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Connolly SL, Raciborski RA, Abdulkerim H, Sullivan JL, Heyworth LK, Weaver KR, Eisele LC, Shimada SL, Lindsay JA, Hogan TP, Miller CJ. Site-Level Differences in the Provision of Telemental Health Care Within the Department of Veterans Affairs. Health Serv Res 2025:e14639. [PMID: 40374180 DOI: 10.1111/1475-6773.14639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2024] [Revised: 03/20/2025] [Accepted: 04/24/2025] [Indexed: 05/17/2025] Open
Abstract
OBJECTIVE To examine site-level differences in telemental health use within the Department of Veterans Affairs (VA). Findings aim to identify barriers to telemental health use to improve access to care. STUDY SETTING AND DESIGN 122 VA facilities were classified into three groups: sites with higher levels of in-person (n = 55), video (n = 40), and phone mental health (MH) care (n = 27). We used Pearson's chi-squared and F-tests to assess for group differences on organizational characteristics and patient population variables. DATA SOURCES AND ANALYTIC SAMPLE This was an observational study using VA administrative data from July 2021 to October 2022; analyses were conducted from June 2024 to March 2025. PRINCIPAL FINDINGS Sites in the video group tended to be larger, high-complexity, urban facilities that served more women, younger patients, and patients with greater broadband access. Sites in the in-person group served more patients of lower socioeconomic status and treated the highest percentage of rural patients. The phone group served the next highest percentage of rural patients, followed by the video group. CONCLUSIONS Larger, higher-complexity sites may have stronger telehealth infrastructures, and urban areas have stronger broadband connectivity to support video visits. Smaller, rural sites may benefit from targeted support to increase video use.
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Affiliation(s)
- Samantha L Connolly
- Center for Health Optimization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts, USA
- Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
| | - Rebecca A Raciborski
- VA Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, Arkansas, USA
- Behavioral Health Quality Enhancement Research Initiative (QUERI), Central Arkansas Veterans Healthcare System, North Little Rock, Arkansas, USA
- Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
| | - Hassen Abdulkerim
- Center for Health Optimization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts, USA
| | - Jennifer L Sullivan
- Center of Innovation on Transformative Health Systems Research to Improve Veteran Equity and Independence, VA Providence Healthcare System, Providence, Rhode Island, USA
- Brown University School of Public Health, Providence, Rhode Island, USA
| | - Leonie K Heyworth
- Veterans Health Administration Office of Connected Care, Office of Digital Health, Washington, DC, USA
- Department of Health Sciences, University of California San Diego, San Diego, California, USA
| | - Kendra R Weaver
- Clinical Operations, Veterans Health Administration Office of Mental Health, Washington, DC, USA
| | - Lisa C Eisele
- VA New England Healthcare System, Boston, Massachusetts, USA
| | - Stephanie L Shimada
- Center for Health Optimization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA
- Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, Massachusetts, USA
- Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, Massachusetts, USA
| | - Jan A Lindsay
- VA South Central Mental Illness Research, Education and Clinical Center, Houston, Texas, USA
- Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Houston, Texas, USA
- Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, USA
- Rice University's Baker Institute for Public Policy, Rice University, Houston, Texas, USA
| | - Timothy P Hogan
- Center for Health Optimization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA
- Department of Health Economics, Systems, and Policy, Peter O'Donnell Jr School of Public Health, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Christopher J Miller
- Center for Health Optimization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts, USA
- Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
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Karim MR, Nordin N, Hassan MS, Islam MA, Yusof MF. ERP in Bangladesh healthcare industry: Current scenario, challenges, and future directions. Work 2025; 81:2010-2020. [PMID: 39973635 DOI: 10.1177/10519815241300410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2025] Open
Abstract
BACKGROUND Over the last twenty years, Enterprise Resource Planning (ERP) systems have become essential for businesses aiming to enhance efficiency and gain a competitive advantage in the fierce business landscape of today. ERP systems offer substantial benefits for quality, cost-efficiency, and timely services in healthcare globally, but many organizations in underdeveloped and remote areas lack adequate IT infrastructure. OBJECTIVE This paper aims to provide an overview of the status of the ERP environment in Bangladesh's healthcare business and highlight the demands for IT-enabled health infrastructure and challenges to ERP-based health structure adoption. METHOD The study conducted a systematic review and meta-analysis extension for systematic reviews using the PRISMA method. Two digital libraries including Scopus and WoS were used in this study for systematic literature review. RESULTS The study found no papers conducted on ERP in Bangladesh healthcare, including advantages and disadvantages. Some findings revealed that the adoption of ERP systems in the healthcare industry in Bangladesh remains challenging but not beyond overcome. CONCLUSIONS ERP systems would encourage substantial changes in finances, human resources and capacity, revenue, workforce scheduling, and customer satisfaction if they were successfully adopted in healthcare enterprises in Bangladesh. Further improvement is needed in various disciplines based on the existing situation and difficulties with ERP adoption in the healthcare industry. The results of this study will assist the stakeholders in making wise choices regarding the implementation of ERP and upcoming investments in Bangladesh's healthcare industry.
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Affiliation(s)
- Mohammad Rezaul Karim
- Faculty of Business & Communication, Universiti Malaysia Perlis, Kangar 01000, Malaysia
- Department of Business Administration, Shanto-Mariam University of Creative Technology, Dhaka 1230, Bangladesh
| | - Norshahrizan Nordin
- Faculty of Business & Communication, Universiti Malaysia Perlis, Kangar 01000, Malaysia
| | - Md Sharif Hassan
- School of Accounting and Finance, Taylor's University, Subang Jaya 47500, Malaysia
| | - Md Aminul Islam
- College of Business Administration, Prince Mohammad Bin Fahd University, Dhahran 34754, Saudi Arabia
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McGrath C, Chau CWR, Molina GF. Monitoring oral health remotely: ethical considerations when using AI among vulnerable populations. FRONTIERS IN ORAL HEALTH 2025; 6:1587630. [PMID: 40297341 PMCID: PMC12034695 DOI: 10.3389/froh.2025.1587630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2025] [Accepted: 03/31/2025] [Indexed: 04/30/2025] Open
Abstract
Technological innovations in dentistry are revolutionizing the monitoring and management of oral health. This perspective article critically examines the rapid expansion of remote monitoring technologies-including artificial intelligence (AI)-driven diagnostics, electronic health records (EHR), wearable devices, mobile health applications, and chatbots-and discusses their ethical, legal, and social implications. The accelerated adoption of these digital tools, particularly in the wake of the COVID-19 pandemic, has enhanced accessibility to care while simultaneously raising significant concerns regarding patient consent, data privacy, and algorithmic biases. We review current applications ranging from AI-assisted detection of dental pathologies to blockchain-enabled data transfer within EHR systems, highlighting the potential for improved diagnostic accuracy and the risks associated with over-reliance on remote assessments. Furthermore, we underscore the challenges posed by the digital divide, where disparities in digital literacy and access may inadvertently exacerbate existing socio-economic and health inequalities. This article calls for the development and rigorous implementation of ethical frameworks and regulatory guidelines that ensure the reliability, transparency, and accountability of digital health innovations. By integrating multidisciplinary insights, our discussion aims to foster a balanced approach that maximizes the clinical benefits of emerging technologies while safeguarding patient autonomy and promoting equitable healthcare delivery.
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Affiliation(s)
- Colman McGrath
- Applied Oral Sciences and Community Dental Care Division, The Faculty of Dentistry, University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Chun Wang Reinhard Chau
- Applied Oral Sciences and Community Dental Care Division, The Faculty of Dentistry, University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Gustavo Fabián Molina
- Special Care Dentistry, School of Dentistry, Universidad Católica de Córdoba, Cordoba, Argentina
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Li L, Back E, Lee S, Shipley R, Mapitse N, Elbe S, Smallman M, Wilson J, Yasin I, Rees G, Gordon B, Murray V, Roberts SL, Cupani A, Kostkova P. Balancing Risks and Opportunities: Data-Empowered-Health Ecosystems. J Med Internet Res 2025; 27:e57237. [PMID: 40132190 PMCID: PMC11979548 DOI: 10.2196/57237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2024] [Revised: 09/24/2024] [Accepted: 02/18/2025] [Indexed: 03/27/2025] Open
Abstract
This viewpoint paper addresses the ongoing challenges and opportunities within the data-for-health ecosystem, drawing insights from a multistakeholder workshop. Despite notable progress in the digitization of health care systems, data sharing and interoperability remain limited, so the full potential of health care data is not realized. There is a critical need for data ecosystems that can enable the timely, safe, efficient, and sustainable collection and sharing of health care data. However, efforts to meet this need face risks related to privacy, data protection, security, democratic governance, and exclusion. Key challenges include poor interoperability, inconsistent approaches to data governance, and concerns about the commodification of data. While emerging platforms such as social media play a growing role in gathering and sharing health information, their integration into formal data systems remains limited. A robust and secure data-for-health ecosystem requires stronger frameworks for data governance, interoperability, and citizen engagement to build public trust. This paper argues that reframing health care data as a common good, improving the transparency of data acquisition and processing, and promoting the use of application programming interfaces (APIs) for real-time data access are essential to overcoming these challenges. In addition, it highlights the need for international norms and standards guided by multisector leadership, given the multinational nature of data sharing. Ultimately, this paper emphasizes the need to balance risks and opportunities to create a socially acceptable, secure, and effective data-sharing ecosystem in health care.
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Affiliation(s)
- Lan Li
- University College London, London, United Kingdom
| | - Emma Back
- University College London, London, United Kingdom
| | - Suna Lee
- University College London, London, United Kingdom
| | | | - Néo Mapitse
- World Organisation for Animal Health, Paris, France
| | - Stefan Elbe
- University of Sussex, Brighton, United Kingdom
| | | | - James Wilson
- University College London, London, United Kingdom
| | - Ifat Yasin
- University College London, London, United Kingdom
| | - Geraint Rees
- University College London, London, United Kingdom
| | - Ben Gordon
- Our Future Health, London, United Kingdom
| | | | | | - Anna Cupani
- University College London, London, United Kingdom
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Sau A, Zeidaabadi B, Patlatzoglou K, Pastika L, Ribeiro AH, Sabino E, Peters NS, Ribeiro ALP, Kramer DB, Waks JW, Ng FS. A comparison of artificial intelligence-enhanced electrocardiography approaches for the prediction of time to mortality using electrocardiogram images. EUROPEAN HEART JOURNAL. DIGITAL HEALTH 2025; 6:180-189. [PMID: 40110221 PMCID: PMC11914724 DOI: 10.1093/ehjdh/ztae090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/03/2024] [Revised: 09/04/2024] [Accepted: 10/19/2024] [Indexed: 03/22/2025]
Abstract
Aims Most artificial intelligence-enhanced electrocardiogram (AI-ECG) models used to predict adverse events including death require that the ECGs be stored digitally. However, the majority of clinical facilities worldwide store ECGs as images. Methods and results A total of 1 163 401 ECGs (189 539 patients) from a secondary care data set were available as both natively digital traces and PDF images. A digitization pipeline extracted signals from PDFs. Separate 1D convolutional neural network (CNN) models were trained on natively digital or digitized ECGs, with a discrete-time survival loss function to predict time to mortality. A 2D CNN model was trained on 310 × 868 px ECG images. External validation was performed in 958 954 ECGs (645 373 patients) from a Brazilian primary care cohort and 1022 ECGs (1022 patients) from a Chagas disease cohort. The image 2D CNN model and digitized 1D CNN model performed comparably to natively digital 1D CNN model in internal [C-index 0.780 (0.779-0.781), 0.772 (0.771-0.774), and 0.775 (0.774-0.776), respectively] and external validation. Models trained on natively digital 1D ECGs had comparable performance when applied to digitized 1D ECGs [C-index 0.773 (0.771-0.774)]. Conclusion Both the image 2D CNN and digitized 1D CNN enable mortality prediction from ECG images, with comparable performance to natively digital 1D CNN. Models trained on natively digital 1D ECGs can also be applied to digitized 1D ECGs, without any significant loss in performance. This work allows AI-ECG mortality prediction to be applied in diverse global settings lacking digital ECG infrastructure.
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Affiliation(s)
- Arunashis Sau
- National Heart and Lung Institute, Imperial College London, London, UK
- Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK
| | | | | | - Libor Pastika
- National Heart and Lung Institute, Imperial College London, London, UK
| | - Antônio H Ribeiro
- Department of Information Technology, Uppsala University, Uppsala, Sweden
| | - Ester Sabino
- Department of Infectious Diseases, School of Medicine and Institute of Tropical Medicine, University of São Paulo, São Paulo, Brazil
| | - Nicholas S Peters
- National Heart and Lung Institute, Imperial College London, London, UK
- Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK
| | - Antonio Luiz P Ribeiro
- Department of Internal Medicine, Faculdade de Medicina, and Telehealth Centre and Cardiology Service, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Daniel B Kramer
- National Heart and Lung Institute, Imperial College London, London, UK
- Richard A. and Susan F. Smith Centre for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Centre, Harvard Medical School, Boston, MA, USA
| | - Jonathan W Waks
- Harvard-Thorndike Electrophysiology Institute, Beth Israel Deaconess Medical Centre, Harvard Medical School, Boston, MA, USA
| | - Fu Siong Ng
- National Heart and Lung Institute, Imperial College London, London, UK
- Department of Cardiology, Imperial College Healthcare NHS Trust, London, UK
- Department of Cardiology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
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Yang X, Qi M. Residents' Internet use, family economic status, and self-rated health: gender-based differences. BMC Public Health 2025; 25:223. [PMID: 39833757 PMCID: PMC11744871 DOI: 10.1186/s12889-025-21371-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2024] [Accepted: 01/08/2025] [Indexed: 01/22/2025] Open
Abstract
BACKGROUND People's health is an important foundation for national development. METHODS This study uses data from the 2021 Chinese General Social Survey (CGSS) to empirically test the impact of residents' Internet use and family economic status on self-rated health. RESULTS The empirical research results show that, first, residents' Internet use and family economic status significantly promote their self-rated health. Second, a gender difference exists in how Internet use and family economic status affect residents' self-rated health. Third, after introducing the interaction term between residents' Internet use and family economic status, it is found that family economic status negatively regulates the promotion of Internet use on residents' self-rated health, suggesting a substitution effect between these two factors. Finally, the heterogeneity test finds that the effects of Internet use and family economic status vary by region, registered residence, and age group. CONCLUSIONS This study suggests that the government can further improve Internet penetration, create a good Internet access environment, strengthen skills training, and enhance Internet content construction. These measures can amplify the positive effects of Internet use and family economic status on residents' self-rated health.
