Tracking or lacking? Health app engagement among young adults in Portugal
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Abstract
While digital media have become integral parts of young adults' everyday lives, it remains unclear whether health-focused media, like health apps, hold the same importance. This study explores health app usage patterns among young adults in Portugal, analysing tracking data from 342 participants over 90 days. The main findings reveal that contrary to global trends, engagement with health apps remains relatively low. Although the COVID-19 pandemic led to increased adoption of certain public health-related apps, this surge did not translate into sustained engagement. Gender and regional disparities were the most evident, with women and young adults in Lisbon showing higher usage levels. Additionally, the study highlights that a portion of the health app usage is connected with the COVID-19 context, where those apps function more as tools for navigating institutional requirements—such as COVID-19 certifications—rather than for sustained self-care practices. Our findings challenge assumptions about the widespread adoption of health-tracking technologies and emphasise the need for further research on sociocultural factors shaping digital health engagement in Portugal and beyond.
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References
Alcaire, R., Flores, A. M. M., & Antunes, E. (2024). Beyond Words: Tapping the Potential of Digital Diaries While Exploring Young Adults’ Experiences on Apps. Societies, 14(3), 40. https://doi.org/10.3390/soc14030040
Amaral, I., Antunes, E., & Flores, A. M. M. (2023). How do Portuguese young adults engage and use m-apps in daily life? An online questionnaire survey. Observatorio (OBS*), 17(2), 245- 263. https://doi.org/10.15847/obsOBS17220232141
Amaral, I., Flores, A. M., & Antunes, E. (2022). Desafiando imaginários: práticas mediadas de jovens adultos em aplicações móveis. Media & Jornalismo, 22(41), 141- 160. https://doi.org/10.14195/2183-5462_41_8
Antunes, E. (2024). Dinâmicas de Género em Aplicações Móveis. In I. Amaral, A. M. Flores, & E. Antunes (Eds.), Apps e Jovens Adultos: Contributos para um Mapeamento de Práticas Mediadas (pp. 17–28). UMinho Editora. https://doi.org/10.21814/uminho.ed.82.2
Antunes, E., Alcaire, R., & Amaral, I. (2023a). Wellbeing and (Mental) Health: A Quantitative Exploration of Portuguese Young Adults’ Uses of M- Apps from a Gender Perspective. Social Sciences, 12(1), 3. https://doi.org/10.3390/socsci12010003
Antunes, E., Amaral, I., Simões, R. B., & Flores, A. M. M. (2023b). Who Are the Young Adults in Portugal? Daily Usage of Social Media and Mobile Phones, in a No-Kids and No-Independent Housing Context — Results from a Representative Online Survey. Youth, 3(4), 1101–1120. https://doi.org/10.3390/youth3040070
Ashton, D. (2011). Upgrading the self: Technology and the self in the digital games perpetual innovation economy. Convergence, 17(3), 307-321. https://doi.org/10.1177/1354856511405758
Banerjee, D., & Rao, T. S. S. (2021). “#Intimacy” at Times of COVID-19: The Renewed Impetus Behind Cybersex. Journal of Psychosexual Health, 3(1), 13-17. https://doi.org/10.1177/26318318211004397
Barad, K. (2014). Diffracting diffraction: Cutting together- apart. Parallax, 20(3), 168– 187. https://doi.org/10.1080/13534645.2014.927623
Bennett, J. (2010). Vibrant matter: A political ecology of things. Duke University Press.
Bitrián, P., Buil, I., & Catalán, S. (2021). Enhancing user engagement: The role of gamification in mobile apps. Journal of Business Research, 132, 170-185. https://doi.org/10.1016/j.jbusres.2021.04.028
Braidotti, R. (2019). A theoretical framework for the critical posthumanities. Theory, Culture & Society, 36(6), 31-61. https://doi.org/10.1177/0263276418771486
Braidotti, R. (2016). Posthuman critical theory. In D. Banerji & M. Paranjape (Eds.), Critical posthumanism and planetary futures (pp. 13-32). Springer.
