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      Receptiveness and preferences of health-related smartphone applications among Vietnamese youth and young adults

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          Abstract

          Background

          As smartphone becomes increasingly prevalent and affordable, more youths today can own a smartphone device and download applications in various application stores. Smartphone applications have been proven to be useful for youths in various aspects. However, there has been a paucity of data looking into the preferences of Vietnamese youths and adolescents with regards to health-related applications and their receptiveness towards smartphone apps. Therefore, this study aimed to determine the receptiveness and preferences of health-related smartphone applications (mHealth apps) among online Vietnamese youths and adolescents.

          Methods

          An online cross-sectional study was conducted between the periods of August till October 2015 in Vietnam. Respondent-driven sampling technique (RDS) was utilized to recruit participants. Participants were asked questions about their history of downloading and using health-related smartphone applications and their receptiveness when using these applications. Moreover, socio-demographic characteristics and health status were also self-reported. Multivariate logistic regression was employed to determine associated factors.

          Results

          Among 1028 participants, 57.4% owned a smartphone and only 14.1% of smartphone users have used a health-related smartphone application, and most of these individuals downloaded the applications for disease prevention (66.3%). 66.4% of the participants who owned these applications reported that health applications were useful and 92.8% reported being satisfied with the functionalities of the applications which they owned. Among smartphone users, people who were employed (OR = 15.46; 95%CI = 4.93–48.47) were more likely to download mHealth apps. Meanwhile, youths with higher EQ-5D index had a lower likelihood of downloading healthcare-related smartphone applications (OR = 0.17; 95%CI = 0.04–0.81).

          Conclusions

          This study highlighted a low rate of mHealth apps utilization among online Vietnamese youths and adolescents but a high acceptance of individuals who already used these apps. Developing mHealth apps or interventions towards the disease prevention and quality of life improvement could be feasible to proliferate the benefits of such applications in youths and adolescents in Vietnam. Further research should be conducted to optimize the contents and interfaces of mHealth apps that meet the needs of these populations.

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          Most cited references9

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          Understanding differences in health behaviors by education.

          Using a variety of data sets from two countries, we examine possible explanations for the relationship between education and health behaviors, known as the education gradient. We show that income, health insurance, and family background can account for about 30 percent of the gradient. Knowledge and measures of cognitive ability explain an additional 30 percent. Social networks account for another 10 percent. Our proxies for discounting, risk aversion, or the value of future do not account for any of the education gradient, and neither do personality factors such as a sense of control of oneself or over one's life. Copyright 2009 Elsevier B.V. All rights reserved.
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            Epidemiology of internet behaviors and addiction among adolescents in six Asian countries.

            Internet addiction has become a serious behavioral health problem in Asia. However, there are no up-to-date country comparisons. The Asian Adolescent Risk Behavior Survey (AARBS) screens and compares the prevalence of Internet behaviors and addiction in adolescents in six Asian countries. A total of 5,366 adolescents aged 12-18 years were recruited from six Asian countries: China, Hong Kong, Japan, South Korea, Malaysia, and the Philippines. Participants completed a structured questionnaire on their Internet use in the 2012-2013 school year. Internet addiction was assessed using the Internet Addiction Test (IAT) and the Revised Chen Internet Addiction Scale (CIAS-R). The variations in Internet behaviors and addiction across countries were examined. The overall prevalence of smartphone ownership is 62%, ranging from 41% in China to 84% in South Korea. Moreover, participation in online gaming ranges from 11% in China to 39% in Japan. Hong Kong has the highest number of adolescents reporting daily or above Internet use (68%). Internet addiction is highest in the Philippines, according to both the IAT (5%) and the CIAS-R (21%). Internet addictive behavior is common among adolescents in Asian countries. Problematic Internet use is prevalent and characterized by risky cyberbehaviors.
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              Smartphone app use among medical providers in ACGME training programs.

              The past decade has witnessed the advent of the smartphone, a device armed with computing power, mobility and downloadable "apps," that has become commonplace within the medical field as both a personal and professional tool. The popularity of medically-related apps suggests that physicians use mobile technology to assist with clinical decision making, yet usage patterns have never been quantified. A digital survey examining smartphone and associated app usage was administered via email to all ACGME training programs. Data regarding respondent specialty, level of training, use of smartphones, use of smartphone apps, desired apps, and commonly used apps were collected and analyzed. Greater than 85% of respondents used a smartphone, of which the iPhone was the most popular (56%). Over half of the respondents reported using apps in their clinical practice; the most commonly used app types were drug guides (79%), medical calculators (18%), coding and billing apps (4%) and pregnancy wheels (4%). The most frequently requested app types were textbook/reference materials (average response: 55%), classification/treatment algorithms (46%) and general medical knowledge (43%). The clinical use of smartphones and apps will likely continue to increase, and we have demonstrated an absence of high-quality and popular apps despite a strong desire among physicians and trainees. This information should be used to guide the development of future healthcare delivery systems; expanded app functionality is almost certain but reliability and ease of use will likely remain major factors in determining the successful integration of apps into clinical practice.
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                Author and article information

                Contributors
                dothanhtoan2007@gmail.com
                maisu10193@gmail.com
                nguyenvanthanh.lhp@gmail.com
                bach.jhu@gmail.com
                lethihuong@hmu.edu.vn
                duchinh@hmu.edu.vn
                longnh.ph@gmail.com
                cuong.ighi@gmail.com
                trandinhthovd68@yahoo.com
                carl.latkin@jhu.edu
                pcmrhcm@nus.edu.sg
                ciezwm@nus.edu.sg
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                19 June 2018
                19 June 2018
                2018
                : 18
                : 764
                Affiliations
                [1 ]ISNI 0000 0004 0642 8489, GRID grid.56046.31, Institute for Preventive Medicine and Public Health, , Hanoi Medical University, ; Hanoi, Vietnam
                [2 ]Department of Hospital Quality Management, Vietnam National Cancer Hospital, Hanoi, Vietnam
                [3 ]ISNI 0000 0001 2171 9311, GRID grid.21107.35, Bloomberg School of Public Health, , Johns Hopkins University, ; Baltimore, MD USA
                [4 ]GRID grid.444918.4, Institute for Global Health Innovations, , Duy Tan University, ; Da Nang, Vietnam
                [5 ]ISNI 0000 0004 4901 8674, GRID grid.461547.5, Department of Hepatobiliary Surgery, , Viet-Duc Hospital, ; Hanoi, Vietnam
                [6 ]ISNI 0000 0001 2180 6431, GRID grid.4280.e, Department of Psychological Medicine, Yong Loo Lin School of Medicine, , National University of Singapore, ; Singapore, Singapore
                [7 ]ISNI 0000 0001 2180 6431, GRID grid.4280.e, Biomedical Global Institute of Healthcare Research & Technology (BIGHEART), , National University of Singapore, ; Singapore, Singapore
                [8 ]ISNI 0000 0004 0637 2083, GRID grid.267852.c, School of Medicine and Pharmacy, , Vietnam National University, ; Hanoi, Vietnam
                Article
                5641
                10.1186/s12889-018-5641-0
                6009816
                29921258
                bca293c4-312d-4c8e-85e1-a1b6eb8f389d
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 6 September 2017
                : 31 May 2018
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2018

                Public health
                smartphone applications,youths,young adults,vietnam
                Public health
                smartphone applications, youths, young adults, vietnam

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