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      Participation in a mobile health intervention trial to improve retention in HIV care: does gender matter?

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          Abstract

          Background

          To be consistent with the United Nations’ sustainable development goals on gender equality, mobile health (mHealth) programmes should aim to use communications technology to promote the empowerment of women. We conducted a pre-trial analysis of data from the WelTel Retain study on retention in HIV care to assess gender-based differences in phone access, phone sharing and concerns about receiving text messages from a healthcare provider.

          Methods

          Between April 2013–June 2015, HIV-positive adults were screened for trial participation at two clinics in urban slums in Nairobi, Kenya. Proportions of men and women excluded from the trial due to phone-related criteria were compared using a chi-square test. Gender-based differences in phone sharing patterns and concerns among trial participants were similarly compared.

          Results

          Of 1068 individuals screened, there was no difference in the proportion of men ( n = 39/378, 10.3%) and women ( n = 71/690, 10.3%) excluded because of phone-related criteria ( p-value = 0.989). Among those who shared their phone, women ( n = 52/108, 48.1%) were more likely than men ( n = 6/60, 10.0%) to share with other non-household and household members ( p <0.001). Few participants had concerns about receiving text messages from their healthcare provider; those with concerns were all women ( n = 6/700).

          Discussion

          In this study, men and women were equally able to participate in a trial of an mHealth intervention. Equitable access in these urban slums may indicate the ‘gender digital divide’ is narrowing in some settings; however, gender-specific phone sharing patterns and concerns regarding privacy must be fully considered in the development and scale-up of mHealth programmes.

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          Author and article information

          Journal
          9506702
          20593
          J Telemed Telecare
          J Telemed Telecare
          Journal of telemedicine and telecare
          1357-633X
          1758-1109
          5 August 2017
          09 July 2016
          February 2017
          05 September 2017
          : 23
          : 2
          : 314-320
          Affiliations
          [1 ]Department of Public Health Sciences/Global Health (IHCAR), Karolinska Institutet, Sweden
          [2 ]Department of Medicine, University of British Columbia, Canada
          [3 ]Amref Health Africa, Kenya
          [4 ]Department of Infectious Diseases, Karolinska University Hospital, Sweden
          [5 ]School of Population and Public Health, University of British Columbia, Canada
          [6 ]Department of Medical Microbiology, University of Manitoba, Canada
          [7 ]Brim Ltd, Kenya
          Author notes
          Corresponding author: Mia L van der Kop, Department of Medicine, University of British Columbia, Office 577, 828 West 10 th Avenue, Vancouver, BC, V5Z 1L8 Canada. miavanderkop@ 123456gmail.com
          [*]

          shared senior authorship

          Article
          PMC5585013 PMC5585013 5585013 nihpa897777
          10.1177/1357633X16643457
          5585013
          27080746
          857447a8-e907-4b7a-99d2-d15e559a08a6

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          Categories
          Article

          Telehealth,telemedicine,HIV/AIDS,sub-Saharan Africa,gender
          Telehealth, telemedicine, HIV/AIDS, sub-Saharan Africa, gender

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