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Table 6 Univariable and multivariable analyses of the associating factors of mHealth apps use among patients living with diabetes (n = 295)

From: Exploring mHealth app utilization for diabetes self-management: survey insights from a northern district in Malaysia

Variables

mHealth apps users

(n = 40), n (%)

mHealth apps non-users

(n = 255), n (%)

Crude OR (95% CI)

p-value

Adjusted OR (95% CI)

p-value

Demographic profiles

ÌýÌýÌýÌýÌýÌý

Gender

ÌýÌýÌýÌýÌýÌý

 F±ð³¾²¹±ô±ð

21 (52.5)

141 (55.3)

1.00 (reference)

-

ÌýÌý

 M²¹±ô±ð

19 (47.5)

114 (44.7)

0.89 (0.45, 1.74)

0.741

ÌýÌý

Age (years) [mean (SD)]

50.1 (11.36)

54.4 (12.45)

0.97 (0.95, 0.99)

0.043

ÌýÌý

Ethnicity

ÌýÌýÌýÌýÌýÌý

 M²¹±ô²¹²â

28 (70.0)

144 (56.5)

1.46 (0.63, 3.38)

0.380

ÌýÌý

 C³ó¾±²Ô±ð²õ±ð

4 (10.0)

51 (20.0)

0.59 (0.17, 2.07)

0.408

ÌýÌý

 I²Ô»å¾±²¹²Ô

8 (20.0)

60 (23.5)

1.00 (reference)

-

ÌýÌý

Marital status

ÌýÌýÌýÌýÌýÌý

 M²¹°ù°ù¾±±ð»å

32 (80.0)

226 (88.6)

0.85 (0.18, 3.97)

0.836

ÌýÌý

 U²Ô³¾²¹°ù°ù¾±±ð»å

6 (15.0)

17 (6.7)

2.12 (0.36, 12.34)

0.404

ÌýÌý

 Divorced / Widow / Widower

2 (5.0)

12 (4.7)

1.00 (reference)

-

ÌýÌý

Highest Education Level

ÌýÌýÌýÌýÌýÌý

 P°ù¾±³¾²¹°ù²â

3 (7.5)

56 (22.0)

0.48 (0.05, 5.16)

0.546

ÌýÌý

â€Çȱ𳦴DzԻ岹°ù²â

19 (47.5)

138 (54.1)

1.24 (0.15, 10.33)

0.843

ÌýÌý

 T±ð°ù³Ù¾±²¹°ù²â

17 (42.5)

52 (20.4)

2.94 (0.35, 24.94)

0.322

ÌýÌý

 No formal education

1 (2.5)

9 (3.5)

1.00 (reference)

-

ÌýÌý

Occupation

ÌýÌýÌýÌýÌýÌý

 E³¾±è±ô´Ç²â±ð»å

27 (67.5)

105 (41.2)

2.20 (0.91, 5.37)

0.082

1.36 (0.41, 4.49)

0.618

 U²Ô±ð³¾±è±ô´Ç²â±ð»å

6 (15.0)

90 (35.3)

0.57 (0.18, 1.78)

0.335

0.37 (0.08, 1.60)

0.181

 R±ð³Ù¾±°ù±ð»å

7 (17.5)

60 (23.5)

1.00 (reference)

-

1.00 (reference)

-

Medical profiles

ÌýÌýÌýÌýÌýÌý

Duration of diabetes (years) [median, IQR]

5.0 (2.3, 9.8)

6.0 (3.0, 10.0)

0.95 (0.90, 1.01)

0.100

0.92 (0.85, 0.99)

0.046

Comorbidities (multiple responses)

ÌýÌýÌýÌýÌýÌý

‽ö²â±è±ð°ù³Ù±ð²Ô²õ¾±´Ç²Ô

26 (65.0)

145 (56.9)

1.41 (0.70, 2.82)

0.334

ÌýÌý

 D²â²õ±ô¾±±è¾±»å²¹±ð³¾¾±²¹

14 (35.0)

112 (43.9)

0.69 (0.34, 1.38)

0.291

ÌýÌý

 O³Ù³ó±ð°ù²õ*

8 (20.0)

14 (5.5)

4.30 (1.68, 11.06)

0.002

12.05 (2.96, 49.11)

0.001

Diabetes medication regimes

ÌýÌýÌýÌýÌýÌý

 Oral medication only

20 (50.0)

149 (58.4)

0.68 (0.34, 1.34)

0.262

ÌýÌý

 Insulin therapy only

1 (2.5)

10 (3.9)

0.51 (0.06, 4.18)

0.527

ÌýÌý

 Both oral and insulin

19 (47.5)

96 (37.6)

1.00 (reference)

-

ÌýÌý

References for diabetes management (multiple responses)

ÌýÌýÌý

 Healthcare providers

38 (95.0)

235 (92.2)

1.62 (0.36, 7.20)

0.528

ÌýÌý

 Family and friends

18 (45.0)

60 (23.5)

2.66 (1.34, 5.29)

0.005

ÌýÌý

 Online resources

16 (40.0)

41 (16.1)

3.48 (1.70, 7.12)

0.001

ÌýÌý

 Mobile applications

3 (7.5)

6 (2.4)

3.37 (0.81, 14.04)

0.096

ÌýÌý

Usage of smart devices

ÌýÌýÌýÌýÌýÌý

Duration of smart devices usage per day (hours) [mean (SD)]

3.9 (2.15)

3.5 (3.53)

1.03 (0.94, 1.13)

0.505

ÌýÌý

Types of mobile applications downloaded (multiple responses)

Ìý

 Social interaction and transportation

34 (85.0)

230 (90.2)

0.62 (0.24, 1.61)

0.323

ÌýÌý

 News & updates

18 (45.0)

81 (31.8)

1.76 (0.89, 3.46)

0.102

ÌýÌý

 G²¹³¾±ð²õ

16 (40.0)

63 (24.7)

2.03 (1.02, 4.07)

0.045

ÌýÌý

 Health and lifestyles

26 (65.0)

41 (16.1)

9.69 (4.67, 20.13)

&±ô³Ù; 0.001

12.82 (4.63, 35.45)

&±ô³Ù; 0.001

 Educational materials

13 (32.5)

28 (11.0)

3.90 (1.81, 8.43)

0.001

ÌýÌý

 B³Ü²õ¾±²Ô±ð²õ²õ-°ù±ð±ô²¹³Ù±ð»å

6 (15.0)

17 (6.7)

2.47 (0.91, 6.70)

0.076

ÌýÌý

Awareness of availability of health apps

ÌýÌýÌýÌý

 U²Ô²¹·É²¹°ù±ð

3 (7.5)

189 (74.1)

1.00 (reference)

-

1.00

-

â€Çã·É²¹°ù±ð

37 (92.5)

66 (25.9)

35.32 (10.54, 118.38)

&±ô³Ù; 0.001

53.09 (12.58, 224.09)

&±ô³Ù; 0.001

  1. *Asthma, heart-, lung-, kidney-related disease, gout, gastric, cancer and thyroid problems; OR-Odds ratio, CI-confidence interval, SD-Standard deviation, IQR-inter-quartile range; Binary Logistic Regression was used for the analysis; Included variables with p < 0.25 for multivariable analysis; Model fit with R2 = 0.597, Backward LR method was used, Hosmer-Lemeshow p = 0.714, Overall classification = 90.8%