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Affiliation(s)
- XiFeng Yang
- School of International Education, Jiangxi Science and Technology Normal University, Nanchan, Jiangxi Province, China.
| | - Meihui Qi
- School of Economics and Management, Jilin Agricultural University, Changchun, Jilin Province, China
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Kacperski C, Ulloa R, Bonnay D, Kulshrestha J, Selb P, Spitz A. Characteristics of ChatGPT users from Germany: Implications for the digital divide from web tracking data. PLoS One 2025; 20:e0309047. [PMID: 39823411 PMCID: PMC11741609 DOI: 10.1371/journal.pone.0309047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Accepted: 08/05/2024] [Indexed: 01/19/2025] Open
Abstract
A major challenge of our time is reducing disparities in access to and effective use of digital technologies, with recent discussions highlighting the role of AI in exacerbating the digital divide. We examine user characteristics that predict usage of the AI-powered conversational agent ChatGPT. We combine behavioral and survey data in a web tracked sample of N = 1376 German citizens to investigate differences in ChatGPT activity (usage, visits, and adoption) during the first 11 months from the launch of the service (November 30, 2022). Guided by a model of technology acceptance (UTAUT-2), we examine the role of socio-demographics commonly associated with the digital divide in ChatGPT activity and explore further socio-political attributes identified via stability selection in Lasso regressions. We confirm that lower age and higher education affect ChatGPT usage, but do not find that gender or income do. We find full-time employment and more children to be barriers to ChatGPT activity. Using a variety of social media was positively associated with ChatGPT activity. In terms of political variables, political knowledge and political self-efficacy as well as some political behaviors such as voting, debating political issues online and offline and political action online were all associated with ChatGPT activity, with online political debating and political self-efficacy negatively so. Finally, need for cognition and communication skills such as writing, attending meetings, or giving presentations, were also associated with ChatGPT engagement, though chairing/organizing meetings was negatively associated. Our research informs efforts to address digital disparities and promote digital literacy among underserved populations by presenting implications, recommendations, and discussions on ethical and social issues of our findings.
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Affiliation(s)
- Celina Kacperski
- Cluster of Excellence “The Politics of Inequality”, Konstanz University, Konstanz, Baden-Württemberg, Germany
- Wirtschaftspsychologie, Seeburg Castle University, Seeburg am Wallersee, Salzburg, Austria
| | - Roberto Ulloa
- Cluster of Excellence “The Politics of Inequality”, Konstanz University, Konstanz, Baden-Württemberg, Germany
- GESIS - Leibniz Institute for the Social Sciences, Cologne, Nordrhein-Westfalen, Germany
| | - Denis Bonnay
- Department of Philosophy, Université Paris Nanterre, Paris, France
| | - Juhi Kulshrestha
- Department of Computer Science, Aalto University, Espoo, Finland
| | - Peter Selb
- Cluster of Excellence “The Politics of Inequality”, Konstanz University, Konstanz, Baden-Württemberg, Germany
| | - Andreas Spitz
- Department of Computer and Information Science, Konstanz University, Konstanz, Baden-Württemberg, Germany
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Hou P. Influence mechanism of Internet use on the physical and mental health of the Chinese elderly-Based on Chinese General Social Survey. PLoS One 2025; 20:e0312664. [PMID: 39752532 PMCID: PMC11698357 DOI: 10.1371/journal.pone.0312664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2024] [Accepted: 10/10/2024] [Indexed: 01/06/2025] Open
Abstract
Based on Chinese General Social Survey data (CGSS 2021), binary logistic regression and stepwise regression were used to explore how Internet use improves the physical and mental health of elderly people and its influence mechanisms. The research found that Internet use has a positive and significant impact on the physical and mental health of the Chinese elderly, and the results are robust with variable replacement and model replacement tests. In its influence mechanism, it found that Internet use promotes the physical and mental health of elderly people through physical exercise, social interaction, and learning frequency, which have a partial mediating effect. The effectiveness of the Internet use in promoting physical and mental health of the Chinese elderly through learning frequency is higher than physical exercise and social interaction, highlighting the importance of continuous learning for the Chinese elderly in the digital age. At the same time, Internet use has an unequal influence on the physical and mental health of the Chinese elderly, and has a greater influence on the mental health of the elderly with higher socio-economic status. Therefore, the research proposes the following three suggestions. First, improve the popularity of Internet use among the Chinese elderly. Second, accelerate the development of Internet application products suitable for the Chinese elderly. Third, provide Internet education for different regions elderly groups, and implement targeted assistance for elderly people with poor socio-economic status.
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Affiliation(s)
- Peng Hou
- School of Humanities and Social Science, Xi’an Jiaotong University, Xi’an, China
- Department of P.E, Xidian University, Xi’an, China
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Thompson AD, Sparks C, Wong B, Iacob E, Terrill A, Caserta M, Utz RL. Using Digital Inequality Framework to Evaluate a Technology-Delivered Intervention for Caregivers: Age, Education, and Computer Proficiency. J Aging Health 2025; 37:106-116. [PMID: 38327121 PMCID: PMC11303596 DOI: 10.1177/08982643241232173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2024]
Abstract
Objectives: Using "digital inequality" as a conceptual framework, this study evaluates the feasibility and usability of a technology-delivered intervention (an "app") for Alzheimer's and related dementia family caregivers. Time for Living and Caring (TLC) is an on-line intervention that provides virtual coaching and self-administered education and resources. Methods: A sample of family caregivers (n = 163) used the tool for 16 weeks, which included completing the Computer Proficiency Questionnaire (CPQ-12) at baseline. Analyses investigate the relationship between age, CPQ scores, intervention use, appraisal, and caregiver outcomes. Results: Age was inversely associated with CPQ; however, CPQ scores did not have a significant relationship with participant's self-perceived benefits or intervention appraisal. Computer Proficiency Questionnaire scores provided insight regarding research feasibility, with lower scores associated with greater odds of discontinuing engagement. Discussion: CPQ-12 scores can be used as a screening tool to identify those who may need additional support to engage with and benefit from technology-delivered interventions.
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Wu Z, Olasehinde TS, Chen F. Does smartphone use encourage farmers to participate in centralized household waste disposal? Heliyon 2024; 10:e39683. [PMID: 39524714 PMCID: PMC11546185 DOI: 10.1016/j.heliyon.2024.e39683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2024] [Revised: 10/19/2024] [Accepted: 10/21/2024] [Indexed: 11/16/2024] Open
Abstract
The centralization of household waste disposal represents a significant stride toward achieving ecological viability in rural China. This initiative can substantially alleviate the grassroots government's burden of managing rural household waste. The proliferation and utilization of smartphones, a powerful tool that can expedite and reduce the cost of imparting environmental protection knowledge to producers, is a beacon of hope in the fight against waste. This article, utilizing Probit modeling and micro-survey data from 2126 agricultural households in China, examines the effect of smartphone usage on farmers' participation in centralized household waste disposal. The findings indicate that smartphone usage significantly enhances farmers' engagement in centralized domestic waste disposal, motivating them to participate actively. Notably, this finding persists even after robustness tests. Further heterogeneity analyses indicate that older and low-income populations exhibit a more pronounced level of engagement in centralized household waste disposal. This paper presents these findings and underscores the importance of the proposed policies to enhance farmers' consciousness regarding the environmental implications of smartphone usage. These policies are not just suggestions but urgent and necessary steps towards a more technologically advanced and efficient waste management system, and their implementation is crucial for the future of waste management.
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Affiliation(s)
- Zhongan Wu
- College of Pastoral Agricultural Science and Technology, Lan Zhou University, Lanzhou, China
- State Key Laboratory of Herbage Improvement and Grassland Agroecosystems, Lanzhou, China
- China Rural Policy and Practice Research Institute, Ningbo University, Ningbo, China
| | - Toba Stephen Olasehinde
- College of Pastoral Agricultural Science and Technology, Lan Zhou University, Lanzhou, China
- State Key Laboratory of Herbage Improvement and Grassland Agroecosystems, Lanzhou, China
| | - Fan Chen
- China Rural Policy and Practice Research Institute, Ningbo University, Ningbo, China
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Knöchelmann A, Healy K, Frese T, Kantelhardt E, Mikolajczyk R, Meyer G, Schildmann J, Steckelberg A, Herke M. User profiles in digitalized healthcare: active, potential, and rejecting - a cross-sectional study using latent class analysis. BMC Health Serv Res 2024; 24:1083. [PMID: 39289720 PMCID: PMC11409736 DOI: 10.1186/s12913-024-11523-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2024] [Accepted: 09/02/2024] [Indexed: 09/19/2024] Open
Abstract
BACKGROUND There is evidence of different use by different groups of people for general health-related applications. Yet, these findings are lacking for digitalized healthcare services. It is also unclear whether typical use patterns can be found and how user types can be characterized. METHODS The analyses are based on data from 1 821 respondents to the Health Related Beliefs and Health Care Experiences in Germany panel (HeReCa). Digitalized healthcare services, that were used to determine the user types, include for example sick notes before/after examination and disease related training. User types were determined by latent class analysis. Individual groups were characterized using multinomial logistic regressions, taking into account socioeconomic and demographic factors as well as individual attitudes towards digitalization in the healthcare system. RESULTS Three types were identified: rejecting (27.9%), potential (53.8%) and active (18.3%). Active participants were less likely to be employed, less likely to be highly educated and less skeptical of digital technologies. Potential users were the youngest, most highly-educated and most frequently employed group, with less skepticism than those who rejected. Rejecters were the oldest group, more likely to be female and of higher socio-economic status. CONCLUSIONS Socio-demographic and socio-economic differences were identified among three user types. It can therefore be assumed that not all population groups will benefit from the trend towards digitalization in healthcare. Steps should be taken to enhance access to innovations and ensure that everyone benefits from them.
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Affiliation(s)
- Anja Knöchelmann
- Institute of Medical Sociology, Interdisciplinary Center for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Magdeburger Str. 8, Halle (Saale), 06112, Germany.
| | - Karl Healy
- Institute of Medical Sociology, Interdisciplinary Center for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Magdeburger Str. 8, Halle (Saale), 06112, Germany
| | - Thomas Frese
- Institute of General Practice & Family Medicine, Interdisciplinary Center for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Eva Kantelhardt
- AG Global Health, Institute of Medical Epidemiology, Biometry and Informatics, Interdisciplinary Center for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Rafael Mikolajczyk
- Institute of Medical Epidemiology, Biometry and Informatics, Interdisciplinary Center for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Gabriele Meyer
- Institute of Health and Nursing Science, Interdisciplinary Center for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Jan Schildmann
- Institute for History and Ethics of Medicine, Interdisciplinary Center for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Anke Steckelberg
- Institute of Health and Nursing Science, Interdisciplinary Center for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Max Herke
- Institute of Medical Sociology, Interdisciplinary Center for Health Sciences, Medical Faculty of the Martin Luther University Halle-Wittenberg, Magdeburger Str. 8, Halle (Saale), 06112, Germany
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Abdelmalak N, Burns J, Suhlrie L, Laxy M, Stephan AJ. Consideration of inequalities in effectiveness trials of mHealth applications - a systematic assessment of studies from an umbrella review. Int J Equity Health 2024; 23:181. [PMID: 39261871 PMCID: PMC11389088 DOI: 10.1186/s12939-024-02267-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2024] [Accepted: 09/01/2024] [Indexed: 09/13/2024] Open
Abstract
BACKGROUND The growing use of mobile health applications (apps) for managing diabetes and hypertension entails an increased need to understand their effectiveness among different population groups. It is unclear if efficacy and effectiveness trials currently provide evidence of differential effectiveness, and if they do, a summary of such evidence is missing. Our study identified to what extent sociocultural and socioeconomic inequalities were considered in effectiveness trials of mobile health apps in diabetic and hypertensive patients and if these inequalities moderated app effectiveness. METHODS We built on our recent umbrella review that synthesized systematic reviews (SRs) of randomized controlled trials (RCTs) on the effectiveness of health apps. Using standard SR methodologies, we identified and assessed all primary RCTs from these SRs that focused on diabetes and/or hypertension and reported on health-related outcomes and inequality-related characteristics across intervention arms. We used the PROGRESS-Plus framework to define inequality-related characteristics that affect health opportunities and outcomes. We used harvest plots to summarize the subgroups (stratified analyses or interaction terms) on moderating effects of PROGRESS-Plus. We assessed study quality using the Risk of Bias 2 tool. RESULTS We included 72 published articles of 65 unique RCTs. Gender, age, and education were the most frequently described PROGRESS-Plus characteristics at baseline in more than half of the studies. Ethnicity and occupation followed in 21 and 15 RCTs, respectively. Seven trials investigated the moderating effect of age, gender or ethnicity on app effectiveness through subgroup analyses. Results were equivocal and covered a heterogenous set of outcomes. Results showed some concerns for a high risk of bias, mostly because participants could not be blinded to their intervention allocation. CONCLUSIONS Besides frequently available gender, age, and education descriptives, other relevant sociocultural or socioeconomic characteristics were neither sufficiently reported nor analyzed. We encourage researchers to investigate how these characteristics moderate the effectiveness of health apps to better understand how effect heterogeneity for apps across different sociocultural or socioeconomic groups affects inequalities, to support more equitable management of non-communicable diseases in increasingly digitalized systems. REGISTRATION https://osf.io/89dhy/ .
