ArticleJournal of medical Internet research2025
Digital Health Literacy and Its Role in Awareness of and Access to Sexual Health Products and Services Among Displaced Youth in Uganda's Informal Urban Settlements: Community-Based Cross-Sectional Study.
Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Digital health interventions for promoting physical activity among adolescents: a systematic review.Frontiers in public health · 2026Pooled it
- Multilevel Determinants of HIV Prevention Among Urban Refugee Youth in Uganda: Baseline Findings from the Tushirikiane-4-Uthabiti Trial.AIDS and behavior · 2026Article
- User Testing an mHealth Behavioral Health App for Hopi/Tewa Youth During the COVID-19 Pandemic: Usability Study.JMIR formative research · 2026Article
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14 authors.
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Abstract
backgroundDigital health interventions can enhance sexual health equity among marginalized and underserved populations, including displaced youth. However, there is limited understanding of displaced youth's digital health literacy (DHL) and its association with knowledge of and access to sexual health products and services.
objectiveThis study aims to identify patterns of DHL among displaced youth and assess how these patterns are associated with awareness of and access to sexual health products and services, while considering gender differences.
methodsWe conducted a cross-sectional tablet-assisted survey in Kampala, Uganda. We used peer-driven sampling to recruit displaced youth aged 16-24 years living in 5 informal urban settlements. We identified DHL patterns using latent profile analysis. Gender-disaggregated multivariate probit models were constructed to estimate the relationship between DHL and awareness of and access to sexual health products and services (eg, sexual and reproductive health [SRH] information, external condoms, condom use training, sexually transmitted infection testing, and HIV testing).
resultsAmong the participants (N=445), our latent profile analysis identified 4-DHL classes named: low (class 1, 51/444, 11.5%), moderate (class 2, 99/444, 22.2%), high (class 3, 138/444, 31%), and very high (class 4, 157/444, 35.3%). Our adjusted multivariate probit model indicated that, compared to class 1, class 4 participants were more likely to know where to access condom use training (marginal effect [ME]=0.23; P<.001), external condoms (ME=0.19; P<.001), and HIV testing (ME=0.23; P<.001). We also noted gender-based differences. Men with very high DHL, compared with those with low DHL, were more likely to know where to access SRH information (ME=0.46; P<.001) and condom use training (ME=0.40; P<.050), while women with very high DHL were more likely than those with low DHL to report knowing how to access condom use training (ME=0.12, SE=0.06; P<.050), external condoms (ME=0.34; P<.001), and HIV testing (ME=0.22, SE=0.10; P<.050). Regarding access to sexual health products and services in the last 3 months, class 4 respondents reported higher access to condom use training (ME=0.13, SE=0.04; P<.001), external condoms (ME=0.14; P<.050), and HIV testing (ME=0.24; P<.050) than class 1 respondents. Gender differences showed that among men, those with very high DHL were more likely to access condom use training (ME=0.28; P<.010) than those with low DHL. In contrast, among women, those with very high DHL were less likely to access SRH information (ME=-0.20; P<.001).
conclusionsOur findings reveal a generally high level of DHL but suboptimal awareness of and access to SRH services among urban displaced youth in Kampala. Improving SRH among urban displaced populations will require gender-responsive and culturally grounded digital sexual health interventions to increase awareness of and access to sexual health products and services.
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