{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T06:42:33Z","timestamp":1782283353211,"version":"3.54.5"},"reference-count":36,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:00:00Z","timestamp":1762992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012297","name":"Society of Family Planning","doi-asserted-by":"publisher","award":["SFPFR11-II5-2"],"award-info":[{"award-number":["SFPFR11-II5-2"]}],"id":[{"id":"10.13039\/100012297","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosdigitalhealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Digit Health"],"abstract":"<jats:p>Black women are disproportionally likely to contract sexually transmitted infections (STIs) including HIV compared to women of other races and ethnicities. It is possible that mobile health (referred to as \u201cmHealth\u201d) strategies, including mobile applications, designed for Black women could provide sexual health support and reduce STI\/HIV transmission. We sought to explore acceptability of mHealth strategies among Black women and to identify if preferences varied by age or HIV vulnerability. We surveyed 213 Black women aged 14\u201364 attending a family planning clinic in Chicago. We asked about mHealth use, desired sources of sexual health information, and mHealth application (app) features. Responses were analyzed as dichotomous variables, with age categorized as \u226424 years of age or \u226525 years of age and HIV vulnerability score categorized as low (&lt;2) or high (\u22652). HIV vulnerability was determined based on affirmative answers to the following questions: having had condomless sex (either vaginal or anal) in the past three months, having had an abortion in the past 12 months, having received STI treatment in the past three months, and having had\u2009\u2265\u20092 sex partners in the last three months. Odds ratios and 95% confidence intervals (OR 95% CI) were created using logistic regression models. The majority of participants were interested in using technology as part of their sexual health care (84.5%) and were likely to download an mHealth app (74.7%). Many questions about desirability and interest in app features did not differ by age or HIV vulnerability category. Black women \u226525 years had 7.3 times the odds of rating the inclusion of short videos as an important part of the mHealth app (OR 7.3 95% CI (1.7, 32.4)). Within this population, interest in using a sexual health app was high, suggesting an openness to app development for both sexual health as well as specifically for pre-exposure prophylaxis.<\/jats:p>","DOI":"10.1371\/journal.pdig.0001084","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T18:32:59Z","timestamp":1763058779000},"page":"e0001084","update-policy":"https:\/\/doi.org\/10.1371\/journal.pdig.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Black women\u2019s preferences regarding use of mHealth for sexual health support in Chicago, a cross-sectional study"],"prefix":"10.1371","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5840-9763","authenticated-orcid":true,"given":"Eleanor E.","family":"Friedman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Desmarais","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha A.","family":"Devlin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Ott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadia","family":"Haider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy K.","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,11,13]]},"reference":[{"key":"pdig.0001084.ref001"},{"key":"pdig.0001084.ref002"},{"key":"pdig.0001084.ref003"},{"issue":"9","key":"pdig.0001084.ref004","doi-asserted-by":"crossref","first-page":"1272","DOI":"10.1089\/jwh.2018.7353","article-title":"Factors Affecting Pre-Exposure Prophylaxis Implementation for Women in the United States: A Systematic Review","volume":"28","author":"E Bradley","year":"2019","journal-title":"J Womens Health (Larchmt)"},{"issue":"2","key":"pdig.0001084.ref005","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1089\/apc.2014.0142","article-title":"Knowledge, attitudes, and likelihood of pre-exposure prophylaxis (PrEP) use among US women at risk of acquiring HIV","volume":"29","author":"JD Auerbach","year":"2015","journal-title":"AIDS Patient Care 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Uhealth"},{"issue":"12","key":"pdig.0001084.ref010","doi-asserted-by":"crossref","first-page":"2010","DOI":"10.1093\/cid\/ciy810","article-title":"Randomized Controlled Trial of a Mobile Health Intervention to Promote Retention and Adherence to Preexposure Prophylaxis Among Young People at Risk for Human Immunodeficiency Virus: The EPIC Study","volume":"68","author":"AY Liu","year":"2019","journal-title":"Clin Infect Dis"},{"issue":"3","key":"pdig.0001084.ref011","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1089\/apc.2017.0255","article-title":"A Mobile Health Strategy to Support Adherence to Antiretroviral Preexposure Prophylaxis","volume":"32","author":"JD Fuchs","year":"2018","journal-title":"AIDS Patient Care STDS"},{"issue":"2","key":"pdig.0001084.ref012","doi-asserted-by":"crossref","DOI":"10.2196\/34574","article-title":"Behavioral Efficacy of a Sexual Health Mobile App for Men Who Have Sex With Men: Randomized Controlled Trial of Mobile Messaging for Men","volume":"24","author":"PS Sullivan","year":"2022","journal-title":"J Med Internet Res"},{"key":"pdig.0001084.ref013","doi-asserted-by":"crossref","first-page":"44","DOI":"10.21037\/mhealth-20-51","article-title":"mHealth for pre-exposure prophylaxis adherence by young adult men who have sex with men","volume":"7","author":"PF Weitzman","year":"2021","journal-title":"Mhealth"},{"issue":"5","key":"pdig.0001084.ref014","article-title":"Community-engaged mHealth intervention to increase uptake of HIV pre-exposure prophylaxis (PrEP) among gay, bisexual and other men who have sex with men in China: study protocol for a pilot randomised controlled trial","volume":"12","author":"C Li","year":"2022","journal-title":"BMJ Open"},{"issue":"3","key":"pdig.0001084.ref015","doi-asserted-by":"crossref","DOI":"10.2196\/25107","article-title":"Development and Evaluation of a Mobile App Designed to Increase HIV Testing and Pre-exposure Prophylaxis Use Among Young Men Who Have Sex With Men in the 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