Castro Ayebeng, Kwamena Sekyi Dickson, Edward Kwabena Ameyaw, Kenneth Setorwu Adde, Jones Arkoh Paintsil, Sanni Yaya
Influence of type of violence on women's help-seeking behaviour: Evidence from 10 countries in sub-Saharan Africa
PloS one
health fitness apps potential benefits improve selfmanagement disease control among patients asthma however inconsistent use rates reported across studies regions health systems better understanding characteristics users nonusers critical design solutions effectively integrated patients daily lives ensure equitably reach different groups patients thus improving rather entrenching health inequities study aimed evaluate use general health fitness apps patients asthma identify determinants usage secondary analysis inspirers observational studies conducted using data facetoface visits patients diagnosis asthma included november 2017 august 2020 individuallevel data collected including age gender marital status educational level health status presence anxiety depression postcode socioeconomic level digital literacy use health services use health fitness apps multivariate logistic regression used model probability health fitness app user statistical analysis performed r total 526 patients attended facetoface visit 49 recruiting centers 514 complete data participants 40 years old 664 least 10 years education 574 3 higher quintiles socioeconomic deprivation index 701 majority reported overall good health status visual analogue scale vas score70 931 prevalence anxiety depression 343 119 respectively proportion participants reported using health fitness mobile apps 411 n211 multivariate models revealed single individuals 10 years education likely use health fitness mobile apps adjusted odds ratio aor 222 95ci 105475 aor 195 95ci 112345 respectively higher digital literacy scores also associated higher odds user health fitness apps participants second third fourth quartiles reporting aors 674 95ci 2901740 1030 95ci 4282756 1152 95ci 4783087 respectively participants depression symptoms lower odds using health fitness apps aor 032 95ci 012083 better understanding barriers enhancers app use among patients lower education lower digital literacy depressive symptoms key design tailored interventions ensure sustained equitable use technologies future studies also assess users general healthseeking behavior interest concerns specifically digital tools factors may impact initial engagement sustained use