期和终生预防性健康行为提供了机会之窗，但这些机会常常被错过。了解信息和通信技术 (ICT) 使用方面的种族/民族差异可以为不同人群中基于技术的干预措施提供信息。该研究的目的是评估不同种族和族裔群体之间以及英语语言水平在使用信息通信技术方面的差异。我们对 246 名年龄在 18 岁或以上、怀孕或产后 1 年内的女性进行了一项横断面研究。他们是从 4 家医院门诊诊所招募的，并完成了一项自填式调查。我们使用多元回归分析来评估种族/民族与 ICT（手机/短信服务 [SMS] 短信、互联网和社交网络）使用之间的关联，并在调整年龄、收入、婚姻状况和保险状况后按种族/民族和感知的英语语言能力进行评估。总的来说，28% (69/246) 的参与者是拉丁裔，40% (98/246) 是非裔美国人，23% (56/246) 是白人，9% (23/246) 来自其他种族/族裔群体。在拉丁裔中，84% (58/69) 的英语水平有限，59% (41/69) 没有保险。超过 90% 的参与者报告使用手机，但超过 25% (65/246) 在过去一年中更换过电话号码 2 次或以上。与白人女性相比，非洲裔美国女性不太可能发送短信（OR 0.07，95% CI 0.01-0.63），而拉丁裔女性则不太可能使用互联网寻找其他有类似担忧的人（OR 0.23，95% CI 0.08-0.73）。与英语语言能力足够的女性相比，英语语言能力有限的女性总体上不太可能使用互联网（OR 0.30，95% CI 0.09-0.99）或使用电子邮件（OR 0.22，95% CI 0.08-0.63）。手机广泛用于向低收入、种族多元化的孕妇和产后妇女提供健康干预措施，但互联网使用和短信方面存在差异。除非有替代方案，例如适合英语水平有限的人群的替代方案，否则需要基于网络应用程序的干预措施或计划的采用率可能较低。
Pregnancy and the postpartum period provide windows of opportunity to impact perinatal and lifelong preventive health behavior for women and their families, but these opportunities are often missed. Understanding racial/ethnic differences in information and communication technology (ICT) use could inform technology-based interventions in diverse populations. The objective of the study was to evaluate differences in the use of ICT between racial and ethnic groups as well as by English language proficiency. We conducted a cross-sectional study of 246 women who were aged 18 years or older and pregnant or within 1 year of delivery. They were recruited from 4 hospital-based outpatient clinics and completed a self-administered survey. We used multivariate regression analysis to evaluate the association between race/ethnicity and ICT (mobile phone/short message service [SMS] text message, Internet, and social network) usage by race/ethnicity and perceived English language proficiency after adjusting for age, income, marital status, and insurance status. In all, 28% (69/246) of participants were Latina, 40% (98/246) were African American, 23% (56/246) were white, and 9% (23/246) from other racial/ethnic groups. Of the Latinas, 84% (58/69) reported limited English language proficiency and 59% (41/69) were uninsured. More than 90% of all participants reported mobile phone use, but more than 25% (65/246) had changed phone numbers 2 or more times in the past year. Compared to white women, African American women were less likely to SMS text message (OR 0.07, 95% CI 0.01-0.63) and Latinas were less likely to use the Internet to find others with similar concerns (OR 0.23, 95% CI 0.08-0.73). Women with limited English language proficiency were less likely to use the Internet overall (OR 0.30, 95% CI 0.09-0.99) or use email (OR 0.22, 95% CI 0.08-0.63) compared to women with adequate English language proficiency. Mobile phones are widely available for the delivery of health interventions to low-income, racially diverse pregnant and postpartum women, but disparities in Internet use and SMS text messaging exist. Interventions or programs requiring Web-based apps may have lower uptake unless alternatives are available, such as those adapted for limited English proficiency populations.