Reducing intervention- and research-induced inequalities to tackle the digital divide in health promotion

Abstract Social inequalities are an important contributor to the global burden of disease within and between countries. Using digital technology in health promotion and healthcare is seen by some as a potential lever to reduce these inequalities; however, research suggests that digital technology ri...

Full description

Bibliographic Details
Main Authors: Laura M. König, Rebecca A. Krukowski, Emmanuel Kuntsche, Heide Busse, Laura Gumbert, Kathrin Gemesi, Efrat Neter, Nor Firdous Mohamed, Kathryn M. Ross, Yetunde O. John-Akinola, Rosie Cooper, Anila Allmeta, Anabelle Macedo Silva, Cynthia C. Forbes, Max J. Western
Format: Article
Language:English
Published: BMC 2023-12-01
Series:International Journal for Equity in Health
Subjects:
Online Access:https://doi.org/10.1186/s12939-023-02055-6
_version_ 1797398113425555456
author Laura M. König
Rebecca A. Krukowski
Emmanuel Kuntsche
Heide Busse
Laura Gumbert
Kathrin Gemesi
Efrat Neter
Nor Firdous Mohamed
Kathryn M. Ross
Yetunde O. John-Akinola
Rosie Cooper
Anila Allmeta
Anabelle Macedo Silva
Cynthia C. Forbes
Max J. Western
author_facet Laura M. König
Rebecca A. Krukowski
Emmanuel Kuntsche
Heide Busse
Laura Gumbert
Kathrin Gemesi
Efrat Neter
Nor Firdous Mohamed
Kathryn M. Ross
Yetunde O. John-Akinola
Rosie Cooper
Anila Allmeta
Anabelle Macedo Silva
Cynthia C. Forbes
Max J. Western
author_sort Laura M. König
collection DOAJ
description Abstract Social inequalities are an important contributor to the global burden of disease within and between countries. Using digital technology in health promotion and healthcare is seen by some as a potential lever to reduce these inequalities; however, research suggests that digital technology risks re-enacting or evening widening disparities. Most research on this digital health divide focuses on a small number of social inequality indicators and stems from Western, educated, industrialized, rich, and democratic (WEIRD) countries. There is a need for systematic, international, and interdisciplinary contextualized research on the impact of social inequality indicators in digital health as well as the underlying mechanisms of this digital divide across the globe to reduce health disparities. In June 2023, eighteen multi-disciplinary researchers representing thirteen countries from six continents came together to discuss current issues in the field of digital health promotion and healthcare contributing to the digital divide. Ways that current practices in research contribute to the digital health divide were explored, including intervention development, testing, and implementation. Based on the dialogue, we provide suggestions for overcoming barriers and improving practices across disciplines, countries, and sectors. The research community must actively advocate for system-level changes regarding policy and research to reduce the digital divide and so improve digital health for all.
first_indexed 2024-03-09T01:20:59Z
format Article
id doaj.art-f04b37cfa18e48ef924f64cb28dcc3f7
institution Directory Open Access Journal
issn 1475-9276
language English
last_indexed 2024-03-09T01:20:59Z
publishDate 2023-12-01
publisher BMC
record_format Article
series International Journal for Equity in Health
spelling doaj.art-f04b37cfa18e48ef924f64cb28dcc3f72023-12-10T12:11:24ZengBMCInternational Journal for Equity in Health1475-92762023-12-012211710.1186/s12939-023-02055-6Reducing intervention- and research-induced inequalities to tackle the digital divide in health promotionLaura M. König0Rebecca A. Krukowski1Emmanuel Kuntsche2Heide Busse3Laura Gumbert4Kathrin Gemesi5Efrat Neter6Nor Firdous Mohamed7Kathryn M. Ross8Yetunde O. John-Akinola9Rosie Cooper10Anila Allmeta11Anabelle Macedo Silva12Cynthia C. Forbes13Max J. Western14Faculty of Life Sciences: Food, Nutrition and Health, University of BayreuthDepartment of Public Health Sciences, School of Medicine, University of VirginiaCentre for Alcohol Policy Research, La Trobe UniversityLeibniz Institute for Prevention Research and Epidemiology - BIPSSMA Europe E.VInstitute for Nutritional Medicine, School of Medicine and Health, Technical University of MunichRuppin Academic CenterDepartment of Psychology, Faculty of Human Development, University Pendidikan Sultan IdrisUniversity of FloridaDepartment of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of IbadanNuffield Department of Primary Care Health Sciences, University of OxfordFaculty of Life Sciences: Food, Nutrition and Health, University of BayreuthInstituto de Saúde Coletiva, Universidade Federal do Rio de JaneiroWolfson Palliative Care Research Centre, Hull York Medical School, University of HullCentre for Motivation and Health Behaviour