Background: There are several barriers that may hamper adolescent mothers’ utilization of available health interventions for perinatal depression. Innovative treatment approaches are needed to increase adolescent mothers’ access to mental health care for improved maternal and child health outcomes. Mobile phones have the potential to serve as important conduits to mental health care in Africa. However, mobile phone use patterns and needs among young mothers in Nigeria are not well documented. Objective: This study sought to determine the prevalence of mobile phone use among perinatal adolescents and report patterns of use, as well as to assess the openness of young mothers to mobile health (mHealth) mental health interventions. Methods: We surveyed 260 adolescent mothers (ages 16-19 years) in their perinatal or postnatal periods of pregnancies in 33 primary health care clinics in Ibadan, Oyo State, Nigeria in 2020. Respondents were included if they were pregnant with a gestation age of greater than or equal to 4 weeks, or had babies (which they had birthed) that were younger than 12 months. Results: The total study sample consisted of 260 adolescent mothers with a mean age of 18.4 (SD 0.88) years. The majority of the respondents (233/260, 89.6%) owned mobile phones (eg, keypad, keypad and internet, smartphones); 22 (8.5%) of the 260 mothers had access to phones that belonged to relatives who lived in the same household, while 5 (1.9%) had access only to public paid phones. Only 23% (54/233) of phone owners (which is 20.5% of the total study population) had smartphones. On average, respondents reported first using mobile phones at 15.5 (SD 2.06) years old. The majority of respondents (222/260, 85.4%) reported using their phones for an average of 45 minutes daily for calls to family members. Facebook was the social media platform that was most often used among respondents who had phones with internet access (122/146 minutes per day, 83.4%). The majority of the sample responded as being “interested” and “very interested” in the use of mobile phones for preventive interventions (250/260, 96.2%) and treatment (243/260, 93.5%) information on mental illness such as depression and “hearing voices.” Half of the respondents (126/233, 50.4%) preferred to receive such information in the form of text messages. Conclusions: Findings from this study suggest that the vast majority of perinatal adolescents in Nigeria own and use mobile phones and that they are interested in leveraging these devices for prevention, treatment, and informational campaigns focused on mental health. The use of smartphones in this population is relatively low, and health intervention through text messages were favored by the women.

中文翻译：

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尼日利亚围产期青少年在心理健康信息传递中使用手机的接受度：调查研究

背景：有许多障碍可能会妨碍青春期母亲利用围产期抑郁症的现有健康干预措施。需要创新的治疗方法来增加青春期母亲获得精神保健的机会，以改善母婴健康状况。移动电话有可能成为非洲精神卫生保健的重要渠道。但是，关于尼日利亚年轻母亲的手机使用方式和需求的文献资料不足。目的：本研究旨在确定围产期青少年中手机的使用率并报告使用方式，并评估年轻母亲对手机健康（mHealth）心理健康干预措施的开放程度。方法：我们于2020年在尼日利亚奥约州伊巴丹的33家初级卫生保健诊所对260名年龄在16-19岁的青春期母亲进行了调查。如果孕妇的怀孕年龄大于15岁，则将其包括在内。或等于4周，或婴儿（出生）小于12个月。结果：整个研究样本包括260名平均年龄为18.4（SD 0.88）岁的青春期母亲。大部分受访者（233 / 260，89.6％）拥有手机（例如键盘，键盘和互联网，智能手机）；260名母亲中有22名（8.5％）可以使用属于同一家庭的亲戚的电话，而5名（1.9％）只能使用公用电话。只有23％（54/233）的手机拥有者（占研究总人口的20.5％）拥有智能手机。平均而言，受访者首次使用手机的年龄为15.5（SD 2.06）岁。大多数受访者（222/260，85.4％）报告称，他们每天平均使用电话拨打家庭成员45分钟。Facebook是社交媒体平台，在拥有可访问互联网的电话的受访者中最常使用（每天122/146分钟，占83.4％）。大部分受访者对使用手机进行有关精神疾病（例如抑郁症）的预防性干预措施（250/260，96.2％）和治疗（243/260，93.5％）表示“感兴趣”和“非常感兴趣”。和“听到声音”。一半的受访者（126/233，50.4％）倾向于以短信形式接收此类信息。结论：这项研究的结果表明，尼日利亚绝大多数围产期青少年拥有并使用手机，并且他们有兴趣利用这些设备进行针对心理健康的预防，治疗和宣传活动。在这一人群中，智能手机的使用率相对较低，并且通过短信进行健康干预受到了女性的青睐。