Bucher, T. (2018). If… then: Algorithmic power and politics. Oxford University Press.
Burr, C., & Floridi, L. (2020). Ethics of digital well-being: A Multidisciplinary Approach. Philosophical Studies Series. Springer.
Cechetti, N. P., Bellei, E. A., Biduski, D., Rodriguez, J. P. M., Roman, M. K., & De Marchi, A. C. B. (2019). Developing and implementing a gamification method to improve user engagement: A case study with an m-Health application for hypertension monitoring. Telematics and Informatics, 41, 126- 138. https://doi.org/10.1016/j.tele.2019.04.007
Christensen, J. (2020). Upgrade available (K. Kelly & B. Schroeder, Eds.). Dancing Foxes Press.
De Nadai, M., Cardoso, A., Lima, A., Lepri, B., & Oliver, N. (2019). Apps, Places and People: strategies, limitations and trade- offs in the physical and digital worlds. arXiv preprint arXiv. https://doi.org/10.48550/arXiv.1904.09350
Fortune Business Insights. (2025). mHealth apps market. Retrieved January 21, 2025, from https://www.fortunebusinessinsights.com/mhealth-apps-market-102020
Gabrys, J. (2014). Programming Environments: Environmentality and Citizen Sensing in the Smart City. Environment and Planning D: Society and Space, 32(1), 30-48. https://doi.org/10.1068/d16812
Gomes, N., Amaral, I., & Santos, S. (2022). Uses of Mobile Apps During the Covid-19 Pandemic: the Portuguese Case. INTED2022 Proceedings, 1(March), 4070-4074. https://doi.org/10.21125/inted.2022.1112
Hale, T. M., Cotten, S. R., Drentea, P., & Goldner, M. (2010). Rural-urban differences in general and health-related internet use. American Behavioral Scientist, 53(9), 1304- 1325. https://doi.org/10.1177/0002764210361685
Haraway, D. (2008). When species meet. The University of Minnesota Press.
Haraway, D. (2016). Staying with the trouble: Making kin in the Chthulucene. Duke University Press.
Lemenager, T., Neissner, M., Koopmann, A., Reinhard, I., Georgiadou, E., Müller, A., Kiefer, F., & Hillemacher, T. (2021). Covid-19 lockdown restrictions and online media consumption in germany. International Journal of Environmental Research and Public Health, 18(1), 1-13. https://doi.org/10.3390/ijerph18010014
Lupton, D. (2016). The quantified self: A sociology of self- tracking. Polity Press. http://au.wiley.com/WileyCDA/WileyTitle/productCd-1509500634.html
Lupton, D. (2014). Self-tracking cultures: Towards a sociology of personal informatics. In Proceedings of the 26th Australian computer-human interaction conference on designing futures: The future of design. Sydney: The Australian Sociological Association. https://doi.org/10.1145/2686612.2686623
Marks, R., Foe, A., & Collett, J. (2020). The pursuit of wellness: Social media, body image and eating disorders. Children and Youth Services Review, 119, 105659. https://doi.org/10.1016/j.Childyouth.2020.105659
McLaughlin, M. A. (2021). Great awakening 2020: The neoliberal wellness journey down the rabbit hole [Masters' Thesis, California State University]. https://scholarworks.lib.csusb.edu/etd/1277
Mehta, R., & Nafus, D. (2016). Atlas of Caregiving Pilot – Study Report. Retrieved from: http://atlasofcaregiving.com/wp-content/uploads/2016/03/Study_Report.pdf
Mendes, A., Lopes, A., Antunes, I. & Gil, H. (2022). I use, therefore I’m healthy: Assessment of the accessibility for the SNS 24 for the elderly. 17th Iberian Conference on Information Systems and Technologies (CISTI), pp. 1-5, https://doi.org/10.23919/CISTI54924.2022.9820050
