Mobile Technology, Cancer Prevention, and Health Status Among Diverse, Low-Income Adults.
ABSTRACT Abstract Purpose . Characterize mobile technology ownership, use, and relationship to self-reported cancer prevention behaviors and health status in a diverse, low-income sample of callers to 2-1-1. Design . Secondary analyses of cross-sectional survey data from a larger trial collected from June 2010 to December 2012. Setting . United Way Missouri 2-1-1 serves 99 of 114 counties and received 166,000 calls in 2011. Subjects . The respondents (baseline, n = 1898; 4 month, n = 1242) were predominantly female, non-Hispanic Black, younger than 50 years, with high-school education or less and annual income <$20,000. Measures . Cell phone ownership and use and its relationship to cancer prevention services and health status were assessed via telephone-based survey, using items adapted from previous research and the Behavioral Risk Factor Surveillance System. Smartphone ownership and use were also assessed. Analysis . Descriptive statistics and bivariate and multivariate associations between cell phone ownership and prevention and health status are reported. Results . Three-fourths (74%) of study participants owned a cell phone and 23% owned a smartphone. Text messaging was the most popular use. Ownership was significantly associated with good to excellent health status and presence of smoke-free home policies in multivariate models. Conclusion . Cell phone ownership is growing and has potential to deliver health information to low-income populations. With 16 million calls annually, the national 2-1-1 system may be a promising model and platform.