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Affiliation(s)
- Nancy Abdelmalak
- Professorship of Public Health and Prevention, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.
| | - Jacob Burns
- Professorship of Public Health and Prevention, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany
| | - Laura Suhlrie
- Professorship of Public Health and Prevention, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany
| | - Michael Laxy
- Professorship of Public Health and Prevention, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany
| | - Anna-Janina Stephan
- Professorship of Public Health and Prevention, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany
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Fu L, Liu C, Dong Y, Ma X, Cai Q, Li D, Di K. Mediating Effects of Information Access on Internet Use and Multidimensional Health Among Middle-Aged and Older Adults: Nationwide Cross-Sectional Study. J Med Internet Res 2024; 26:e49688. [PMID: 39250790 PMCID: PMC11420587 DOI: 10.2196/49688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 10/08/2023] [Accepted: 08/02/2024] [Indexed: 09/11/2024] Open
Abstract
BACKGROUND With the exacerbation of population aging, the health issues of middle-aged and older adults have increasingly become a focus of attention. The widespread use of the internet has created conditions for promoting the health of this demographic. However, little is known about the effects of information access in promoting the relationship between internet use and the health of middle-aged and older adults. OBJECTIVE This study aims to examine the relationship between internet use and multidimensional health in middle-aged and older adults, as well as the mediating effect of information access. Moreover, this study will explore the relationship between other dimensions of internet use (purposes and frequency) and health. METHODS Data were sourced from the China General Social Survey conducted in 2018. Health outcomes, including self-rated, physical, and mental health, were assessed using the 5-level self-rated health scale, the 5-level basic activities of daily living scale, and the 5-level depression scale, respectively. The ordinal logistic regression model was used to examine the relationship between internet use and health among middle-aged and older adults. Additionally, the Karlson-Holm-Breen decomposition method was used to examine the mediation effect of information access. To address endogeneity issues, the two-stage least squares approach was applied. RESULTS In our sample, nearly half (n=3036, 46.3%) of the respondents use the internet. Regression analyses revealed that internet use was positively associated with self-rated health (odds ratio [OR] 1.55, 95% CI 1.39-1.74; P<.001), physical health (OR 1.39, 95% CI 1.25-1.56; P<.001), and mental health (OR 1.33, 95% CI 1.19-1.49; P<.001) of middle-aged and older adults. Various dimensions of internet use positively contribute to health. In addition, information access significantly mediated the relationship between internet use and self-rated health (β=.28, 95% CI 0.23-0.32), physical health (β=.40, 95% CI 0.35-0.45), and mental health (β=.16, 95% CI 0.11-0.20). Furthermore, there were significant differences in the relationship between internet use and health among advantaged and disadvantaged groups. CONCLUSIONS The study showed that different dimensions of internet use are associated with better self-rated health, better physical health, and better mental health in middle-aged and older adults. Information access mediates the relationship between internet use and health. This result emphasizes the significance of promoting internet access as a means to enhance the health of middle-aged and older adults in China.
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Affiliation(s)
- Liping Fu
- College of Management and Economics, Tianjin University, Tianjin, China
- College of Politics and Public Administration, Qinghai Minzu University, Xining, China
| | - Caiping Liu
- College of Management and Economics, Tianjin University, Tianjin, China
- College of Politics and Public Administration, Qinghai Minzu University, Xining, China
| | - Yongqing Dong
- College of Management and Economics, Tianjin University, Tianjin, China
| | - Xiaodong Ma
- College of Politics and Public Administration, Qinghai Minzu University, Xining, China
| | - Quanling Cai
- College of Management and Economics, Tianjin University, Tianjin, China
- College of Politics and Public Administration, Qinghai Minzu University, Xining, China
| | - Dongli Li
- College of Management and Economics, Tianjin University, Tianjin, China
- College of Chunming, Hainan University, Haikou, China
| | - Kaisheng Di
- College of Management and Economics, Tianjin University, Tianjin, China
- College of Politics and Public Administration, Qinghai Minzu University, Xining, China
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Reinders P, Augustin M, Fleyder A, Otten M. Exploring Acceptability, Barriers, and Facilitators for Digital Health in Dermatology: Qualitative Focus Groups With Dermatologists, Nurses, and Patients. JMIR DERMATOLOGY 2024; 7:e57172. [PMID: 39226097 PMCID: PMC11408893 DOI: 10.2196/57172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Revised: 04/16/2024] [Accepted: 06/10/2024] [Indexed: 09/04/2024] Open
Abstract
BACKGROUND Although several digital health interventions (DHIs) have shown promise in the care of skin diseases their uptake in Germany has been limited. To fully understand the reasons for the low uptake, an in-depth analysis of patients' and health care providers' barriers and facilitators in dermatology is needed. OBJECTIVE The objective of this study was to explore and compare attitudes, acceptability, barriers, and facilitators of patients, dermatologists, and nurses toward DHIs in dermatology. METHODS We conducted 6 web-based focus groups each with patients (n=34), dermatologists (n=30), and nurses (n=30) using a semistructured interview guide with short descriptions of DHIs described in the literature. A content analysis was performed using deductive constructs, following the unified theory of acceptance and use of technology framework, and inductive categories. RESULTS Patients identified many positive performance expectancies, such as reduced travel times and improvement in follow-up appointments. Dermatologists also stated positive effects (eg, promotion of standardized care), but also negative implications of health care digitalization (eg, increased workload). All stakeholders reported that a DHI should bring additional value to all stakeholders. A lack of digital competence among patients was identified as the major barrier to adoption by all 3 groups. Nurses and dermatologists want apps that are easy to use and easy to implement into their daily routines. Trust in selected institutions, colleagues, and physicians was identified as a facilitator. Patients reported their dependence on the dermatologists' acceptance. All groups expressed concerns about data privacy risks and dermatologists stated insecurities toward data privacy laws. CONCLUSIONS To ensure successful digitalization in dermatology, apps should be user-friendly, adapted to users' skill levels, and beneficial for all stakeholders. The incorporation of dermatologists' perspectives is especially important as their acceptance may impact use among patients and nurses. DHIs should ensure and be transparent about data privacy. The found barriers and facilitators can be used for implementation strategies.
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Affiliation(s)
- Patrick Reinders
- Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany
| | - Matthias Augustin
- Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany
| | - Anastasia Fleyder
- Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany
| | - Marina Otten
- Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany
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Wang K, Chen XS, Gu D, Smith BD, Dong Y, Peet JZ. Examining First- and Second-Level Digital Divide at the Intersection of Race/Ethnicity, Gender, and Socioeconomic Status: An Analysis of the National Health and Aging Trends Study. THE GERONTOLOGIST 2024; 64:gnae079. [PMID: 38898816 PMCID: PMC11308174 DOI: 10.1093/geront/gnae079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2023] [Indexed: 06/21/2024] Open
Abstract
BACKGROUND AND OBJECTIVES Significant societal and technological changes in the 2010s called for an up-to-date understanding of the digital divide among older adults in the United States. This trend study aimed to examine the effects of race/ethnicity and the intersecting effects of race/ethnicity with other marginalized identities related to gender, income, education, and occupation on the first- and second-level digital divide. RESEARCH DESIGN AND METHODS Utilizing a nationally representative sample of older community dwellers from the National Health and Aging Trends Study, we conducted weighted logistic regressions at 3 time points (2011/2013, 2015, and 2019). The first-level digital divide was measured by access to working phones or computers/laptops; the second-level divide was measured by 7 activities in personal task, social, and health-related Internet use. RESULTS The first-level racial/ethnic digital divide became nonsignificant in 2019, whereas the disparities in all second-level measures persisted. The intersecting effects of race/ethnicity with low education and/or low income became nonsignificant in 2019 for personal-task use. However, the interactions with low education and/or low income became significant for social and health-related use in 2015 and/or 2019. DISCUSSION AND IMPLICATIONS This study highlights the persistence of the second-level racial/ethnic digital divide among older community dwellers in the United States, especially the exacerbated social and health-related digital divide for people of color with low socioeconomic status. By considering intersections of marginalized social identities, policymakers and stakeholders should develop targeted strategies to bridge the digital divide, promote health outcomes, and reduce health disparities.
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Affiliation(s)
- Kun Wang
- Department of Social Work, College of Community and Public Affairs, The State University of New York at Binghamton, Binghamton, New York, USA
| | - Xiayu Summer Chen
- School of Social Work, University of Illinois at Urbana Champaign, Urbana, Illinois, USA
| | - Danan Gu
- Independent Researcher, New York, New York, USA
| | - Brenda D Smith
- School of Social Work, University of Alabama, Tuscaloosa, Alabama, USA
| | - Yanjun Dong
- School of Social Welfare, University at Albany, State University of New York, Albany, New York, USA
| | - Jared Zak Peet
- Department of Social Work, College of Community and Public Affairs, The State University of New York at Binghamton, Binghamton, New York, USA
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Ashe MC, dos Santos IK, Erome J, Grant J, Mollins J, Soh SE. Systematic review of adherence to technology-based falls prevention programs for community-dwelling older adults: Reimagining future interventions. PLOS DIGITAL HEALTH 2024; 3:e0000579. [PMID: 39226315 PMCID: PMC11371225 DOI: 10.1371/journal.pdig.0000579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2024] [Accepted: 07/12/2024] [Indexed: 09/05/2024]
Abstract
BACKGROUND Prevention programs, and specifically exercise, can reduce falls among community-dwelling older adults, but low adherence limits the benefits of effective interventions. Technology may overcome some barriers to improve uptake and engagement in prevention programs, although less is known on adherence for providing them via this delivery mode. We aimed to synthesize evidence for adherence to technology-based falls prevention programs in community-dwelling older adults 60 years and older. We conducted a systematic review following standard guidelines to identify randomized controlled trials for remote delivered (i.e., no or limited in-person sessions) technology-based falls prevention programs for community-dwelling older adults. We searched nine sources using Medical Subject Headings (MeSH) terms and keywords (2007-present). The initial search was conducted in June 2023 and updated in December 2023. We also conducted a forward and backward citation search of included studies. Two reviewers independently conducted screening and study assessment; one author extracted data and a second author confirmed findings. We conducted a random effects meta-analysis for adherence, operationalized as participants' completion of program components, and aimed to conduct meta-regressions to examine factors related to program adherence and the association between adherence and functional mobility. We included 11 studies with 569 intervention participants (average mean age 74.5 years). Studies used a variety of technology, such as apps, exergames, or virtual synchronous classes. Risk of bias was low for eight studies. Five interventions automatically collected data for monitoring and completion of exercise sessions, two studies collected participants' online attendance, and four studies used self-reported diaries or attendance sheets. Studies included some behavior change techniques or strategies alongside the technology. There was substantial variability in the way adherence data were reported. The mean (range) percent of participants who did not complete planned sessions (i.e., dropped out or lost to follow-up) was 14% (0-32%). The pooled estimate of the proportion of participants who were adherent to a technology-based falls prevention program was 0.82 (95% CI 0.68, 0.93) for studies that reported the mean number of completed exercise sessions. Many studies needed to provide access to the internet, training, and/or resources (e.g., tablets) to support participants to take part in the intervention. We were unable to conduct the meta-regression for adherence and functional mobility due to an insufficient number of studies. There were no serious adverse events for studies reporting this information (n = 8). The use of technology may confer some benefits for program delivery and data collection. But better reporting of adherence data is needed, as well as routine integration and measurement of training and skill development to use technology, and behavior change strategies within interventions. There may be an opportunity to rethink or reimagine how technology can be used to support people's adoption and integration of physical activity into daily life routines.
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Affiliation(s)
- Maureen C. Ashe
- Department of Family Practice, The University of British Columbia (UBC), Vancouver, Canada
- Edwin S.H. Leong Centre for Healthy Aging, UBC, Vancouver, Canada
| | - Isis Kelly dos Santos
- Departament of Physical Education, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil
| | | | - Jared Grant
- Department of Physical Therapy, UBC, Vancouver, Canada
| | - Juliana Mollins
- Department of Family Practice, The University of British Columbia (UBC), Vancouver, Canada
- Edwin S.H. Leong Centre for Healthy Aging, UBC, Vancouver, Canada
| | - Sze-Ee Soh
- Department of Physiotherapy, Monash University, Melbourne, Australia
- Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, Monash University, Melbourne, Australia
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Ahmad PN, Liu Y, Ullah I, Shabaz M. Enhancing Coherence and Diversity in Multi-class Slogan Generation Systems. ACM T ASIAN LOW-RESO 2024; 23:1-24. [DOI: 10.1145/3637551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 12/12/2023] [Indexed: 12/09/2024]
Abstract
Many problems related to natural language processing are solved by neural networks and big data. Researchers have previously focused on single-task supervised goals with limited data management to train slogan classification. A multi-task learning framework is used to learn jointly across several tasks related to generating multi-class slogan types. This study proposes a multi-task model named slogan generative adversarial network systems (Slo-GAN) to enhance coherence and diversity in slogan generation, utilizing generative adversarial networks and recurrent neural networks (RNN). Slo-GAN generates a new text slogan-type corpus, and the training generalization process is improved. We explored active learning (AL) and meta-learning (ML) for dataset labeling efficiency. AL reduced annotations by 10% compared to ML but still needed about 70% of the full dataset for baseline performance. The whole framework of Slo-GAN is supervised and trained together on all of these tasks. The text with the higher reporting score level is filtered by Slo-GAN, and a classification accuracy of 87.2% is achieved. We leveraged relevant datasets to perform a cross-domain experiment, reinforcing our assertions regarding both the distinctiveness of our dataset and the challenges of adapting bilingual dialects to one another.
