‘Recognition of competition’ versus Will to App: rethinking digital engagement in Australian youth sexual health promotion policy and practice

Albury, Kath

doi:10.1177/1329878x19850224

Cited by 13 publications

(12 citation statements)

References 20 publications

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“…Health promotion agencies often seek to develop digital resources to support young people’s sexual health. However, these efforts tend to ignore the multiple ways in which a broader ecosystem of digital media and devices are operating in ways that are preferred by young people [ 61 ]. These include practices such as consensual sexting, peer-to-peer sharing of information in websites, social media and online discussion forums, and YouTube videos as well as news coverage of sexual health issues on alternative youth-oriented news platforms, such as Buzzfeed, Broadly, and Vice [ 61 - 63 ].…”

Section: Resultsmentioning

confidence: 99%

“…However, these efforts tend to ignore the multiple ways in which a broader ecosystem of digital media and devices are operating in ways that are preferred by young people [ 61 ]. These include practices such as consensual sexting, peer-to-peer sharing of information in websites, social media and online discussion forums, and YouTube videos as well as news coverage of sexual health issues on alternative youth-oriented news platforms, such as Buzzfeed, Broadly, and Vice [ 61 - 63 ]. Searching online tends to be the first port of call for young people when they have sexual health concerns [ 64 ] or simply want more information about sex [ 65 - 67 ].…”

Section: Resultsmentioning

confidence: 99%

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Young People’s Use of Digital Health Technologies in the Global North: Narrative Review

Lupton¹

2021

J Med Internet Res

111

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Background A diverse array of digital technologies are available to children and young people living in the Global North to monitor, manage, and promote their health and well-being. Objective This article provides a narrative literature review of the growing number of social research studies published over the past decade that investigate the types of digital technologies used by children and young people in the Global North, in addition to investigating which of these technologies they find most useful or not useful. Key findings as well as major gaps and directions for future research are identified and discussed. Methods A comprehensive search of relevant publications listed in Google Scholar was conducted, supported by following citation trails of these publications. The findings are listed under type of digital technology used for health: cross-media, internet, social media, apps and wearable devices, sexual health support and information, and mental health support and information. Results Many young people in the Global North are active users of digital health technologies. However, it is notable that they still rely on older technologies, such as websites and search engines, to find information. Apps and platforms that may not have been specifically developed for young people as digital health resources often better suit their needs. Young people appreciate the ready availability of information online, the opportunities to learn more about their bodies and health states, and the opportunities to learn how to improve their health and physical fitness. They enjoy being able to connect with peers, and they find emotional support and relief from distress by using social media platforms, YouTube, and online forums. Young people can find the vast reams of information available to them difficult to navigate. They often look to trusted adults to help them make sense of the information they find online and to provide alternative sources of information and support. Face-to-face interactions with these trusted providers remain important to young people. Risks and harms that young people report from digital health use include becoming overly obsessed with their bodies’ shape and size when using self-tracking technologies and comparing their bodies with the social media influencers they follow. Conclusions Further details on how young people are using social media platforms and YouTube as health support resources and for peer-to-peer sharing of information, including attention paid to the content of these resources and the role played by young social media influencers and microcelebrities, would contribute important insights to this body of literature. The role played by visual media, such as GIFs (Graphics Interchange Format) and memes, and social media platforms that have recently become very popular with young people (eg, Snapchat and TikTok) in health-related content creation and shar...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Young People’s Use of Digital Health Technologies in the Global North: Narrative Review

Lupton¹

2021

J Med Internet Res

111

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“…Although patients were recognized as the main recipient of DH services, non-patient individuals were also another significant subcategory that were specified in the eight studies. Healthy individuals, in particular, were discussed significant group in which individuals were users of wellness programs [ 52 ], carers for patients with long-term conditions [ 47 , 51 ], and administrative staff from health care organizations [ 48 , 50 ]. Medical professionals were also considered consumers who are affected by and interact with the DH platforms as part of their professional practice [ 33 – 38 ].…”

Section: Results and Findingsmentioning

confidence: 99%

Understanding digital health ecosystem from Australian citizens’ perspective: A scoping review

