Digital illustration symbolizing mHealth and adolescent well-being

mHealth: The Digital Revolution in Adolescent Sexual Health?

"A New Review on the Impact of Mobile Health on Teen Sexual Well-being"


Adolescent sexual and reproductive health (ASRH) is a critical public health concern worldwide. Adolescence is a time of significant curiosity, experimentation, and a strong desire for information. Social interactions and relationships during this period are heavily influenced by the information teens receive, making effective ASRH programs essential.

With the widespread adoption of mobile phones, new opportunities have emerged for delivering health interventions. Mobile health (mHealth) solutions are being explored to promote ASRH, particularly among adolescents and young adults. This article reviews the potential and impact of mobile health (mHealth) for ASRH promotion, based on analysis of secondary data from published literature.

Mobile health (mHealth) involves using mobile communications technology and portable electronic devices, such as personal digital assistants (PDAs) and mobile phones, to deliver health services and information. With approximately 5 billion mobile phone subscriptions worldwide, and about 60% of these users in developing countries, mobile phones are seen as a viable way to support healthcare services, including sexual and reproductive health (SRH).

Does mHealth Really Change Teen Behavior?

Digital illustration symbolizing mHealth and adolescent well-being

While mHealth interventions have proven effective in boosting knowledge, translating that knowledge into actual behavior change is more complex. Studies examining the impact of mobile phone interventions on adolescent sexual behavior show varied results. The sexual behaviors most often studied include condom use, number of sexual partners, STI testing, clinic attendance, and seeking sexual health information.

The effectiveness of mobile SMS on risky sexual behavior in adolescents shows mixed outcomes. Gold et al. (2011a) conducted a randomized control trial (RCT) of 7,606 young Australians (adolescents and young adults) evaluating the use of mobile phone advertising to promote positive sexual behavior and sun safety. Participants were randomized to receiving text messages for sexual health and sun safety as intervention and control groups, respectively.

  • Roses are red, daises are white, use a condom if you get lucky tonight. Happy Valentines Day!
The study reported the intervention group as having fewer multiple sex-partners and more likely to use a condom with a new partner than the control group (Gold et al., 2011a). Another study in the United States, Cornelius et al. (2013) focused on HIV prevention intervention for African-American adolescents delivered via mobile phones also recorded increased condom use along with increased knowledge of human immunodeficiency virus (HIV) (Cornelius et al., 2013).

The Future of mHealth in Teen Sexual Health

This review shows that mHealth interventions can improve knowledge and positively influence some sexual behaviors, the effects are not consistent across all areas. STI testing and seeking sexual health information see improvements, condom use and sex-partner behavior do not always follow suit. More research is needed to understand why these differences occur and to create more effective interventions.

Future studies should separate results by gender to better identify specific needs. There is also a need to research how mHealth can be used for adolescent sexual health in developing countries. Randomized controlled trials (RCTs) are essential to establish clear cause-and-effect relationships.

Mobile phones offer a powerful way to connect with teens because they are enthusiastic about new technology. While mHealth is not a “magic bullet,” it can help overcome barriers, increase access to sexual health information, and encourage positive sexual behavior among adolescents and young people.

About this Article -

This article was crafted using a human-AI hybrid and collaborative approach. AI assisted our team with initial drafting, research insights, identifying key questions, and image generation. Our human editors guided topic selection, defined the angle, structured the content, ensured factual accuracy and relevance, refined the tone, and conducted thorough editing to deliver helpful, high-quality information.See our About page for more information.

This article is based on research published under:

DOI-LINK: 10.5897/jphe2015.0731, Alternate LINK

Title: Is Mobile Health (Mhealth) The Magic Bullet? A Short Review Of The Impact Of Mhealth On Adolescent Sexual Health

Subject: General Medicine

Journal: Journal of Public Health and Epidemiology

Publisher: Academic Journals

Authors: Austin Ihesie Chukwuemeka

Published: 2015-08-31

Everything You Need To Know

1

What exactly does mHealth involve in the context of adolescent sexual health?

mHealth uses mobile communication technologies and portable electronic devices to deliver health services and information. This includes using mobile phones and personal digital assistants (PDAs) to support healthcare services, specifically in areas like sexual and reproductive health (SRH). The widespread use of mobile phones, especially in developing countries, makes mHealth a viable approach to reaching many people.

2

How effective is mHealth in changing teen behavior related to sexual health, and what does the research say?

mHealth interventions have shown effectiveness in increasing knowledge related to adolescent sexual and reproductive health (ASRH). Some studies indicate positive changes in behaviors like condom use. However, the impact varies; while some studies show improvements in areas like STI testing and seeking sexual health information, others do not see consistent changes in condom use or the number of sexual partners. More research is needed to understand these differences.

3

Can you give specific examples of studies that show how mobile health (mHealth) interventions have been used to improve teen sexual health?

A study by Gold et al. (2011a) in Australia used mobile phone advertising with text messages to promote positive sexual behavior and sun safety among young adults. The intervention group, receiving sexual health messages, showed fewer multiple sex partners and increased condom use with new partners compared to the control group. Another study by Cornelius et al. (2013) focused on HIV prevention among African-American adolescents using mobile phones, also reported increased condom use and improved HIV knowledge.

4

Why do mHealth intervention outcomes vary in adolescent sexual health, showing success in some areas but not others?

While mHealth interventions can improve knowledge and positively influence some sexual behaviors, their effects are inconsistent across all areas. For example, improvements are seen in STI testing and seeking sexual health information, but changes in condom use and sex-partner behavior are less predictable. Further research is needed to identify the reasons for these inconsistencies and to develop more effective intervention strategies. Understanding the factors that contribute to these variations is crucial for maximizing the impact of mHealth on adolescent sexual health.

5

What factors influence the effectiveness of mHealth interventions in adolescent sexual health, and how can these interventions be improved?

Factors influencing the effectiveness of mHealth interventions in adolescent sexual and reproductive health (ASRH) include the design and content of the interventions, the specific behaviors targeted, and the characteristics of the adolescent populations involved. Some potential areas for improving mHealth include tailoring interventions to specific cultural contexts, integrating them with existing healthcare services, and using interactive and engaging content to promote sustained behavior change. Addressing issues such as privacy and data security is also important.

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