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Affiliation(s)
- Pir Noman Ahmad
- School of Computer Science and Technology, Harbin Institute of Technology, Harbin, China
| | - Yuanchao Liu
- School of Computer Science and Technology, Harbin Institute of Technology, Harbin, China
| | - Inam Ullah
- Department of Computer Engineering, Gachon University, Seongnam, Republic of Korea
| | - Mohammad Shabaz
- Model Institute of Engineering and Technology, Jammu, J&K, India
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Nelson LA, Shinagawa E, Garza CM, Squetimkin-Anquoe A, Jeffries I, Rajeev V, Taylor EM, Taylor S, Eakins D, Parker ME, Ubay T, King V, Duffing-Romero X, Park S, Saplan S, Clifasefi SL, Lowe J, Collins SE. A pilot study of virtual Harm Reduction Talking Circles for American Indian and Alaska Native adults with alcohol use disorder. JOURNAL OF COMMUNITY PSYCHOLOGY 2024; 52:739-761. [PMID: 38932516 DOI: 10.1002/jcop.23127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2024] [Accepted: 04/30/2024] [Indexed: 06/28/2024]
Abstract
Prior research suggests that culturally aligned, accessible and lower-barrier interventions are well-placed to align with the needs of American Indian and Alaska Native (AI/AN) people with alcohol use disorder (AUD). Taking into account community members' suggestions and the need for physical distancing during the COVID-19 pandemic, our team developed a protocol for virtual Harm Reduction Talking Circles (HaRTC) to incorporate these points. The aims of this 8-week, single-arm pilot were to initially document feasibility, acceptability, and outcomes associated with attendance at virtual HaRTC, which integrates the accessibility of virtual connection, a lower-barrier harm-reduction approach, and a culturally aligned intervention. Participants (N = 51) were AI/AN people with AUD (current or in remission) across 41 Tribal affiliations and 25 US states. After a baseline interview, participants were invited to attend 8, weekly virtual HaRTC sessions. At the baseline, midpoint and post-test assessments, we collected data on virtual HaRTC acceptability, cultural connectedness, quality of life, and alcohol outcomes. Of the 123 people approached, 63% were interested in and consented to participation. Participants attended an average of 2.1 (SD = 2.02) virtual HaRTC sessions, with 64% of participants attending at least one. On a scale from 1 to 10, participants rated the virtual HaRTC as highly acceptable (M = 9.3, SD = 1.9), effective (M = 8.4, SD = 2.9), culturally aligned (M = 9.2, SD = 1.5), helpful (M = 8.8, SD = 1.9), and conducted in a good way (M = 9.8, SD = 0.5). Although the single-arm study design precludes causal inferences, participants evinced statistically significant decreases in days of alcohol use and alcohol-related harm over the three timepoints. Additionally, both sense of spirituality, which is a factor of cultural connectedness, and health-related quality of life increased over time as a function of the number of HaRTC sessions attended. Virtual HaRTC shows initial feasibility and acceptability as a culturally aligned intervention for AI/AN people with AUD. Future randomized controlled trials will provide a test of the efficacy of this approach.
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Affiliation(s)
- Lonnie A Nelson
- Department of Nursing and Systems Science, Washington State University, Spokane, Washington, USA
| | - Emma Shinagawa
- Department of Nursing and Systems Science, Washington State University, Spokane, Washington, USA
| | | | | | - Itai Jeffries
- Northwest Portland Area Indian Health Board, Portland, Oregon, USA
| | - Vaishali Rajeev
- Department of Nursing and Systems Science, Washington State University, Spokane, Washington, USA
| | - Emily M Taylor
- University of Washington School of Medicine, Seattle, Washington, USA
| | | | - Danielle Eakins
- University of Washington School of Medicine, Seattle, Washington, USA
| | - Myra E Parker
- University of Washington School of Medicine, Seattle, Washington, USA
| | - Tatiana Ubay
- Department of Nursing and Systems Science, Washington State University, Spokane, Washington, USA
| | - Victor King
- Department of Nursing and Systems Science, Washington State University, Spokane, Washington, USA
| | - Xia Duffing-Romero
- Department of Nursing and Systems Science, Washington State University, Spokane, Washington, USA
| | - Sooyoun Park
- Department of Nursing and Systems Science, Washington State University, Spokane, Washington, USA
| | - Sage Saplan
- Department of Nursing and Systems Science, Washington State University, Spokane, Washington, USA
| | - Seema L Clifasefi
- University of Washington School of Medicine, Seattle, Washington, USA
| | - John Lowe
- School of Nursing, University of Texas at Austin, Austin, Texas, USA
| | - Susan E Collins
- Department of Nursing and Systems Science, Washington State University, Spokane, Washington, USA
- University of Washington School of Medicine, Seattle, Washington, USA
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Hossain MA, Akter S, Ahsan MF, Ahmed JU, Khan S. From Caterpillar to Butterfly: Social Media Engagement of the Socially Excluded Third-Gender People in Bangladesh. INFORMATION SYSTEMS FRONTIERS 2024; 26:1475-1494. [DOI: 10.1007/s10796-023-10422-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/24/2023] [Indexed: 01/06/2025]
Abstract
AbstractThis paper focuses on the effects of gender diversity – in terms of binary- and third-gender – on social media engagement (SMEn). Specifically, we examine the extent to which SMEn's antecedents and outcomes vary between binary- and third-gender people. Based on theuses and gratification theory (UGT), we develop and validate a model using two cross-sectional studies. Data have been collected from heterosexual and third-gender people (TGP) separately, and analysed with the structural equation modelling (SEM) technique. Our results show that the incentives and outcomes of SMEn are not identical across different gender groups; rather, socially excluded TGP take advantage of social media differently than their heterosexual counterpart. More specifically,habitis the strongest predictor of SMEn for the heterosexual group, which isemotional reassurancefor the TGP. Interestingly,identity managementis an important determinant of SMEnonlyfor TGP, whilesocial interactionis important for both groups. We further find that SMEn enhances both groups' quality of life and social self-esteem but more for TGP. This study advances knowledge by applying UGT in a new research setting within information systems. The findings provide guidelines to social media architects and policymakers on engaging socially disadvantaged people with social media and enhancing their social wellbeing.
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Bhawra J, Elsahli N, Patel J. Applying Digital Technology to Understand Human Experiences of Climate Change Impacts on Food Security and Mental Health: Scoping Review. JMIR Public Health Surveill 2024; 10:e54064. [PMID: 39042453 PMCID: PMC11303902 DOI: 10.2196/54064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2023] [Revised: 02/25/2024] [Accepted: 05/26/2024] [Indexed: 07/24/2024] Open
Abstract
BACKGROUND The global impact of climate change ranges from intense heatwaves to extreme weather events that endanger entire ecosystems and people's way of life. Adverse climate change events place undue stress on food and health systems, with consequences for human food security and mental health status. Ubiquitous digital devices, such as smartphones, have the potential to manage existing and emerging climate-related crises, given their ability to enable rapid response, instant communication, and knowledge sharing. OBJECTIVE This scoping review aimed to identify digital apps being used to capture or address climate change impacts on food security and mental health to inform the development of a digital citizen science initiative. METHODS A scoping review was conducted using 3 peer-reviewed databases (PubMed, IEEE Xplore, and Web of Science) and manual gray literature searches of relevant organizational (ie, governmental and nonprofit) websites to identify articles and reports published between January 2012 and July 2023. Three separate searches were conducted in each database to identify digital apps focused on climate change and (1) food security, (2) mental health, and (3) food security and mental health. Two reviewers conducted initial screening, with a third reviewer resolving any discrepancies. Articles focused on climate change impacts on wildlife or agriculture (ie, not human food security) were excluded. Full-text screening was conducted for shortlisted articles, and a final data abstraction table was generated, summarizing key app features, contextual factors, and participant involvement. RESULTS From the 656 records screened, 14 digital apps met the inclusion criteria. The food security apps (n=7, 50%) aimed to capture traditional knowledge to preserve food systems, conduct food security assessments, and aid users in decreasing food insecurity risk. The mental health apps (n=7, 50%) assessed climate change-related stress and provided users with coping strategies following adverse weather events. No digital apps examined the intersection of climate change, food security, and mental health. Key app features included user-to-user communication (n=5, 36%), knowledge databases (n=5, 36%), data collection and analysis (n=3, 21%), gamification (n=1, 7%), and educational resources (n=2, 14%) to address climate change impacts on food security or mental health. In total, 3 approaches to participant involvement were used across studies, including contributory (n=1, 7%), collaborative (n=1, 7%), and cocreative (n=1, 7%) approaches, to ensure the relevance and use of digital apps. CONCLUSIONS Most digital apps identified provided a service to citizens to either prevent adverse climate change-related health impacts or manage these effects following an acute event or a natural disaster. The capacity of ubiquitous digital tools to enable near real-time communication, the involvement of various stakeholder groups, and their ability to share relevant educational resources in a timely manner are important for developing tailored climate change adaptation and mitigation strategies across jurisdictions.
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Affiliation(s)
- Jasmin Bhawra
- CHANGE Research Lab, School of Occupational and Public Health, Faculty of Community Services, Toronto Metropolitan University, Toronto, ON, Canada
| | - Nadine Elsahli
- School of Health Studies, Faculty of Health Sciences, Western University, London, ON, Canada
| | - Jamin Patel
- School of Health Studies, Faculty of Health Sciences, Western University, London, ON, Canada
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Liu Y, Wang R, Guo J. Digital divide and the health of internal elderly migrants in China: A cross-sectional study. PLoS One 2024; 19:e0305655. [PMID: 38976657 PMCID: PMC11230573 DOI: 10.1371/journal.pone.0305655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Accepted: 06/03/2024] [Indexed: 07/10/2024] Open
Abstract
INTRODUCTION Population aging and internal migration have become the "norm" in China's population development. Influenced by both "mobility" and "old age," internal elderly migrants (IEMs) face the second-level digital divide problems primarily characterized by digital technology usage gap, which can lead to adverse health outcomes. Understanding the impact of the digital divide on the health of IEMs can provide effective solutions to meet the health needs of this particular group and facilitate their better integration into a digital society. Therefore, this study aims at exploring the impact of the digital divide on the health of IEMs, and identifying priorities and recommendations for improving IEMs' health by mitigating the adverse effects of the digital divide. METHODS In the 2017 China Migrant Dynamic Survey (CMDS), a cross‑sectional sample of 169,989 internal migrants in 32 provincial units across China was recruited by stratified probability proportionate to size sampling (PPS). We focus on IEMs and require interviewees to be 60 years and older. Therefore, we excluded samples younger than 60 years of age and retained only 6,478 valid samples. Subsequently, STATA 17.0 software was applied to analyze the data. Based on the research objective and Grossman's model of health demand, we empirically tested using ordered logit regression. RESULTS The digital divide does affect the health of IEMs in general and its negative effects tend to decrease significantly with age. In terms of groups, its impact showed noticeable group differences in residence arrangement, public health services and medical insurance coverage. Compared with IEMs who live alone or only live with their spouse, have not received public health service, and have not been covered by any medical insurance, the digital divide imposes a smaller adverse impact on the health of IEMs who live with at least one offspring, have received public health service, and have covered in at least one medical insurance. In terms of potential mechanisms, among the effects of digital divide on the health of IEMs, the mediating effect of urban integration is not significant, the social interaction has only a partial mediating effect, and the medical convenience has a significant mediating effect. CONCLUSION Our findings confirm the existence of the third-level digital divide among IEMs concerning health, that is, the digital divide has adverse health outcomes for this group, and underscore the important implications of reducing the negative impact of the digital divide in improving the health status of IEMs.
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Affiliation(s)
- Yuping Liu
- Institute of Public Policy, China West Normal University, Nanchong, Sichuan, China
| | - Ruixi Wang
- School of Politics and Administration, China West Normal University, Nanchong, Sichuan, China
| | - Junjun Guo
- Institute of Public Policy, China West Normal University, Nanchong, Sichuan, China
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22
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Ng CKC, Baldock M, Newman S. Use of Smart Glasses (Assisted Reality) for Western Australian X-ray Operators' Continuing Professional Development: A Pilot Study. Healthcare (Basel) 2024; 12:1253. [PMID: 38998788 PMCID: PMC11241730 DOI: 10.3390/healthcare12131253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2024] [Revised: 06/19/2024] [Accepted: 06/20/2024] [Indexed: 07/14/2024] Open
Abstract
Previous studies have explored use of smart glasses in telemedicine, but no study has investigated its use in teleradiography. The purpose of this study was to implement a six-month pilot program for Western Australian X-ray operators (XROs) to use smart glasses to obtain assisted reality support in their radiography practice from their supervising radiographers, and evaluate its effectiveness in terms of XROs' competence improvement and equipment usability. Pretest-posttest design with evaluation of the XROs' competence (including their X-ray image quality) and smart glasses usability by XROs in two remote centers and their supervising radiographers from two sites before and after the program using four questionnaire sets and X-ray image quality review was employed in this experimental study. Paired t-test was used for comparing mean values of the pre- and post-intervention pairs of 11-point scale questionnaire and image quality review items to determine any XROs' radiography competence improvements. Content analysis was used to analyze open questions about the equipment usability. Our study's findings based on 13 participants (11 XROs and 2 supervising radiographers) and 2053 X-ray images show that the assisted reality support helped to improve the XROs' radiography competence (specifically X-ray image quality), with mean post-intervention competence values of 6.16-7.39 (out of 10) and statistical significances (p < 0.001-0.05), and the equipment was considered effective for this purpose but not easy to use.
