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A cross-sectional survey of 390 undergraduates at Kwame Nkrumah University of Science and Technology used a validated questionnaire grounded in the Unified Theory of Acceptance and Use of Technology and the Health Belief Model. Confirmatory factor analysis validated measures, while hierarchical regression tested demographic, behavioral, and interaction predictors. Results show awareness is high, but SRH use remains low, shaped by performance expectancy, life quality gains, stigma, tech resistance, and privacy concerns.",{"@graph":14,"@context":76},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & Report",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/determinants-of-mhealth-adoption-for-sexual-and-reproductive-health-services-among-university-students-in-ghana-autaut-and-health-belief-model-analysis/447110/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/determinants-of-mhealth-adoption-for-sexual-and-reproductive-health-services-among-university-students-in-ghana-autaut-and-health-belief-model-analysis/447110.png","ImageObject",300,407,{"name":42,"@type":43},"Indoniesian Boy","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-04","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":33},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68,72],{"name":59,"@type":60,"acceptedAnswer":61},"What was the study’s main focus regarding mHealth?","Question",{"text":62,"@type":63},"The study examined the knowledge, utilization patterns, and determinants of mHealth adoption for sexual and reproductive health (SRH) services among Ghanaian university students.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"How was the study conducted and what was the sample?",{"text":67,"@type":63},"A cross-sectional design surveyed 390 undergraduates at Kwame Nkrumah University of Science and Technology, selected through multistage sampling across six residence halls.",{"name":69,"@type":60,"acceptedAnswer":70},"Which factors significantly predicted mHealth adoption for SRH services?",{"text":71,"@type":63},"Performance expectancy and life quality improvements positively predicted adoption. Social stigma, resistance to technology adoption, and privacy concerns negatively predicted adoption.",{"name":73,"@type":60,"acceptedAnswer":74},"What did the study find about the role of perceived health threats?",{"text":75,"@type":63},"Perceived health threats did not moderate the relationship between performance expectations and usage (p = 0.488).","https://schema.org",{"og:url":32,"og:type":78,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":80,"canonical":32},"index,follow",{"doc_id":82,"site_id":7},447110,1790815338,{"code":4,"msg":85,"data":86},"success",[87,91,95,99,104,109,114,118,123,126,130],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":88,"show_sort_weight":89,"slug":90},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":92,"show_sort_weight":93,"slug":94},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},"Exam",70,"exam",{"id":100,"doc_module":4,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},5,"Comic",60,"comic",{"id":105,"doc_module":4,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},6,"Technology",50,"technology",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},7,"Healthcare",40,"healthcare",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":116,"slug":117},8,30,"research-report",{"id":119,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},9,"Religion & Spirituality",20,"religion-spirituality",{"id":121,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":121,"slug":125},"World Cup","world-cup",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":127,"slug":129},10,"Lifestyle","lifestyle",{"id":131,"doc_module":4,"doc_module_name":25,"category_name":132,"show_sort_weight":100,"slug":133},19,"General","general",{"code":4,"msg":85,"data":135},{"doc_id":82,"user_id":136,"nickname":42,"user_avatar":137,"doc_module":4,"category_id":115,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":33,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":143,"language":144,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":145,"faqs":146,"seo_title":147,"seo_description":12,"update_tm":148,"read_time":149},962090760608,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Determinants of mHealth adoption for sexual and reproductive health services among university students in Ghana: AUTAUT and health belief model analysis  \nDIGITAL HEALTH Volume 12: 1–11 © The Author(s) 2026 Article reuse guidelines:  \n[sagepub.com/journals-permissions](sagepub.com/journals-permissions)[ ](sagepub.com/journals-permissions)[DOI: 10.1177/20552076251412705](DOI: 10.1177/20552076251412705)[ ](DOI: 10.1177/20552076251412705)[journals.sagepub.com/home/dhj](journals.sagepub.com/home/dhj)  \nAbigail Gyebi Nimo 1, Richard