Evidence map›Paper›PMID 38049789›Full record

ArticleInternational journal for equity in health2023

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

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 and 5 more

Open access · goldAbstract readLetter
In one paragraph

Article in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 5 pooled it
20.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 5 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Inequalities in Exclusively Mobile Interventions Targeting Weight-Related Behaviors: Systematic Review of Observational Studies.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
  2. Identifying Social Media-Based Interactions That Help Adults to Adhere to Weight Loss Goals: A Systematic Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
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  5. Digital versus nondigital behavioral interventions on cardiovascular risk reduction: systematic review and meta-analysis.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Pooled it
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  14. TheFrontiers in public health · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 13 institutions in 8 countries.

Laura M KönigFaculty of Life Sciences: Food, Nutrition and Health, University of Bayreuth, Bayreuth, Germany. laura.koenig@univie.ac.at.
Rebecca A KrukowskiDepartment of Public Health Sciences, School of Medicine, University of Virginia, Charlottesville, USA.
Emmanuel KuntscheCentre for Alcohol Policy Research, La Trobe University, Melbourne, Australia.
Heide BusseLeibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
Laura GumbertSMA Europe E.V, Freiburg, Germany.
Kathrin GemesiInstitute for Nutritional Medicine, School of Medicine and Health, Technical University of Munich, Munich, Germany.
Efrat NeterRuppin Academic Center, Emek Hefer, Israel.
Nor Firdous MohamedDepartment of Psychology, Faculty of Human Development, University Pendidikan Sultan Idris, Tanjong Malim, Malaysia.
Kathryn M RossUniversity of Florida, Gainesville, USA.
Yetunde O John-AkinolaDepartment of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Rosie CooperNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Anila AllmetaFaculty of Life Sciences: Food, Nutrition and Health, University of Bayreuth, Bayreuth, Germany.
Anabelle Macedo SilvaInstituto de Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Cynthia C ForbesWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.
Max J WesternCentre for Motivation and Health Behaviour Change, Department for Health, University of Bath, Bath, UK.
University of Bayreuth · DEHull York Medical School · GBLa Trobe University · AULeibniz Institute for Prevention Research and Epidemiology - BIPS · DERuppin Academic Center · ILSultan Idris Education University · MYTechnical University of Munich · DEUniversidade Federal do Rio de Janeiro · BRUniversity of Bath · GBUniversity of Florida · USUniversity of Ibadan · NGUniversity of Oxford · GBUniversity of Virginia · US

Funding

Women's Oncology Program - WONP30CA044579 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Thomas P. Loughran · 1987 to 2026
$72.1M
NCI NIH HHS P30 CA044579
6 · The paper itself

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.

Indexed as

Digital DivideDelivery of Health CareHealth PolicyHealth PromotionHumansSocioeconomic FactorsDeterminants of healthDigital technologyGlobal healthHealth inequalitiesHealth inequityInternet-based interventionPublic health

Identifiers

PMID38049789
PMCPMC10696856
OpenAlexW4389298084

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.