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Affiliation(s)
- Curtise K. C. Ng
- Curtin Medical School, Curtin University, GPO Box U1987, Perth, WA 6845, Australia;
- Curtin Health Innovation Research Institute (CHIRI), Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, WA 6845, Australia
| | - Moira Baldock
- Western Australia Country Health Service, Grace Vaughan House, 233 Stubbs Terrace, Shenton Park, WA 6008, Australia;
| | - Steven Newman
- Curtin Medical School, Curtin University, GPO Box U1987, Perth, WA 6845, Australia;
- South Metropolitan Health Service, 14 Barry Marshall Parade, Murdoch, WA 6150, Australia
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23
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Chen CF, Chen WA, Greig J, Robinson C. When concentrated disadvantage happens: Exploring the nexus of energy and internet insecurities among vulnerable households. iScience 2024; 27:109895. [PMID: 38827408 PMCID: PMC11141157 DOI: 10.1016/j.isci.2024.109895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 03/21/2024] [Accepted: 05/01/2024] [Indexed: 06/04/2024] Open
Abstract
Digital divide and energy insecurity are pervasive issues among underserved communities, issues that become prounoued during the COVID-19 lockdowns. These disparities underscore the critical need to address them promptly to narrow socio-economic gaps. Our study, based on an online survey of 2,588 respondents in the United Kingdom, explores how concentrated socio-economic disadvantage exacerbates insecurities relating to energy and internet access. Our findings reveal that marginalized groups including low-income households, women, renters, ethnic minorities, and individuals with lower educational attainment are disproportionately affected. Our research extends beyond financial implications to explore the broader social and psychological effects such as trust in utility and internet providers. The study also demonstrates how heightened burdens from energy and internet costs adversely affect the quality of indoor environments, underscoring the interconnected nature of these challenges. Based on these insights, we advocate for policy interventions that adopt comprehensive social justice frameworks to tackle these intersecting inequalities effectively.
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Affiliation(s)
- Chien-fei Chen
- Department of Sociology, Anthropology and Crimal Justice, Clemson University, Clemson, SC, USA
| | - Wei-An Chen
- The Instittue for a Secure and Sustainable Environment, University of Tennessee, Knoxville, TN, USA
| | - Jamie Greig
- Department of Agricultural Leadership, Education and Communications, University of Tennessee, Knoxville, TN, USA
| | - Caitlin Robinson
- Caitlin Robinson, School of Geographical Sciences, University of Bristol, Bristol, UK
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24
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Birnbaum ML, Garrett C, Baumel A, Germano NT, Sosa D, Ngo H, John M, Dixon L, Kane JM. Examining the Effectiveness of a Digital Media Campaign at Reducing the Duration of Untreated Psychosis in New York State: Results From a Stepped-wedge Randomized Controlled Trial. Schizophr Bull 2024; 50:705-716. [PMID: 38408135 PMCID: PMC11059796 DOI: 10.1093/schbul/sbae018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/28/2024]
Abstract
BACKGROUND AND HYPOTHESIS Longer duration of untreated psychosis (DUP) predicts worse outcomes in First Episode Psychosis (FEP). Searching online represents one of the first proactive step toward treatment initiation for many, yet few studies have informed how best to support FEP youth as they engage in early online help-seeking steps to care. STUDY DESIGN Using a stepped-wedge randomized design, this project evaluated the effectiveness of a digital marketing campaign at reducing DUP and raising rates of referrals to FEP services by proactively targeting and engaging prospective patients and their adult allies online. STUDY RESULTS Throughout the 18-month campaign, 41 372 individuals visited our website, and 371 advanced to remote clinical assessment (median age = 24.4), including 53 allies and 318 youth. Among those assessed (n = 371), 53 individuals (14.3%) reported symptoms consistent with psychotic spectrum disorders (62.2% female, mean age 20.7 years) including 39 (10.5%) reporting symptoms consistent with either Clinical High Risk (ie, attenuated psychotic symptoms; n = 26) or FEP (n = 13). Among those with either suspected CHR or FEP (n = 39), 20 (51.3%) successfully connected with care. The campaign did not result in significant differences in DUP. CONCLUSION This study highlights the potential to leverage digital media to help identify and engage youth with early psychosis online. However, despite its potential, online education and professional support alone are not yet sufficient to expedite treatment initiation and reduce DUP.
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Affiliation(s)
- Michael L Birnbaum
- The Zucker Hillside Hospital, Department of Psychiatry, Northwell Health, Glen Oaks, NY, USA
- The Feinstein Institute for Medical Research, Manhasset, NY, USA
- The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
| | | | - Amit Baumel
- Department of Community Mental Health, University of Haifa, Haifa, Israel
| | - Nicole T Germano
- The Zucker Hillside Hospital, Department of Psychiatry, Northwell Health, Glen Oaks, NY, USA
| | - Danny Sosa
- The Zucker Hillside Hospital, Department of Psychiatry, Northwell Health, Glen Oaks, NY, USA
| | - Hong Ngo
- Department of Psychiatry, New York State Psychiatric Institute, New York, NY, USA
| | - Majnu John
- The Zucker Hillside Hospital, Department of Psychiatry, Northwell Health, Glen Oaks, NY, USA
- The Feinstein Institute for Medical Research, Manhasset, NY, USA
| | - Lisa Dixon
- Department of Psychiatry, New York State Psychiatric Institute, New York, NY, USA
| | - John M Kane
- The Zucker Hillside Hospital, Department of Psychiatry, Northwell Health, Glen Oaks, NY, USA
- The Feinstein Institute for Medical Research, Manhasset, NY, USA
- The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
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25
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Brand T, Herrera-Espejel P, Muellmann S, Wiersing R, Busse H. [Social inequality in the context of digital health applications: digital divides in access, use, effectiveness, and privacy]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2024; 67:268-276. [PMID: 38289381 DOI: 10.1007/s00103-024-03832-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 12/21/2023] [Indexed: 03/12/2024]
Abstract
Given the massive increase in digital health tools, the question about the impact of these tools on health equity has gained importance. The aim of this narrative review is to discuss the extent and central aspects of the digital divide. To illustrate the extent of the digital divide, we draw on data from the Liter@te study, which interviewed low-literacy individuals regarding their use of digital health tools and their digital health literacy. The results of the Liter@te study are compared with population surveys conducted in parallel. Four areas can be distinguished in relation to digital divides: access, use, effectiveness, and privacy. Inequalities can be observed in all four areas. While differences in access or material infrastructure, as well as in usage patterns and the required literacies, have already been investigated in some studies, the data basis for a comprehensive assessment of the unequal effects of digital health tools in different population groups is still lacking. Digital divides in the area of privacy protection is an emerging field. However, transparent and understandable privacy measures will undoubtedly be an important prerequisite for the widespread use of digital health tools. Overall, in addition to a better data base, involvement of disadvantaged population groups in the development of digital health interventions is necessary.
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Affiliation(s)
- Tilman Brand
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Achterstr. 30, 28359, Bremen, Deutschland.
- Leibniz-WissenschaftsCampus Digital Public Health Bremen, Bremen, Deutschland.
| | - Paula Herrera-Espejel
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Achterstr. 30, 28359, Bremen, Deutschland
- Leibniz-WissenschaftsCampus Digital Public Health Bremen, Bremen, Deutschland
| | - Saskia Muellmann
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Achterstr. 30, 28359, Bremen, Deutschland
- Leibniz-WissenschaftsCampus Digital Public Health Bremen, Bremen, Deutschland
| | - Rebekka Wiersing
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Achterstr. 30, 28359, Bremen, Deutschland
| | - Heide Busse
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Achterstr. 30, 28359, Bremen, Deutschland
- Leibniz-WissenschaftsCampus Digital Public Health Bremen, Bremen, Deutschland
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26
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Ma R, Liu H, Li Z, Ma Y, Fu S. Promoting sustainable development: Revisiting digital economy agglomeration and inclusive green growth through two-tier stochastic frontier model. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2024; 355:120491. [PMID: 38437741 DOI: 10.1016/j.jenvman.2024.120491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2023] [Revised: 02/15/2024] [Accepted: 02/21/2024] [Indexed: 03/06/2024]
Abstract
In the global wave of digitization, digital economic agglomeration, as an emerging model, profoundly impacts the economy, environment, and society. Countries worldwide are formulating strategies and policies to promote the development of digital economic agglomeration, yet they also face challenges of widening digital divide and environmental sustainability. Existing research primarily focuses on the positive effects of the digital economy, with limited assessment of the dual effects of digital economic agglomeration on sustainable development. This study utilizes panel data from 282 Chinese cities between 2011 and 2021, employing a two-tier stochastic frontier model. It reexamines the dual impacts and intrinsic mechanisms of digital economic agglomeration, attempting to capture regional and temporal variations in the dual effects to address this research gap. The study shows that: (1) The positive effect of digital economy agglomeration is much more than the negative effect, resulting in a positive net effect that shows an overall increasing trend with significant regional disparities. (2) Digital economic agglomeration has a significant negative spatial spillover effect, promoting local inclusive green growth while inhibiting inclusive green growth in neighboring cities. (3) Regarding the mediating mechanisms, industrial structure, technological innovation and resource allocation efficiency have positive indirect effects on inclusive green growth, while environmental regulation intensity has a negative indirect effect, and it has a nonlinear effect under the threshold constraint of the mediating mechanisms. This study provides policy insights for promoting inclusive green growth, emphasizing the need to consider regional differences in resource distribution, ecological environment, and social demands. It advocates for the organic integration of the digital economy across different regions, reducing polarization effects, and enhancing diffusion effects.
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Affiliation(s)
- Ruili Ma
- College of Economics & Management, South China Agricultural University, Guangzhou, 510642, China
| | - Hua Liu
- College of Economics & Management, South China Agricultural University, Guangzhou, 510642, China
| | - Zipeng Li
- College of Economics & Management, South China Agricultural University, Guangzhou, 510642, China
| | - Yafei Ma
- College of Economics & Management, South China Agricultural University, Guangzhou, 510642, China
| | - Shaoling Fu
- College of Economics & Management, South China Agricultural University, Guangzhou, 510642, China.
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27
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Liu J, Lou Y, Cheung ESL. Beyond Dichotomy and Stability: ICT Use Among Asian American Older Adults During the COVID-19 Pandemic. J Appl Gerontol 2024; 43:170-181. [PMID: 37807902 DOI: 10.1177/07334648231204781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/10/2023] Open
Abstract
This study examined the effect of the COVID-19 pandemic on information and communications technology (ICT) use and the typology of ICT users among older Chinese and Korean Americans. Survey data were collected from 513 Chinese and Korean older adults in New York City. We measured ICT use for social contact, grocery shopping, health care, and COVID-19 information seeking. In the study sample, ICT use for online shopping with others, contact with doctors, and telehealth significantly increased during the pandemic. Three groups of ICT users were identified: limited, users, expanding users, and active users. Older Chinese Americans and those with better English proficiency were more likely to be expanding and active ICT users. The patterns and heterogeneity of ICT use among older Asian Americans are multifaceted and dynamic beyond dichotomy and stability. The findings of this study offer helpful guidance for future development of ICT-based interventions for older Asian Americans.
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Affiliation(s)
- Jinyu Liu
- Diana R. Garland School of Social Work, Baylor University, Waco, TX, USA
| | - Yifan Lou
- Department of Internal Medicine, Section of Geriatrics, Yale School of Medicine, New Haven, CT, USA
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28
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Glynn TR, Khanna SS, Hasdianda MA, Tom J, Ventakasubramanian K, Dumas A, O'Cleirigh C, Goldfine CE, Chai PR. Informing Acceptability and Feasibility of Digital Phenotyping for Personalized HIV Prevention among Marginalized Populations Presenting to the Emergency Department. PROCEEDINGS OF THE ... ANNUAL HAWAII INTERNATIONAL CONFERENCE ON SYSTEM SCIENCES. ANNUAL HAWAII INTERNATIONAL CONFERENCE ON SYSTEM SCIENCES 2024; 57:3192-3200. [PMID: 38196408 PMCID: PMC10774708] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 01/11/2024]
Abstract
For marginalized populations with ongoing HIV epidemics, alternative methods are needed for understanding the complexities of HIV risk and delivering prevention interventions. Due to lack of engagement in ambulatory care, such groups have high utilization of drop-in care. Therefore, emergency departments represent a location with those at highest risk for HIV and in highest need of novel prevention methods. Digital phenotyping via data collected from smartphones and other wearable sensors could provide the innovative vehicle for examining complex HIV risk and assist in delivering personalized prevention interventions. However, there is paucity in exploring if such methods are an option. This study aimed to fill this gap via a cross-sectional psychosocial assessment with a sample of N=85 emergency department patients with HIV risk. Findings demonstrate that although potentially feasible, acceptability of digital phenotyping is questionable. Technology-assisted HIV prevention needs to be designed with the target community and address key ethical considerations.
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Affiliation(s)
- Tiffany R Glynn
- Harvard Medical School, Brigham and Women's Hospital, Massachusetts General Hospital, Boston, MA
| | | | | | | | | | | | | | | | - Peter R Chai
- Harvard Medical School, Brigham and Women's Hospital
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29
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Yin X, Li Y, Gao R, Li J, Wang H. Understanding the Purchase Decisions of Silver Consumers in Short-Form Video Platforms from the Perspective of Existence, Relatedness, and Growth Needs. Behav Sci (Basel) 2023; 13:1011. [PMID: 38131867 PMCID: PMC10741116 DOI: 10.3390/bs13121011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 12/06/2023] [Accepted: 12/11/2023] [Indexed: 12/23/2023] Open
Abstract
The differentiated characteristics of the silver (elderly) group from other groups means that the previous interaction mechanism in short-form video (SFV) e-commerce is no longer applicable. Drawing on sociotechnical systems theory and the ERG theory, this study is motivated to explore the purchase intention of silver consumers in SFV platforms. We categorize the characteristics of SFV platforms into social and technical aspects, and analyze silver consumers' purchasing decisions in terms of existence, relatedness, and growth needs. The empirical results of 284 samples show that social belonging, perceived trust, and product relevance are positive factors that promote purchase. Information diversity and social interaction have significant positive effects on social belonging and perceived trust. Recommendation affordance is significantly positively associated with perceived trust and product relevance, while platform ease of use did not have a significant effect on perceived trust. The findings provide management insights into SFV platforms to better understand the digital divide faced by silver consumers and to facilitate increased consumption.
