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Trends in level of education and area of residence of users of a mobile app to support treatment of urinary incontinence
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin.ORCID-id: 0000-0002-7500-663X
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin.ORCID-id: 0000-0002-6230-0354
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin.ORCID-id: 0000-0002-8549-0007
2025 (Engelska)Ingår i: BMC Health Services Research, E-ISSN 1472-6963, Vol. 25, nr 1, artikel-id 498Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Between 25% and 45% of women experience urinary incontinence. The Tät® app is intended to treat stress urinary incontinence in women, and has been evaluated for efficacy and effectiveness. The level of usage of digital healthcare differs depending on demographics, and this might lead to unequal access to healthcare. This study aims to analyse the change in level of education and area of residence of users of the Tät app over time, and compare this with overall demographic data for Sweden.

Methods: When the app was downloaded, the user was invited to respond anonymously to a questionnaire. We included women aged 18–89 years living in Sweden. We weighted the app data to reflect the age distribution of the general female population of Sweden. We then compared the users’ level of education and area of residence with data from Statistics Sweden.

Results: The study encompassed 153,819 users between 2016 and 2021. The percentage of Tät users with university education decreased from 63.14% (95% CI 62.16–64.11) to 61.07% (95% CI 60.53–61.61), and the percentage of users with fewer than 7 years of education increased from 0.02% (95% CI 0.006–0.077) to 1.94% (95% CI 1.80–2.10). In contrast to this, the Statistics Sweden data comparing 2016 with 2020, showed an increase in the category “university or higher education institution” from 38.94 to 42.10% and a decrease in the other categories. Comparing Tät users’ area of residence between 2018 and 2021 showed an increase in the amount of users living in rural areas from 16.90% (95% CI 16.44–17.37) to 20.53% (95% CI 20.08–20.98). Data from Statistics Sweden did not show any significant change, and in 2020 6.23% of women in Sweden lived in rural areas.

Conclusions: The proportion of Tät users in both the highest and the lowest educational categories had changed to be more like the overall Swedish female population. The proportion of Tät users living in rural areas had increased and was considerably larger than for the population in general. We thus see positive trends in the distribution of users, although users with a university education are still over-represented.

Ort, förlag, år, upplaga, sidor
BioMed Central (BMC), 2025. Vol. 25, nr 1, artikel-id 498
Nyckelord [en]
Demographics, Education, Mobile apps, Pelvic floor muscle training, Residence, Socioeconomics, Urinary incontinence
Nationell ämneskategori
Epidemiologi Folkhälsovetenskap, global hälsa och socialmedicin
Identifikatorer
URN: urn:nbn:se:umu:diva-238219DOI: 10.1186/s12913-025-12632-wISI: 001458473700001PubMedID: 40176033Scopus ID: 2-s2.0-105001675762OAI: oai:DiVA.org:umu-238219DiVA, id: diva2:1955411
Forskningsfinansiär
Familjen Kamprads stiftelseVisare NorrRegion Jämtland HärjedalenTillgänglig från: 2025-04-30 Skapad: 2025-04-30 Senast uppdaterad: 2025-04-30Bibliografiskt granskad

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Asklund, InaLindam, AnnaSamuelsson, Eva

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