Adoption of a preventive health program via website versus mobile phone app across neighborhoods with different socioeconomic conditions in the Netherlands: cross-sectional study (Preprint)

2021 ◽  
Author(s):  
Elena Agachi ◽  
Tammo H A Bijmolt ◽  
Jochen O Mierau ◽  
Koert van Ittersum

BACKGROUND Socioeconomic disparities in the adoption of preventive health programs represent a well-known challenge, with programs delivered online serving as a potential solution. The preventive health program examined in this study is a large-scale, open access online platform operating in the Netherlands, aimed at improving the health behaviors and wellness of its participants. OBJECTIVE This study examines differences in adoption of an online preventive health program across socioeconomic groups, whereby comparing between its two delivery means: website versus mobile phone app. METHODS The 83,466 participants in this cross-sectional, non-experimental study are individuals who have signed up for the health program between July 2012 and September 2019. The rate of program adoption per delivery means is estimated using the Prentice, Williams and Peterson Gap-Time model (PWP-GT), with the measure of neighborhood socio-economic status (NSES) employed to distinguish between population segments with different socioeconomic characteristics. Registration to the health program is voluntary and free, not within a controlled study setting, allowing for observing the true rate of adoption. RESULTS The estimation results indicate that program adoption across socioeconomic groups varies depending on program’s delivery means. For the website version, higher NSES groups have a higher likelihood of program adoption compared to the lowest NSES group (hazard ratio [HR]=1.03; 95% confidence interval [CI]=1.01, 1.05). For the mobile phone app version, the opposite holds: higher NSES groups have a lower likelihood of program adoption compared to the lowest NSES group (HR=0.94; 95% CI=0.91, 0.97). CONCLUSIONS Promoting preventive health programs using mobile phone apps can help increase program adoption among the lowest socioeconomic segment. Given the increasing usage of mobile phones among the disadvantaged population groups, structuring future health interventions to include mobile phone apps as means of delivery can support the stride towards diminishing health disparities.

1998 ◽  
Vol 14 (1) ◽  
pp. 25-30 ◽  
Author(s):  
Roselyn P. Epps ◽  
Marc W. Manley ◽  
Corinne G. Husten ◽  
Thomas P. Houston ◽  
L.Robert Martin ◽  
...  

Author(s):  
Aleksandra Czerw

Lifestyle, environment, genetics and usage of health care are the classical health determinants. Each of these factors influences personal health to certain degree. Lifestyle has the biggest impact (50–52%), followed by environment (18–20%), genes (15–20%) and finally usage of health care (10–15%). Acknowledgement of negative health behaviours as key reason for diseases of modern civilization formed the basis for many preventive actions. Implementation of preventive health programs is aimed at shaping healthy lifestyle and healthy behaviours in society. The objective of this article is to present links between social marketing and possibilities to influence healthy behaviours of kids and youth. Necessity for holistic approach to health and examples of healthy behaviours of kids and young people in Poland are discussed.


2017 ◽  
Vol 1 (1) ◽  
pp. 38
Author(s):  
Ratno Adrianto

Various activities have been implemented in the prevention and control of disease in the city of Balikpapan, but based on the Health Profile 2012 field program is known that the achievement of disease control and environmental sanitation is still not maximal. This corresponds to an increase in cases of environment-linked diseases such as DBD, tuberculosis, diarrhea, ISPA and pneumonia each year. The quality of programperformance officer holder is a factor that affects the extent of success in achieving thehealth programs that have been established.The purpose of this study was to determine the relationship between co-operation, in return, infrastructure and support superior to the performance of holders of Disease Prevention program in the city of Balikpapan. This type of research is analytic surveywith cross sectional approach. The population in this study were all employees of the holder of health programs in 27 health centers with a total sampling Balikpapan 54 people. The method used is the analysis of univariate and bivariate.The results showed no significant relationship between co-operation with the performance of the holder of the eradication program (ρ value 0.002), and betweenrewards to the performance of the holder of the eradication program (ρ value 0.027).Suggestions to increase cooperation and support employers through training soft skillsand personality, as well as leadership training management organizations, as well as considering pemberiaan remuneration policy. Thus achieving the health program can be run according to plan.


2012 ◽  
Vol 15 (7) ◽  
pp. A561
Author(s):  
N. Keller ◽  
P. Vo ◽  
R. Sambrook ◽  
K. Gooch ◽  
R.M. Kendall ◽  
...  

1985 ◽  
Vol 10 (2) ◽  
pp. 67-80 ◽  
Author(s):  
Lloyd F. Novick ◽  
David Jillson ◽  
Roberta Coffin ◽  
Mary Freedman

2014 ◽  
Vol 17 (3) ◽  
pp. A172-A173 ◽  
Author(s):  
V.H. Jurado Hernandez ◽  
J.L. Sanchez-Casillas ◽  
P. Vo ◽  
A.J. Laws ◽  
K.L. Gooch ◽  
...  

1984 ◽  
Vol 55 (3) ◽  
pp. 775-778 ◽  
Author(s):  
Peggy B. Smith ◽  
Maxine Weinman ◽  
L. Russell Malinak

73 gravida I adolescent mothers and 93 gravida III adolescent mothers of low socio-economic status were compared to verify that a higher rate of fetal loss exists with parity. Gravida III adolescent mothers had only a 45 % chance of having all three children living compared to the 95% of gravida I adolescent mothers. Moreover, gravida III adolescent mothers used prenatal care and preventive health programs less frequently than their gravida I counterparts. Most problems with babies also occurred more frequently with gravida III young women.


Author(s):  
Gerald L. Stokka ◽  
John F. Smith ◽  
James R. Dunham ◽  
Anne T. Van

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