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Affiliation(s)
- Xicheng Yin
- School of Cyber Science and Engineering, Nanjing University of Science and Technology, Nanjing 210014, China; (X.Y.)
| | - Yicheng Li
- School of Cyber Science and Engineering, Nanjing University of Science and Technology, Nanjing 210014, China; (X.Y.)
| | - Rui Gao
- School of Cyber Science and Engineering, Nanjing University of Science and Technology, Nanjing 210014, China; (X.Y.)
| | - Jieqiong Li
- School of Cyber Science and Engineering, Nanjing University of Science and Technology, Nanjing 210014, China; (X.Y.)
| | - Hongwei Wang
- School of Economics and Management, Tongji University, Shanghai 200092, China;
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30
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Ren Z, Zhou G. Analysis of Driving Factors in the Intention to Use the Virtual Nursing Home for the Elderly: A Modified UTAUT Model in the Chinese Context. Healthcare (Basel) 2023; 11:2329. [PMID: 37628526 PMCID: PMC10454479 DOI: 10.3390/healthcare11162329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 08/09/2023] [Accepted: 08/16/2023] [Indexed: 08/27/2023] Open
Abstract
As a unique form of mobile health service (m-Health) for elderly care in China, the virtual nursing home is considered a reliable alternative to the traditional model of home-based care, but services from virtual nursing homes are infrequently used by the elderly in practice. Thus, this study aims to measure the driving factors affecting the behavioral intention to use the virtual nursing home by designing a research framework that combined the unified theory of acceptance and use of technology (UTAUT) with the technology acceptance model (TAM). Furthermore, a new variable, conformist mentality, is proposed as a moderator. In order to validate the model, a well-structured questionnaire using mature scales was used, and the linear regression analysis method was conducted on 200 valid data samples collected during a field study in Harbin, China. The results show that performance expectancy, effort expectancy, and social influence significantly affect behavioral intention. However, the effect of facilitating conditions is not significant. Moreover, performance expectancy and effort expectancy have a positive effect on attitude toward use, and attitude toward use not only affects behavioral intention but also plays a mediating role in the effect of performance expectancy and effort expectancy on behavioral intention. This study also innovatively proposes and confirms conformist mentality as a moderator to strengthen the driving effect of social influence on behavioral intention. This is the first time that conformist mentality is introduced as a moderator in a study on the behavioral perception and acceptance of virtual nursing homes among Chinese older adults. Based on these findings, this study offers theoretical contributions and management implications that are conducive to the sustainable development of virtual nursing homes, thereby making extensive contributions to this field. Additionally, it also aids in the contextual expansion of the UTAUT model.
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Affiliation(s)
| | - Guangmin Zhou
- School of Management, Harbin University of Commerce, Harbin 150028, China
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31
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Liu S, Zhu S, Hou Z, Li C. Digital village construction, human capital and the development of the rural older adult care service industry. Front Public Health 2023; 11:1190757. [PMID: 37546306 PMCID: PMC10400453 DOI: 10.3389/fpubh.2023.1190757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 06/30/2023] [Indexed: 08/08/2023] Open
Abstract
Background The advancement of digital villages in China is shaped by the degree of human capital within the rural labor force, which not only restricts the potential of digital village but also influences the impact of digital empowerment on the progression of the rural older adult care service industry. Materials and methods Using panel data from 30 Chinese provinces between 2011 and 2020, we created benchmark and threshold regression models to investigate the influence of digital village construction on the development of the rural older adult care service industry and to delineate the threshold effects of human capital on it. We further scrutinized the correlation between the two systems, along with the factors that affect it, through a coupling coordination model. Results Preliminary, the baseline regression outcomes show that the digital village construction is conducive to the progression of the rural older adult care service industry (p < 0.05). Moreover, we identified a significant nonlinear threshold relationship between the digital village, human capital, and the advancement of the rural older adult care service industry (HUM1ST, p < 0.05; HUM2DT, p < 0.01; HUM3DT, p < 0.01). These results indicate that the digital technology's effect on the development of the rural older adult care service industry is limited by the rural human capital level. Lastly, we found that higher levels of human capital enhance the coupling of the digital village with the rural older adult care service industry (p < 0.01), with the influence of per capita education level being the most pronounced (CoefHUM1 > CoefHUM2 > CoefHUM3). Conclusion The digital village substantially empowers the rural older adult care service industry, with human capital exhibiting a significant threshold effect on this empowerment. Furthermore, variances in the level of human capital have a considerable impact on the integration of the digital village and the rural older adult care service industry.
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Affiliation(s)
- Shengyou Liu
- Business School, Central South University, Changsha, China
| | - Shaopeng Zhu
- Business School, Guilin University of Technology, Guilin, China
| | - Zhiping Hou
- Business School, Guilin University of Technology, Guilin, China
- Management School, Guangzhou College of Technology and Business, Foshan, China
| | - Changgui Li
- Business School, Guilin University of Technology, Guilin, China
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32
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Ghosh A, Krishnan NC, Kathirvel S, Pillai RR, Basu D, George BB, P V A, Sharma K, Kumar A. Digital screening and brief intervention for alcohol misuse in college students: A pilot, mixed-methods, cluster randomized controlled trial from a low-resourced setting. Asia Pac Psychiatry 2023; 15:e12527. [PMID: 36974919 DOI: 10.1111/appy.12527] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 02/28/2023] [Accepted: 03/11/2023] [Indexed: 03/29/2023]
Abstract
INTRODUCTION We examined the feasibility and acceptability of digital screening and brief intervention (d-SBI) for alcohol misuse in college students; the effectiveness of d-SBI was our secondary outcome. We also explored the barriers and facilitators of d-SBI. METHODS The study design is a mixed-methods, pilot, and cluster randomized trial. Five colleges from a northern city in India were randomly allocated to d-SBI and control groups. One hundred and ninety-one students were screened, and 25 (male = 23 and female = 2) participants (age 19.62 ± 2.58 years) fulfilled eligibility. All participants completed follow-up assessments at 3 months. In-depth interviews were done with 11 participants. Alcohol Use Disorder Identification Test (AUDIT) based screening brief intervention was provided on a web portal- or mobile application in the d-SBI group. The control group received digital screening and brief education. Direct questions and usage statistics assessed the measurement acceptability of the intervention. We compared the change in AUDIT scores in the intervention groups over 3 months post-intervention. Thematic analyses of transcripts of interviews were done by inductive coding. RESULTS Most participants reported that d-SBI was user-friendly (80%), advice was appropriate (80%), and perceived it to be useful (72%). Ninety-six percent of users, who logged in, completed screening. There was a significant decrease in AUDIT scores both in d-SBI (p < .001) and control groups (p < .001). Time and group significantly affected the mean AUDIT score, but time × group interaction was non-significant. Thematic analysis revealed six overarching themes. CONCLUSIONS Digital SBI for alcohol misuse is acceptable, feasible, and possibly effective among college students from low-resource settings.
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Affiliation(s)
- Abhishek Ghosh
- Drug De-Addiction & Treatment Centre, Department of Psychiatry, PGIMER, Chandigarh, India
| | - Narayanan C Krishnan
- Department of Data Science, Indian Institute of Technology (IIT), Palakkad, India
| | - Soundappan Kathirvel
- Department of Community Medicine and School of Public Health, PGIMER, Chandigarh, India
| | - Renjith R Pillai
- Drug De-Addiction & Treatment Centre, Department of Psychiatry, PGIMER, Chandigarh, India
| | - Debasish Basu
- Drug De-Addiction & Treatment Centre, Department of Psychiatry, PGIMER, Chandigarh, India
| | - Blessy B George
- Drug De-Addiction & Treatment Centre, Department of Psychiatry, PGIMER, Chandigarh, India
| | - Aswathy P V
- Drug De-Addiction & Treatment Centre, Department of Psychiatry, PGIMER, Chandigarh, India
| | - Kshitiz Sharma
- Drug De-Addiction & Treatment Centre, Department of Psychiatry, PGIMER, Chandigarh, India
| | - Anil Kumar
- Department of Computer Science, Indian Institute of Technology (IIT), Ropar, India
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Pappas IO, Mikalef P, Dwivedi YK, Jaccheri L, Krogstie J. Responsible Digital Transformation for a Sustainable Society. INFORMATION SYSTEMS FRONTIERS : A JOURNAL OF RESEARCH AND INNOVATION 2023; 25:945-953. [PMID: 37287710 PMCID: PMC10209953 DOI: 10.1007/s10796-023-10406-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
In the ever-evolving area of digital transformation, following responsible and sustainable practices is essential. This editorial article discusses the importance of responsible digital transformation, emphasizing the need for academia, private and public organizations, civil society, and individuals to work together in developing digital business models that generate shared value while addressing societal challenges. The article highlights the emergence of corporate digital responsibility (CDR) and the shift from industry 4.0 to industry 5.0, which focuses on human-centric approaches and human-AI partnerships. Furthermore, it underscores the need for interdisciplinary research and systematic approaches encompassing various dimensions of sustainability. By integrating sustainable ICT principles into digital transformation initiatives, organizations can contribute to a more sustainable and responsible digital future. The suggestions in this paper, coupled with the nice research contributions included in the special issue, seek to offer a broader foundation to support responsible digital transformations for sustainable societies.
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Affiliation(s)
- Ilias O. Pappas
- University of Agder, Kristiansand, Norway
- Norwegian University of Science and Technology, Trondheim, Norway
| | - Patrick Mikalef
- Norwegian University of Science and Technology, Trondheim, Norway
- SINTEF, Trondheim, Norway
| | - Yogesh K. Dwivedi
- School of Management, Swansea University, Swansea, UK
- Symbiosis Institute of Business Management, Pune & Symbiosis International (Deemed University), Pune, India
| | - Letizia Jaccheri
- Norwegian University of Science and Technology, Trondheim, Norway
| | - John Krogstie
- Norwegian University of Science and Technology, Trondheim, Norway
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Walsh-Bailey C, Gilbert A, Shato T, Sandler B, Baumann AA, Bradley CD, McLoughlin GM, McGuire FH, Fort MP, Tabak RG. Protocol for a scoping review of health equity frameworks and models applied in empirical studies of chronic disease prevention and control. Syst Rev 2023; 12:83. [PMID: 37170261 PMCID: PMC10176929 DOI: 10.1186/s13643-023-02240-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 04/19/2023] [Indexed: 05/13/2023] Open
Abstract
BACKGROUND Chronic diseases, such as cancers and cardiovascular diseases, present the greatest burden of morbidity and mortality worldwide. This burden disproportionately affects historically marginalized populations. Health equity is rapidly gaining increased attention in public health, health services, and implementation research, though many health inequities persist. Health equity frameworks and models (FM) have been called upon to guide equity-focused chronic disease and implementation research. However, there is no clear synthesis of the health equity FM used in chronic disease research or how these are applied in empirical studies. This scoping review seeks to fill this gap by identifying and characterizing health equity FM applied in empirical studies along the chronic disease prevention and control continuum, describing how these FM are used, and exploring potential applications to the field of implementation science. METHODS We follow established guidance for conducting scoping reviews, which includes six stages: (1) identify the research question; (2) identify relevant studies; (3) select studies for inclusion; (4) data extraction; (5) collating, summarizing, and reporting the results; and (6) consultation. This protocol presents the iterative, collaborative approach taken to conceptualize this study and develop the search strategy. We describe the criteria for inclusion in this review, methods for conducting two phases of screening (title and abstract, full text), data extraction procedures, and quality assurance approaches taken throughout the project. DISCUSSION The findings from this review will inform health-equity focused chronic disease prevention and control research. FM identified through this review will be added to an existing website summarizing dissemination and implementation science frameworks, and we will offer case examples and recommendations for utilizing a health equity FM in empirical studies. Our search strategy and review methodology may serve as an example for scholars seeking to conduct reviews of health equity FM in other health disciplines. SYSTEMATIC REVIEW REGISTRATION Open Science Framework Registration https://doi.org/10.17605/OSF.IO/SFVE6.
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Affiliation(s)
- Callie Walsh-Bailey
- Brown School, Washington University in St. Louis, 1 Brookings Dr, St. Louis, MO, 63130, USA.
