@文章{info:doi/ 10.2199 /32112，作者="Agachi, Elena和Bijmolt, Tammo H A和Mierau, Jochen O和van Ittersum, Koert"，标题="在荷兰不同社会经济条件的社区采用预防健康项目的网站和移动应用:纵向研究"，期刊="JMIR Hum Factors"，年="2022"，月="2"，日="2"，卷="9"，数="1"，页="e32112"，关键词="eHealth;移动健康;移动健康;手机应用程序;互联网;预防性健康项目;健康差异;ns;程序采用;背景:预防健康项目的社会经济差异是一个众所周知的挑战，通过网络提供的项目是一个潜在的解决方案。 The preventive health program examined in this study is a large-scale, open-access web-based platform operating in the Netherlands, which aims to improve the health behaviors and wellness of its participants. Objective: This study aims to examine the differences in the adoption of the website and mobile app of a web-based preventive health program across socioeconomic groups. Methods: The 83,466 participants in this longitudinal, nonexperimental study were individuals who had signed up for the health program between July 2012 and September 2019. The rate of program adoption per delivery means was estimated using the Prentice, Williams, and Peterson Gap--Time model, with the measure of neighborhood socioeconomic status (NSES) used to distinguish between population segments with different socioeconomic characteristics. Registration to the health program was voluntary and free, and not within a controlled study setting, allowing the observation of the true rate of adoption. Results: The estimation results indicate that program adoption across socioeconomic groups varies depending on the program's delivery means. For the website, higher NSES groups have a higher likelihood of program adoption compared with the lowest NSES group (hazard ratio 1.03, 95{\%} CI 1.01-1.05). For the mobile app, the opposite holds: higher NSES groups have a lower likelihood of program adoption compared with the lowest NSES group (hazard ratio 0.94, 95{\%} CI 0.91-0.97). Conclusions: Promoting preventive health programs using mobile apps can help to increase program adoption among the lowest socioeconomic segments. Given the increasing use of mobile phones among disadvantaged population groups, structuring future health interventions to include mobile apps as means of delivery can support the stride toward diminishing health disparities. ", issn="2292-9495", doi="10.2196/32112", url="https://humanfactors.www.mybigtv.com/2022/1/e32112", url="https://doi.org/10.2196/32112", url="http://www.ncbi.nlm.nih.gov/pubmed/35107433" }