Meshi, D., Tamir, D. I., & Heekeren, H. R. (2015). The emerging neuroscience of social media. Trends in Cognitive Sciences, 19(12), 771-782. https://doi.org/10.1016/j.tics.2015.09.004
Nekliudov, N. A., Blyuss, O., Cheung, K. Y., Petrou, L., Genuneit, J., Sushentsev, N., Levadnaya, A., Comberiati, P., Warner, J. O., Tudor-Williams, G., Teufel, M., Greenhawt, M., DunnGalvin, A., & Munblit, D. (2020). Excessive media consumption about COVID-19 is associated with increased state anxiety: Outcomes of a large online survey in Russia. Journal of Medical Internet Research, 22(9), 1-18. https://doi.org/10.2196/20955
Nielsen Admosphere. (2020). ABCDE Socio-economic classification - Specification for year 2021. Retrieved from: https://is.gd/6wloIE
Osler, L., & Zahavi, D. (2023). Sociality and embodiment: Online communication during and after Covid-19. Foundations of Science, 28(4), 1125-1142. https://doi.org/10.1007/s10699-022-09861-1
Pantzar, M., & Ruckenstein, M. (2017). Living the metrics: self-tracking and situated objectivity. Digital Health, 3. https://doi.org/10.1177/2055207617712590
Pink, S., Lanzeni, D., & Horst, H. (2018). Data anxieties: Finding trust in everyday digital mess. Big Data & Society, 5(1). https://doi.org/10.1177/2053951718756685
Prensky, M. (2001). Digital Natives, Digital Immigrants Part 1. On the Horizon, 9(5), 1- 6. https://doi.org/10.1108/10748120110424816
Radrigán, V., & Duque, S. T. (2022). “¡Diosa! Trabaja en tu mejor versión” capitalismo y bienestar sexual femenino en Instagram. RAUDEM – Revista de Estudios de las Mujeres,10(1), 55- 85. https://doi.org/10.25115/raudem.v10i1.8260
Ruckenstein, M., & Schüll, N. D. (2017). The datafication of health. Annual Review of Anthropology, 46, 261-278. https://doi.org/10.1146/annurev-anthro-102116-041244
Simões, R. B. de, Amaral, I., Santos, S., & Alcantara, J. (2022). Violência online contra as mulheres: Relatos a partir da experiência da pandemia da COVID- 19. Comunicação e Sociedade, 42, 179- 203. https://doi.org/10.17231/comsoc.42(2022).3981
Tarricone, R., Petracca, F., Ciani, O., & Cucciniello, M. (2021). Distinguishing features in the assessment of mHealth apps. Expert Review of Pharmacoeconomics and Outcomes Research, 21(4), 521- 526. https://doi.org/10.1080/14737167.2021.1891883
van Dijck, J. (2017). Confiamos nos dados? As implicações da datificação para o monitoramento social. In Data We Trust? The Implications of Datafication for Social Monitoring”. MATRIZes 11(1), 39- 59. https://doi.org/10.11606/issn.1982-8160.v11i1p39-59
van Dijck, J. (2014). Datafication, dataism and dataveillance: Big Data between scientific paradigm and ideology. Surveillance & Society, 12(2), 197-208. https://doi.org/10.24908/ss.v12i2.4776
Viana, Ó.T., Terroso, M., Serejo, C., & Vilaça, J. L. (2023). A Comparison Review of Existing Personal Health Management Apps in the Portuguese Health Sector Framework. In: Raposo, D., Neves, J., Silva, R., Correia Castilho, L., & Dias, R. (eds) Advances in Design, Music and Arts II. EIMAD 2022. Springer Series in Design and Innovation, vol 25. Springer, Cham. https://doi.org/10.1007/978-3-031-09659-4_7
Whitson, J. R. (2013). Gaming the quantified self. Surveillance & Society, 11(1/2), 163- 176. https://doi.org/10.24908/ss.v11i1/2.4454
Zuboff, S. (2019). The age of surveillance capitalism: The fight for a human future at the new frontier of power. PublicAffairs.