- Implementation Science Center for Cancer Control and Prevention Research Center, Washington University in St. Louis, One Brookings Drive, St. Louis, MO, 63130, USA.
| | - Amanda Gilbert
- Brown School, Washington University in St. Louis, 1 Brookings Dr, St. Louis, MO, 63130, USA
| | - Thembekile Shato
- Implementation Science Center for Cancer Control and Prevention Research Center, Washington University in St. Louis, One Brookings Drive, St. Louis, MO, 63130, USA
- Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 600 S. Taylor Ave, St. Louis, MO, 63110, USA
| | - Brittney Sandler
- Division of Infectious Diseases, Washington University School of Medicine, 600 S. Taylor Ave, St. Louis, MO, 63110, USA
- Bernard Becker Medical Library, School of Medicine, Washington University in St. Louis, St. Louis, USA
| | - Ana A Baumann
- Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 600 S. Taylor Ave, St. Louis, MO, 63110, USA
| | - Cory D Bradley
- Division of Infectious Diseases, Washington University School of Medicine, 600 S. Taylor Ave, St. Louis, MO, 63110, USA
| | - Gabriella M McLoughlin
- Implementation Science Center for Cancer Control and Prevention Research Center, Washington University in St. Louis, One Brookings Drive, St. Louis, MO, 63130, USA
- College of Public Health, Temple University, 1800 N. Broad St, Philadelphia, PA, 19121, USA
| | - F Hunter McGuire
- Brown School, Washington University in St. Louis, 1 Brookings Dr, St. Louis, MO, 63130, USA
| | - Meredith P Fort
- Department of Health Systems, Management and Policy, Colorado School of Public Health, 13055 E. 17Th Ave, Aurora, CO, 80045, USA
| | - Rachel G Tabak
- Brown School, Washington University in St. Louis, 1 Brookings Dr, St. Louis, MO, 63130, USA
- Implementation Science Center for Cancer Control and Prevention Research Center, Washington University in St. Louis, One Brookings Drive, St. Louis, MO, 63130, USA
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Barik N. Global research on digital divide during the past two decades: a bibliometric study of Web of Science indexed literature. GLOBAL KNOWLEDGE, MEMORY AND COMMUNICATION 2023. [DOI: 10.1108/gkmc-08-2022-0207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
Abstract
Purpose
This study aims to examine the research output on digital divide from 2001 to 2020 and measure the qualitative and quantitative growth of literature during the stated period by using required bibliometric measures for identifying the types of documents, yearly growth, country productivity, citation network of collaborative countries, authorship pattern, top authors, cocitation networks and assorted facets.
Design/methodology/approach
Web of Science database was used to retrieve the required data for this study. Keeping the objectives of this study in mind, the keyword “Digital Divide” was used as the search term. Moreover, the retrieved data were limited from the year 2001 to 2020 for two decades. A total of 5,518 publications were filtered and focused for subsequent facet-wise analysis and interpretation. Required bibliometric indicators like types of documents, yearly growth, authorship pattern, degree of collaboration (DC), country productivity, h-index and citation impact were used to study various dimensions of publication trends. VOSviewer software was used to visualize the authorship network, bibliographic coupling and keyword occurrences.
Findings
This study finds a total of 5,518 publications on the topic digital divide contributed by 14,277 authors from 130 countries across the world published through 2,843 source titles in 13 global languages during the past two decades (2001–2020). The annual growth of publications (AGP) on the topic digital divide shows 38.43% AGP globally. Journal articles have been identified as the preferred type of document with 73.11% of the literature. The DC indicates a healthy trend of collaborative research with a mean value of 0.70. The USA is the table topper with the contribution of 1,933(35.03%) publications and 77 h-index and James J., from Tilburg University, The Netherlands, is identified as top amongst the most productive authors with the highest number of 34 publications (h-index 14).
Research limitations/implications
This study restricts its scope on research productivity to the theme “digital divide” regarding authorship pattern, DC, most productive authors, most productive countries, most published sources and other key facets. This study exclusively refers to the Web of Science database in retrieving the required data. Moreover, this study takes global research into account with no geographical or language limitations and comprehends literature on digital divide for two decades ranging from the years 2001 to 2020.
Practical implications
Teachers and research scholars interested in bibliometric studies can benefit from insights into the scholarly documents published on the topic digital divide from 2001 to 2020.
Originality/value
This study yields some interesting findings on published literature on the digital divide during the past two decades relating to the most striking contributions, highly cited journals, the most prolific authors, country productivity, keyword cooccurrence and assorted parameters.
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Fang Z, Liu Y, Jiang F, Dong W. How does family support influence digital immigrants' extended use of smartphones? An empirical study based on
IT
identity theory. J Assoc Inf Sci Technol 2023. [DOI: 10.1002/asi.24747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
Affiliation(s)
- Zian Fang
- Business School Central South University Changsha China
| | - Yongmei Liu
- Business School Central South University Changsha China
| | - Fei Jiang
- Business School Central South University Changsha China
| | - Wei Dong
- Business School Central South University Changsha China
- Information Systems City University of Hong Kong Kowloon China
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Felker BL, Towle CB, Wick IK, McKee M. Designing and Implementing TeleBehavioral Health Training to Support Rapid and Enduring Transition to Virtual Care in the COVID Era. JOURNAL OF TECHNOLOGY IN BEHAVIORAL SCIENCE 2022; 8:1-9. [PMID: 36530382 PMCID: PMC9747532 DOI: 10.1007/s41347-022-00286-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 10/18/2022] [Accepted: 10/26/2022] [Indexed: 12/15/2022]
Abstract
As telebehavioral health continues to advance and become part of routine care, there is a need to develop effective training methods. While a consensus on how to best train telebehavioral health has not yet been achieved, this commentary will describe how evidence-based implementation strategies were used to develop a framework to create and implement a telebehavioral health training program that is relevant and enduring for a given audience. Evidence-based implementation strategies included the PARiHS criteria which were used to organize the project. Re-AIM criteria was used to organize chosen outcome measures. Important partnerships were formed to help support infrastructure as well as regional and national reach. A series of Plan-Do-Study-Act loops were used to inform progressive training series. Since April 2020, the Behavioral Health Institute has developed and offered 6 unique telebehavioral health training series, employing both webinar and online formats, and addressing core components as well as more advanced concepts. These series have provided over 19,100 accredited continuing education hours of training through June 2022, to almost 3000 unique learners via webinar and nearly 6800 unique online learners, across 45 states. Evaluations rated these trainings as high quality, relevant, and that material would likely be implemented. Feedback from attendees was considered vital in series planning. This commentary discusses how evidence-based implementation strategies can be used to create a framework upon which to base a training program for health care providers. An example is given on how this framework was used to create successful, relevant, and enduring telebehavioral health training.
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Affiliation(s)
- Bradford L. Felker
- Department of Veterans Affairs, Puget Sound Healthcare System, Seattle, WA USA
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA USA
- Behavioral Health Institute Harborview, University of Washington, Seattle, WA USA
| | - Cara B. Towle
- Workforce and Policy Innovation Center, Behavioral Health Training, University of Washington/UW Medicine, Seattle, WA USA
- Harborview Medical Center, Behavioral Health Institute, University of Washington/UW Medicine, Seattle, WA USA
- Telepsychiatry, Psychiatry and Behavioral Sciences, University of Washington/UW Medicine, Seattle, WA USA
| | - Ingrid K. Wick
- Harborview Medical Center, Behavioral Health Institute, University of Washington/UW Medicine, Seattle, WA USA
| | - Melody McKee
- Workforce and Policy Innovation Center, Behavioral Health Training, University of Washington/UW Medicine, Seattle, WA USA
- Harborview Medical Center, Behavioral Health Institute, University of Washington/UW Medicine, Seattle, WA USA
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Qadikolaei MR, Zali N, Soltani A. Spatiotemporal investigation of the digital divide, the case study of Iranian Provinces. ENVIRONMENT, DEVELOPMENT AND SUSTAINABILITY 2022; 26:1-16. [PMID: 36465591 PMCID: PMC9702755 DOI: 10.1007/s10668-022-02738-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 10/22/2022] [Indexed: 06/17/2023]
Abstract
Many communities and territories in developing countries experience significant gaps in access to and use of information and communication technology (ICT), which is viewed as a major impediment to socioeconomic and health-related vulnerabilities. Geographic considerations, on the other hand, as well as variations in motivation for ICT usage and technology adoption within and across nations, as well as between cultures, have exacerbated the digital divide. This paper investigates disparities in access to and utilization of ICT in 31 Iranian provinces from 2011 to 2020. The research discovers evidence that family income and the number of R&D centers affected the formation of the digital divide, albeit the degree of the split has fluctuated through time and space. This study discovered that digital inequality is associated with social exclusion throughout Iranian regions, and it went on to try to better understand the underlying issues and potential solutions. In this regard, some policy avenues are suggested for government action, particularly for marginalized socioeconomic groups, such as the provision of infrastructure, training and skill augmentation, and the easing of digital services supplied by the government or private sector.
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Affiliation(s)
| | - Nader Zali
- Department of Urban Planning, University of Guilan, Raht, Iran
| | - Ali Soltani
- UniSA Business, University of South Australia, City West Campus, 5001 Australia
- Department of Urban Planning, Shiraz University, Shiraz, Iran
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Marin AM. Development of e-government in the field of social services and benefits: Evidence from Romania. INFORMATION POLITY 2022. [DOI: 10.3233/ip-220005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This paper investigates from a comparative perspective the development of e-government in the field of social services and benefits for the case of Romania. The analysis takes into account the global context of the COVID-19 pandemic, where there has been an increased usage of ICT technology and new circumstances for delivering social services. Therefore, the analysis will examine whether there has been an impetus for developing e-government social services in Romania. Research questions address whether there is a difference in the availability of electronic delivery of social services and benefits during the pandemic period and examine potential differences between types of services and benefits, counties/regions and types of institutions (central, regional/county, local – mayoralties/urban and rural municipalities). Additionally, informative procedures available in 2021 are examined. The analysis revealed that there is no standardized set of available electronic procedures from similar institutions. The most eloquent case is the one of deconcentrated institutions, County Agencies for Payments and Social Inspection, which are subordinated to the same central level institution – Ministry of Labor. However, the study outlines a development on the total number of available procedures for social services and benefits. Significant improvements are needed to standardize the same procedures from different institutions, irrespective of their type of affiliated territory.
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Loh XM, Lee VH, Leong LY. A Multi-Dimensional Nomological Network of Mobile Payment Continuance. JOURNAL OF COMPUTER INFORMATION SYSTEMS 2022. [DOI: 10.1080/08874417.2022.2125102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/10/2022]
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Yu X, Liu S. Disparities in Online Use Behaviours and Chinese Digital Inclusion: A 10-Year Comparison. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11937. [PMID: 36231234 PMCID: PMC9565673 DOI: 10.3390/ijerph191911937] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 09/18/2022] [Accepted: 09/18/2022] [Indexed: 06/16/2023]
Abstract
This study focuses on the disparities in Chinese online use behaviours (frequency and diversity) based on educational background and socioeconomic status over 10 years to reveal the Chinese digital inclusion process. We used the China Family Panel Studies (CFPS) 2010 and 2018 panels and considered the time and cohort effects separately. Ordinary least squares analysis revealed usage frequency. The generalized partial proportional odds model demonstrated participants' prioritization of online study, work, entertainment, and social activity. The results show that the profile of the individuals with the most time spent online has changed from those with high education and income levels to mid-range education and income levels. Individuals with high education and income levels prefer to use the internet for studying and working. There are no clear preference differences between entertainment and social activities amongst most educational backgrounds and socioeconomic statuses. Regarding frequency of internet use, digital inclusion has spread downwards from the upper to the middle classes. Regarding diverse internet uses, upper-class individuals prefer to conduct capital-enhancing activities, and youth remain the main force for diverse online activities; however, over time, middle-aged groups have increased their capital-enhancing activities, and older adults have increased their digital social activities.
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Ponticorvo M, Rubinacci F, Dell’Aquila E, Marocco D. Coding and educational robotics with peers: The C0D1NC experience to foster inclusion. Front Robot AI 2022; 9:825536. [PMID: 36185975 PMCID: PMC9523221 DOI: 10.3389/frobt.2022.825536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Accepted: 08/22/2022] [Indexed: 11/19/2022] Open
Abstract
In the present paper, the experience of the C0D1NC project (Coding for inclusion) is described. In this project an innovative methodology based on peer-education is the core of the educational approach. High school students become “teachers” as they are trained to teach coding and robotics to younger students. This approach favors inclusion and digital inclusion. To affirm this, we evaluated different aspects: relations between peers, perceived self-efficacy, and attitude towards technology at the beginning of activities (pre-test) and the end (post-test). Results indicate that this approach can be effective to favor personal growth, improved relations between peers, and increased self-efficacy too.
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Ye Q. Exploring socioeconomic inequality in educational management information system: An ethnographic study of China rural area students. Front Psychol 2022; 13:957831. [PMID: 36164405 PMCID: PMC9508325 DOI: 10.3389/fpsyg.2022.957831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Accepted: 07/29/2022] [Indexed: 11/13/2022] Open
Abstract
There is currently enough systematic literature presents about socioeconomic inequalities across different disciplines. However, this study relates socioeconomic inequality (SEI) to rural students educational management information systems (EMIS) in different schools in China. The dynamic force of information technology could not be constrained in the modern techno-based world. Similarly, the study was qualitative and ethnographic. Data were collected through an interview guide and analyzed with thematic scientific analysis. Ten male and ten female students were interviewed based on data saturation point. The purposive sampling technique was used for the rural school and students’ selection. This study summarizes the findings and brings together in-depth emic and etic findings based on new Marxist conflict theory, exploitation, and domination power lens. The study found that SEI creates disparities among EMIS. Household income inequality has influenced on educational achievements of rural areas’ students. Gender-based SEI was not present among students. Family wealth and SES-based exploitation are present regarding EMIS among male and female students. Household wealth is significant for the EMIS. The study put forward a recommendation to the policymakers that exploitation could be overcome among students if the government provides equal opportunities for access to the EMIS.
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Murciano-Hueso A, Martín-García AV, Cardoso AP. Technology and Quality of Life of Older People in Times of COVID: A Qualitative Study on Their Changed Digital Profile. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10459. [PMID: 36012093 PMCID: PMC9408618 DOI: 10.3390/ijerph191610459] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 08/11/2022] [Accepted: 08/17/2022] [Indexed: 06/15/2023]
Abstract
The situation caused by the COVID-19 pandemic brought negative consequences such as social isolation, limited access to routine health and social care services, and lack of self-esteem, especially for older people. In this context, technology took on an important role as the main means of communication and service delivery. The main objective of this study is to analyze the situation of the elderly and their access to technological resources in the time of COVID-19. Based on a qualitative methodology, 58 semi-structured interviews were conducted with people between 65 and 90 years old in Portugal. The results reveal specific difficulties in the use of this type of digital devices and a change in the digital use profile of this age group, characterized by more frequent use of digital devices such as smartphones, the incorporation of certain services such as video calls, and uses associated with communication and entertainment. This study shows that attitudes toward technology among the elderly should be studied further, and these results should be considered to develop and implement training programs specially designed for this age group in order to contribute to their well-being and quality of life.