Abeiku Bonney2,3  and Labaran Musah4  \nAbstract  \nIntroduction: Sexual and reproductive health (SRH) services remain inaccessible for many young adults in low-resource settings. Mobile health (mHealth) technologies present an innovative solution, yet adoption rates among university students in sub-Saharan Africa are poorly characterized. This study investigated the knowledge, utilization patterns, and key determinants of mHealth adoption for SRH services among Ghanaian university students using established behavioral frameworks. Methods: We conducted a cross-sectional study of 390 undergraduates at Kwame Nkrumah University of Science and Technology, selected through multistage sampling across six residence halls. A validated questionnaire, incorporating constructs from the Unified Theory of Acceptance and Use of Technology and Health Belief Model, assessed: (1) mHealth knowledge,(2) SRH service utilization, and (3) psychosocial determinants of adoption. Confirmatory factor analysis validated measurement scales, while hierarchical regression analyzed predictors across three models (demographic, behavioral, and interaction terms).  \nResults: The study revealed three key findings: First, while 73.8% of respondents demonstrated mHealth awareness, actual usage for SRH remained low (mean = 3.40/7, SD = 1.83). Second, performance expectancy (β = 0.345, p \u003C 0.001) and life quality improvements (β = 0.197, p\u003C0.05) significantly predicted adoption. Third, substantial barriers included social stigma (β = −0.210, p = 0.016), resistance to technology adoption (β = −0.221, p = 0.001), and privacy concerns (β = −0.208, p = 0.004). Notably, perceived health threats did not moderate the relationship between performance expectations and usage (p = 0.488).  \nConclusions: This study highlights a critical gap between awareness and actual use of mHealth for SRH among Ghanaian university students. It identifies key barriers—such as perceived usefulness, privacy concerns, and behavioral resistance—and reveals how sociocultural norms influence youth engagement with digital health tools. The findings underscore the need for culturally sensitive, trust-based mHealth initiatives that strengthen digital literacy and promote behavioral change. Such approaches could enhance youth-focused mHealth strategies in Ghana and offer valuable lessons for similar contexts across sub-Saharan Africa.  \nKeywords  \nMobile health, sexual and reproductive health, health technology adoption, Ghana, behavioral determinants  \nReceived: 24 June 2025; accepted: 16 December 2025  \nIntroduction  \nSexual and reproductive health (SRH) remains a critical public health challenge for young adults globally, particularly in low-and middle-income countries (LMICs) where access to quality healthcare services is often limited. 1,2 Adolescents and young adults aged 15–24 account for nearly half of all new sexually transmitted infections (STIs) worldwide, and unintended pregnancy rates in this demographic remain alarmingly high, contributing to  \n1 Seventh-Day Adventist Hospital, Kwadaso, Ghana  \n2School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana  \n3Department of Health Care Management, Technische Universität Berlin, Berlin, Germany  \n4Komfo Anokye Teaching Hospital Cardiology Unit, Kumasi, Ghana  \nCorresponding author:  \nRichard Abeiku Bonney, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana;","cbCaisW8L0nj5hzV","https://ap.wps.com/l/cbCaisW8L0nj5hzV","pdf",331057,11,"English","# Abstract\n# Introduction\n## Background and public health context\n# Methods\n# Results\n# Conclusions\n# Keywords\n# Author information and publication notes","[{\"question\":\"What was the study’s main focus regarding mHealth?\",\"answer\":\"The study examined the knowledge, utilization patterns, and determinants of mHealth adoption for sexual and reproductive health (SRH) services among Ghanaian university students.\"},{\"question\":\"How was the study conducted and what was the sample?\",\"answer\":\"A cross-sectional design surveyed 390 undergraduates at Kwame Nkrumah University of Science and Technology, selected through multistage sampling across six residence halls.\"},{\"question\":\"Which factors significantly predicted mHealth adoption for SRH services?\",\"answer\":\"Performance expectancy and life quality improvements positively predicted adoption. Social stigma, resistance to technology adoption, and privacy concerns negatively predicted adoption.\"},{\"question\":\"What did the study find about the role of perceived health threats?\",\"answer\":\"Perceived health threats did not moderate the relationship between performance expectations and usage (p = 0.488).\"}]","Determinants of mHealth adoption for sexual and reproductive health services among university students in Ghana - AUTAUT and health belief model analysis | PDF",1790718835,28]