2021

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Background Digital health (DH) and the benefits of related services are fairly well understood. However, it still is critical to map the digital health care landscape including the key elements that define it as an ecosystem. Particularly, knowing the perspectives of citizens on this digital transformation is an important angle to capture. In this review we aim to analyze the relevant studies to identify how DH is understood and experienced by Australian citizens and what they may require from DH platforms. Materials and methods A scoping literature review was conducted across several electronic databases (ACM Digital Library, OVID, PubMed, Scopus, IEEE, Science Direct, SAGE), as well as grey literature. Additionally, citation mining was conducted to identify further relevant studies. Identified studies were subjected to eligibility criteria and the final set of articles was independently reviewed, analyzed, discussed and interpreted by three reviewers. Results Of 3811 articles, 98 articles met the inclusion criteria with research-based articles–as opposed to review articles or white papers– comprising the largest proportion (72%) of the selected literature. The qualitative analysis of the literature revealed five key elements that capture the essence of the digital health ecosystem interventions from the viewpoint of the Australian citizens. The identified elements were “consumer/user”, “health care”, “technology”, “use and usability”, “data and information”. These elements were further found to be associated with 127 subcategories. Conclusions This study is the first of its kind to analyze and synthesize the relevant literature on DH ecosystems from the citizens’ perspective. Through the lens of two research questions, this study defines the key components that were found crucial to understanding citizens’ experiences with DH. This understanding lays a strong foundation for designing and fostering DH ecosystem. The results provide a solid ground for empirical testing.

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“…This research has also shown that health apps and wearable devices can also demand invisible labour from users, while some people consider them to be overly intrusive 13–17. For some intended users, health apps or wearable devices are viewed as irrelevant, as they do not offer the information or support people need, or are viewed as being poorly designed for the specificities of people’s lives 13 18 19. Furthermore, critical analyses of health app and wearable device content and promotional materials have noted the focus on individual agency and responsibility they tend to adopt, as well as their tacit assumptions concerning the embodied capacities, priorities and lifestyles of intended users 20–22…”

Section: Introductionmentioning

confidence: 99%

‘The Internet Both Reassures and Terrifies’: exploring the more-than-human worlds of health information using the story completion method

Lupton

2019

Med Humanities

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Lay people are now encouraged to be active in seeking health and medical information and acting on it to engage in self-care and preventive health practices. Over the past three decades, digital media offering ready access to health information resources have rapidly expanded. In this article, I discuss findings from my study that sought to investigate health information practices by bringing together the social research method of story completion with more-than-human theory and postqualitative inquiry. Narratives of health, illness and embodiment are powerful ways to portray people’s experiences and identify the shared cultural norms and discourses that give meaning and context to these experiences. The research method of story completion is a novel approach to eliciting narratives that involve participants’ responses to hypothetical situations. Participants were asked to use an online questionnaire format to complete three stories involving characters faced with a different health problem. This approach sought to identify the human and non-human enabling resources with which the characters engaged as they tried to address and resolve their problem, with a particular interest in how both digital technologies and non-digital resources were used. This analysis highlighted the affective and relational dimensions of humans’ enactments of health, illness and embodiment. The stories surfaced the relations of sense-making, embodiment and care and how they are distributed between humans and non-humans. Agential capacities were closed off by elements such as too much information online creating confusion or anxiety, self-consciousness about the appearance of one’s body, feelings of embarrassment and shame, or not wanting to appear to be too weak or vulnerable. Capacities for change, wellness and recovery were opened by finding helpful information, making connections with others and finding therapeutic spaces and places.

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‘Recognition of competition’ versus Will to App: rethinking digital engagement in Australian youth sexual health promotion policy and practice

Cited by 13 publications

References 20 publications

Young People’s Use of Digital Health Technologies in the Global North: Narrative Review

Young People’s Use of Digital Health Technologies in the Global North: Narrative Review

Understanding digital health ecosystem from Australian citizens’ perspective: A scoping review

‘The Internet Both Reassures and Terrifies’: exploring the more-than-human worlds of health information using the story completion method

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