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Rodrigo P, Arakpogun EO, Vu MC, Olan F, Djafarova E. Can you be Mindful? The Effectiveness of Mindfulness-Driven Interventions in Enhancing the Digital Resilience to Fake News on COVID-19. INFORMATION SYSTEMS FRONTIERS : A JOURNAL OF RESEARCH AND INNOVATION 2022:1-21. [PMID: 35250364 PMCID: PMC8889385 DOI: 10.1007/s10796-022-10258-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/08/2022] [Indexed: 05/28/2023]
Abstract
This study explores the factors that influence the dissemination process of and public susceptibility to fake news amidst COVID-19. By adopting a qualitative approach that draws on 21 interviews with social media users from the standpoint of source credibility and construal level theories, our findings highlight motives of news sharers, platform features, and source credibility/relatedness as major factors influencing the dissemination of and public susceptibility to fake news. The paper further argues that public susceptibility to fake news can be mitigated by building an integrated approach that combines a tripartite strategy from an individual, institutional and platform level. For example, educating the public on digital resilience and enhancing awareness around source credibility can help individuals and institutions reflect on news authenticity and report fake news where possible. This study contributes to fake news literature by integrating concepts from information management, consumer behaviour, influencer marketing and mindfulness to propose a model to help authorities identify and understand the key factors that influence susceptibility to fake news during a public crisis such as COVID-19.
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Affiliation(s)
- Padmali Rodrigo
- Newcastle Business School, Northumbria University, City Campus East 1, Newcastle upon Tyne, NE1 8ST UK
| | | | - Mai Chi Vu
- Newcastle Business School, Northumbria University, City Campus East 1, Newcastle upon Tyne, NE1 8ST UK
| | - Femi Olan
- Newcastle Business School, Northumbria University, City Campus East 1, Newcastle upon Tyne, NE1 8ST UK
| | - Elmira Djafarova
- Newcastle Business School, Northumbria University, City Campus East 1, Newcastle upon Tyne, NE1 8ST UK
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De Santis KK, Jahnel T, Sina E, Wienert J, Zeeb H. Digitization and Health in Germany: Cross-sectional Nationwide Survey. JMIR Public Health Surveill 2021; 7:e32951. [PMID: 34813493 PMCID: PMC8612128 DOI: 10.2196/32951] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Revised: 09/20/2021] [Accepted: 10/03/2021] [Indexed: 12/22/2022] Open
Abstract
Background Digital technologies are shaping medicine and public health. Objective The aim of this study was to investigate the attitudes toward and the use of digital technologies for health-related purposes using a nationwide survey. Methods We performed a cross-sectional study using a panel sample of internet users selected from the general population living in Germany. Responses to a survey with 28 items were collected using computer-assisted telephone interviews conducted in October 2020. The items were divided into four topics: (1) general attitudes toward digitization, (2) COVID-19 pandemic, (3) physical activity, and (4) perceived digital health (eHealth) literacy measured with the eHealth Literacy Scale (eHEALS; sum score of 8=lowest to 40=highest perceived eHealth literacy). The data were analyzed in IBM-SPSS24 using relative frequencies. Three univariate multiple regression analyses (linear or binary logistic) were performed to investigate the associations among the sociodemographic factors (age, gender, education, and household income) and digital technology use. Results The participants included 1014 internet users (n=528, 52.07% women) aged 14 to 93 years (mean 54, SD 17). Among all participants, 66.47% (674/1014) completed up to tertiary (primary and secondary) education and 45.07% (457/1017) reported a household income of up to 3500 Euro/month (1 Euro=US $1.18). Over half (579/1014, 57.10%) reported having used digital technologies for health-related purposes. The majority (898/1014, 88.56%) noted that digitization will be important for therapy and health care, in the future. Only 25.64% (260/1014) reported interest in smartphone apps for health promotion/prevention and 42.70% (433/1014) downloaded the COVID-19 contact-tracing app. Although 52.47% (532/1014) reported that they come across inaccurate digital information on the COVID-19 pandemic, 78.01% (791/1014) were confident in their ability to recognize such inaccurate information. Among those who use digital technologies for moderate physical activity (n=220), 187 (85.0%) found such technologies easy to use and 140 (63.6%) reported using them regularly (at least once a week). Although the perceived eHealth literacy was high (eHEALS mean score 31 points, SD 6), less than half (43.10%, 400/928) were confident in using digital information for health decisions. The use of digital technologies for health was associated with higher household income (odds ratio [OR] 1.28, 95% CI 1.11-1.47). The use of digital technologies for physical activity was associated with younger age (OR 0.95, 95% CI 0.94-0.96) and more education (OR 1.22, 95% CI 1.01-1.46). A higher perceived eHealth literacy score was associated with younger age (β=–.22, P<.001), higher household income (β=.21, P<.001), and more education (β=.14, P<.001). Conclusions Internet users in Germany expect that digitization will affect preventive and therapeutic health care in the future. The facilitators and barriers associated with the use of digital technologies for health warrant further research. A gap exists between high confidence in the perceived ability to evaluate digital information and low trust in internet-based information on the COVID-19 pandemic and health decisions.
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Affiliation(s)
- Karina Karolina De Santis
- Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.,Leibniz Science Campus Digital Public Health, Bremen, Germany
| | - Tina Jahnel
- Leibniz Science Campus Digital Public Health, Bremen, Germany.,Faculty 11; Human and Health Sciences, University of Bremen, Bremen, Germany
| | - Elida Sina
- Leibniz Science Campus Digital Public Health, Bremen, Germany.,Department of Epidemiological Methods and Etiological Research, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany
| | - Julian Wienert
- Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.,Leibniz Science Campus Digital Public Health, Bremen, Germany.,Faculty of Social Sciences, IU International University of Applied Sciences, Bad Reichenhall, Germany
| | - Hajo Zeeb
- Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.,Leibniz Science Campus Digital Public Health, Bremen, Germany.,Faculty 11; Human and Health Sciences, University of Bremen, Bremen, Germany
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Gnanavel S, Mathur R, Sharma P, Parmar A. COVID-19 and psychiatry training: A cross-national trainee perspective. World J Meta-Anal 2021; 9:405-410. [DOI: 10.13105/wjma.v9.i5.405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 08/06/2021] [Accepted: 09/04/2021] [Indexed: 02/06/2023] Open
Abstract
The coronavirus disease 2019 pandemic has significantly altered many aspects of our professional lives, including how psychiatry as a medical discipline is taught and learnt. Training in psychiatry relies on developing competencies through observing and interacting with patients, developing empathic consultation skills and seeking feedback from colleagues derived from cognitive and constructivist theories of learning, in a time-bound manner. The pandemic has drawn attention to the dual role of psychiatry residents as both trainees and physicians, with a pressing identity crisis at an inopportune time. This paper aims to illustrate some of the emerging themes in psychiatry training during the pandemic and some solutions for the same.
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Affiliation(s)
- Sundar Gnanavel
- Child and Adolescent Mental Health Services, Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne NE6 4QD, Tyne and Wear, United Kingdom
| | - Rahul Mathur
- Department of Psychiatry, All India Institute of Medical Sciences, New Delhi 110034, India
| | - Pawan Sharma
- Department of Psychiatry, Patan Academy of Health Sciences, Patan 44700, Nepal
| | - Arpit Parmar
- Assistant Professor, Department of Psychiatry, All India Institute of Medical Sciences, Bhubaneswar 110029, India
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Duncan F, Baskin C, McGrath M, Coker JF, Lee C, Dykxhoorn J, Adams EA, Gnani S, Lafortune L, Kirkbride JB, Kaner E, Jones O, Samuel G, Walters K, Osborn D, Oliver EJ. Community interventions for improving adult mental health: mapping local policy and practice in England. BMC Public Health 2021; 21:1691. [PMID: 34530779 PMCID: PMC8444510 DOI: 10.1186/s12889-021-11741-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Accepted: 08/29/2021] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND Public mental health (PMH) aims to improve wellbeing and prevent poor mental health at the population level. It is a global challenge and a UK priority area for action. Communities play an important role in the provision of PMH interventions. However, the evidence base concerning community-based PMH interventions is limited, meaning it is challenging to compare service provision to need. Without this, the efficient and equitable provision of services is hindered. Here, we sought to map the current range of community-based interventions for improving mental health and wellbeing currently provided in England to inform priority areas for policy and service intervention. METHOD We adopted an established mapping exercise methodology, comparing service provision with demographic and deprivation statistics. Five local authority areas of England were selected based on differing demographics, mental health needs and wider challenging circumstances (i.e. high deprivation). Community-based interventions were identified through: 1) desk-based research 2) established professional networks 3) chain-referral sampling of individuals involved in local mental health promotion and prevention and 4) peer researchers' insight. We included all community-based, non-clinical interventions aimed at adult residents operating between July 2019 and May 2020. RESULTS 407 interventions were identified across the five areas addressing 16 risk/protective factors for PMH. Interventions for social isolation and loneliness were most prevalent, most commonly through social activities and/or befriending services. The most common subpopulations targeted were older adults and people from minority ethnic backgrounds. Interventions focusing on broader structural and environmental determinants were uncommon. There was some evidence of service provision being tailored to local need, though this was inconsistent, meaning some at-risk groups such as men or LGBTQ+ people from minority ethnic backgrounds were missed. Interventions were not consistently evaluated. CONCLUSIONS There was evidence of partial responsiveness to national and local prioritising. Provision was geared mainly towards addressing social and individual determinants of PMH, suggesting more integration is needed to engage wider service providers and policy-makers in PMH strategy and delivery at the community level. The lack of comprehensive evaluation of services to improve PMH needs to be urgently addressed to determine the extent of their effectiveness in communities they serve.
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Affiliation(s)
- F Duncan
- Department of Sport and Exercise Sciences, Durham University, 42 Old Elvet, Durham, DH1 3HN, UK.
| | - C Baskin
- Department of Primary Care and Public Health, Imperial College London, St Dunstan's Road, London, W6 8RP, UK
| | - M McGrath
- Division of Psychiatry, University College London, 149 Tottenham Court Road, London, W1T 7BN, UK
| | - J F Coker
- Cambridge Public Health Interdisciplinary Research Centre, University of Cambridge, Robinson Way, Cambridge, CB2 0SR, UK
| | - C Lee
- Cambridge Public Health Interdisciplinary Research Centre, University of Cambridge, Robinson Way, Cambridge, CB2 0SR, UK
| | - J Dykxhoorn
- Department of Primary Care and Population Health, University College London, Rowland Hill Stress, London, NW3 2PF, UK
| | - E A Adams
- Population Health Sciences Institute, Newcastle University, Baddiley-Clark Building, Newcastle, NE2 4AX, UK
| | - S Gnani
- Department of Primary Care and Public Health, Imperial College London, St Dunstan's Road, London, W6 8RP, UK
| | - L Lafortune
- Cambridge Public Health Interdisciplinary Research Centre, University of Cambridge, Robinson Way, Cambridge, CB2 0SR, UK
| | - J B Kirkbride
- Division of Psychiatry, University College London, 149 Tottenham Court Road, London, W1T 7BN, UK
| | - E Kaner
- Population Health Sciences Institute, Newcastle University, Baddiley-Clark Building, Newcastle, NE2 4AX, UK
| | - O Jones
- The McPin Foundation, 7-14 Great Dover Street, London, SE1 4YR, UK
| | - G Samuel
- The McPin Foundation, 7-14 Great Dover Street, London, SE1 4YR, UK
| | - K Walters
- Department of Primary Care and Population Health, University College London, Rowland Hill Stress, London, NW3 2PF, UK
| | - D Osborn
- Division of Psychiatry, University College London, 149 Tottenham Court Road, London, W1T 7BN, UK
- Camden and Islington NHS Foundation Trust, London, NW10PE, UK
| | - E J Oliver
- Department of Sport and Exercise Sciences, Durham University, 42 Old Elvet, Durham, DH1 3HN, UK
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Zhou M. The shifting income-obesity relationship: Conditioning effects from economic development and globalization. SSM Popul Health 2021; 15:100849. [PMID: 34195348 PMCID: PMC8227802 DOI: 10.1016/j.ssmph.2021.100849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Revised: 06/14/2021] [Accepted: 06/14/2021] [Indexed: 11/13/2022] Open
Abstract
The literature has long been debating whether it is high-income or low-income individuals who face higher risks of obesity. In this study I contend that this mixed record about the income-obesity relationship is the result of a failure to account fully for macro-level social contexts. The income-obesity relationship is not uniform in all societies but is conditioned by macro-level social contexts including the society's economic development and involvement in globalization. The 2011 Module on Health and Health Care of the International Social Survey Programme (ISSP) provides an ideal opportunity for testing the complex income-obesity relationship in a cross-country setting. Employing multilevel models with cross-level interactions, this study finds that the shift in the effect of income from obesity-promoting to obesity-depressing is facilitated by both economic development and globalization. Under the combined forces of economic development and globalization, obesity increasingly becomes a burden of the poor in a society and the social distribution of obesity increasingly mirrors existing social inequality. Nevertheless, the economic development and globalization thresholds for shifting into a significant obesity-depressing effect of income are high.
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Affiliation(s)
- Min Zhou
- Department of Sociology, University of Victoria, Cornett Building A359, 3800 Finnerty Road, Victoria, BC, V8W 3P5, Canada
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