Change, Department for Health, University of BathAbstract Social inequalities are an important contributor to the global burden of disease within and between countries. Using digital technology in health promotion and healthcare is seen by some as a potential lever to reduce these inequalities; however, research suggests that digital technology risks re-enacting or evening widening disparities. Most research on this digital health divide focuses on a small number of social inequality indicators and stems from Western, educated, industrialized, rich, and democratic (WEIRD) countries. There is a need for systematic, international, and interdisciplinary contextualized research on the impact of social inequality indicators in digital health as well as the underlying mechanisms of this digital divide across the globe to reduce health disparities. In June 2023, eighteen multi-disciplinary researchers representing thirteen countries from six continents came together to discuss current issues in the field of digital health promotion and healthcare contributing to the digital divide. Ways that current practices in research contribute to the digital health divide were explored, including intervention development, testing, and implementation. Based on the dialogue, we provide suggestions for overcoming barriers and improving practices across disciplines, countries, and sectors. The research community must actively advocate for system-level changes regarding policy and research to reduce the digital divide and so improve digital health for all.https://doi.org/10.1186/s12939-023-02055-6Digital technologyHealth inequalitiesHealth inequityInternet-based interventionDeterminants of healthPublic health
spellingShingle Laura M. König
Rebecca A. Krukowski
Emmanuel Kuntsche
Heide Busse
Laura Gumbert
Kathrin Gemesi
Efrat Neter
Nor Firdous Mohamed
Kathryn M. Ross
Yetunde O. John-Akinola
Rosie Cooper
Anila Allmeta
Anabelle Macedo Silva
Cynthia C. Forbes
Max J. Western
Reducing intervention- and research-induced inequalities to tackle the digital divide in health promotion
International Journal for Equity in Health
Digital technology
Health inequalities
Health inequity
Internet-based intervention
Determinants of health
Public health
title Reducing intervention- and research-induced inequalities to tackle the digital divide in health promotion
title_full Reducing intervention- and research-induced inequalities to tackle the digital divide in health promotion
title_fullStr Reducing intervention- and research-induced inequalities to tackle the digital divide in health promotion
title_full_unstemmed Reducing intervention- and research-induced inequalities to tackle the digital divide in health promotion
title_short Reducing intervention- and research-induced inequalities to tackle the digital divide in health promotion
title_sort reducing intervention and research induced inequalities to tackle the digital divide in health promotion
topic Digital technology
Health inequalities
Health inequity
Internet-based intervention
Determinants of health
Public health
url https://doi.org/10.1186/s12939-023-02055-6
work_keys_str_mv AT lauramkonig reducinginterventionandresearchinducedinequalitiestotacklethedigitaldivideinhealthpromotion
AT rebeccaakrukowski reducinginterventionandresearchinducedinequalitiestotacklethedigitaldivideinhealthpromotion
AT emmanuelkuntsche reducinginterventionandresearchinducedinequalitiestotacklethedigitaldivideinhealthpromotion
AT heidebusse reducinginterventionandresearchinducedinequalitiestotacklethedigitaldivideinhealthpromotion
AT lauragumbert reducinginterventionandresearchinducedinequalitiestotacklethedigitaldivideinhealthpromotion
AT kathringemesi reducinginterventionandresearchinducedinequalitiestotacklethedigitaldivideinhealthpromotion
AT efratneter reducinginterventionandresearchinducedinequalitiestotacklethedigitaldivideinhealthpromotion
AT norfirdousmohamed reducinginterventionandresearchinducedinequalitiestotacklethedigitaldivideinhealthpromotion
AT kathrynmross reducinginterventionandresearchinducedinequalitiestotacklethedigitaldivideinhealthpromotion
AT yetundeojohnakinola reducinginterventionandresearchinducedinequalitiestotacklethedigitaldivideinhealthpromotion
AT rosiecooper reducinginterventionandresearchinducedinequalitiestotacklethedigitaldivideinhealthpromotion
AT anilaallmeta reducinginterventionandresearchinducedinequalitiestotacklethedigitaldivideinhealthpromotion
AT anabellemacedosilva reducinginterventionandresearchinducedinequalitiestotacklethedigitaldivideinhealthpromotion
AT cynthiacforbes reducinginterventionandresearchinducedinequalitiestotacklethedigitaldivideinhealthpromotion
AT maxjwestern reducinginterventionandresearchinducedinequalitiestotacklethedigitaldivideinhealthpromotion