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. 2026 Sep 29;13:e101963. doi: 10.2196/101963

Table 4.

Self-reported reasons for nonuse of digital health technologies by gender, mapped to COM-Ba domains.

Technology Nonusers with a codable reason, n (%) Opportunity, n/N (%)b Motivation, n/N (%)b Capability, n/N (%)b P valuec
Telehealth 30 (96.8) Md: 4/14 (28.6); Fd: 6/16 (37.5) M: 8/14 (57.1); F: 10/16 (62.5) M: 2/14 (14.3); F: 0 .460
mHealthe app 82 (88.2) M: 5/55 (9.1); F: 9/27 (33.3) M: 22/55 (40.0); F: 12/27 (44.4) M: 28/55 (50.9); F: 6/27 (22.2) .009
Wearable device 78 (89.7) M: 8/25 (32.0); F: 28/53 (52.8) M: 12/25 (48.0); F: 22/53 (41.5) M: 5/25 (20.0); F: 3/53 (5.7) .079f
Chatbot/virtual assistant 100 (92.6) M: 7/28 (25.0); F: 16/72 (22.2) M: 14/28 (50.0); F: 42/72 (58.3) M: 7/28 (25.0); F: 14/72 (19.4) .755
e-Pharmacy 46 (78.0) M: 5/16 (31.3); F: 6/30 (20.0) M: 11/16 (68.8); F: 21/30 (70.0) M: 0; F: 3/30 (10.0) .464

aCOM-B: Capability, Opportunity, Motivation – Behavior.

bPercentages are within-gender column percentages.

cFisher’s exact test.

dM: male; F: female.

emHealth: mobile health.

fP=.05-.10 (trend). P<.05 indicates a statistically significant gender difference. Totals differ from nonuser counts in Table 2 because barrier analyses included only nonusers who provided a codable reason for nonuse.