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Digital Natives and Health: An Exploratory Study with Young Brazilians of Different Socioeconomic Profiles

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The Internet and Health in Brazil

Abstract

Digital Native. Although debated in the international literature, this term refers to a new generation of individuals embedded in a context highly permeated by “New Information and Communications Technologies” (NICTs). In this chapter, we intend to analyze specificities and possible diversities of Brazilian “Digital Natives.” Research indicates that socioeconomic status can restrict access to NICTs, preventing generalization of the term Digital Native. To verify whether this was applicable to the Brazilian context, we conducted an exploratory study with young people in three distinct environments with different socioeconomic statuses. Results suggest that among the young, low-income people participating in the study, their socioeconomic status did not prevent or restrict access to the Internet. On the contrary, we found that they spend more time on the Internet than young, high-income people do. The frequency of online access identified among the participants suggests the central role of NICTs in the lives of “Digital Natives,” as well as in their searches for health information.

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Notes

  1. 1.

    In an excerpt from this Declaration, addressing the rulers of the industrialized world, meeting at the World Economic Forum in Davos, Switzerland, Barlow (1996) stated: “You are terrified of your own children, since they are natives in a world where you will always be immigrants.” https://www.eff.org/cyberspace-independence

  2. 2.

    Palfrey and Gasser (2010) also adopted this concept in their studies.

  3. 3.

    For more information on the subject of Internet, games, and health, please read Chap. 20 of this book.

  4. 4.

    The “Brazilian Internet Steering Committee in Brazil” was established with the enactment of Decree No. 4.829, dated September 3, 2003 (Brazil 2003). It conducts research to support the formulation, implementation, and evaluation of public policies to promote the use of information and communication technologies. The indicators and analyses generated by these investigations are an important tool for monitoring the information society and the progress of the network in the country. Thus, the “Brazilian Internet Steering Committee” produces reliable and internationally comparable statistics. https://cgi.br/

  5. 5.

    To date, the CGI has published six issues of this study. All are available in full, in Portuguese and English, at the following link: http://cetic.br/pesquisa/kids-online/publicacoes

  6. 6.

    The criteria for designing, stratifying, selecting, and allocating the sample are detailed in the research report (Lenhart et al. 2015). Available from: http://www.pewinternet.org/2015/04/09/teens-social-media-technology-2015

  7. 7.

    The criteria for designing, stratifying, selecting, and allocating the sample are detailed in the research report (Byrne et al. 2016). Available from: www.globalkidsonline.net

  8. 8.

    In Portuguese, “Manguinhos” is the plural diminutive of the word “mangue,” which means “mangrove” in English, thus, “small mangrove.”

  9. 9.

    Militia is the generic name of military or paramilitary organizations, not legally recognized, composed of ordinary armed citizens who fight with drug traffickers and police over power in the favelas of various Brazilian cities (Misse 2011).

  10. 10.

    The minimum wage is the lowest legally defined monetary payment that a worker must receive in a company for his services in Brazil for 1 month’s work. The minimum wage amount is defined by federal law and is reassessed annually based on the current cost of living of the population. Currently, the monthly minimum wage in Brazil is 954 reais, approximately 297 US dollars, or 10 US dollars per day.

  11. 11.

    The Germano Sinval Faria School Health Center (CSEGSF) is one of the departments of the National School of Public Health (ENSP) of the Oswaldo Cruz Foundation. It coordinates, in partnership with the Municipal Health Secretariat of Rio de Janeiro, the “Teias-Escola Manguinhos’ Project.” This project is responsible for the management of primary health care in the region. It adopts the Family Health Strategy (ESF) as a regulator of the local health system. Both the Victor Valla Family Clinic and the Health Center provide primary care and services for residents of Manguinhos (Teias 2014).

  12. 12.

    Victor Valla Family Clinic: http://smsdc-csf-victorvalla.blogspot.com.br/

  13. 13.

    The Unified Health System (SUS) is the name given to the public health system in Brazil. According to Law 8080, the SUS consists of “a set of actions and health services provided by federal, state and municipal public bodies and institutions of the direct and indirect administration and foundations maintained by the public power” (Brazil 1990). Its scope includes medical care, disease prevention, and health promotion, as well as covering policies and strategies in areas such as health surveillance and pharmaceutical care. Its services are provided free-of-charge to all Brazilians (Ministry of Health 2007; Paim 2015).

  14. 14.

    Not all Brazilian municipalities are covered by the “Family Health Program.” In one municipality, not all locations are served by this governmental program. Today, the Family Health Strategy is found in 94% of the municipalities (29,000 teams and population coverage of 48%, corresponding to 92 million people).

  15. 15.

    The federal public power is responsible for higher education in most of the national territory, although some universities are subsidized by the state public power and are all free.

  16. 16.

    According to the Law of Guidelines and Bases (N° 9394/1996), elementary school and early childhood education and secondary education make up basic education.

  17. 17.

    In Brazil, primary- and secondary-level education are typically offered in the same building but at different times of the day.

  18. 18.

    The Brazilian Institute of Geography and Statistics (IBGE) is a public institute of the Brazilian federal administration created in 1934. It is the country’s main data and information provider, which serves the needs of the most diverse segments of civil society, as well as the federal, state, and municipal governmental levels (IBGE 2018).

  19. 19.

    This research was submitted and approved by the Research Ethics Committee (CEP) of the National School of Public Health, in Rio de Janeiro, Brazil, under opinion N° 460.098. The Research Ethics Committee (CEP) is an interdisciplinary and independent collegial body in Brazilian institutions that conduct human research. It aims to evaluate the ethics of the research projects submitted, defending the interests and integrity of research subjects, within current ethical standards (Muccioli et al. 2008). The studies were also supported by the Germano Sinval Faria School Health Center (CSEGSF), the Victor Valla Family Clinic, the Clóvis Monteiro State College, and the Escola Parque da Gávea.

  20. 20.

    The World Bank defines that citizens living on less than $1.90 a day as below the poverty line. In Brazil, 8.9 million people are in this condition. The new poverty line will be set at $3.20 a day. If this index were to be applied, 1/5 of Brazil’s population would be living below the poverty line (Cunha and Fagundes 2017).

  21. 21.

    IBGE, the federal government’s census bureau, classifies social classes based on the official minimum monthly salary. At the time of this publication, the minimum monthly salary was R$ 954, which is approximately US$ 300. Therefore, those who make between two to four minimum salaries (i.e., about US$ 600 to US$ 1200 a month) would be in the D class, from 4 to 10 minimum salaries in class C, from 10 to 20 minimum salaries in class B, and above 20 salaries in class A.

  22. 22.

    The problems related to the risks inherent in the use of the Internet by young people will be explored further in Chaps. 11 and 12, dedicated, respectively, to cyberbullying and Internet risks.

  23. 23.

    In the United States, it is possible to buy a new smartphone in an online store for U$ 50 or less. In Brazil, the lowest value in the market for a cellphone with the same conditions can be double or triple in price.

  24. 24.

    Chapter 10 will analyze the issue of quality of information in health websites.

References

  • Alves, Maria Helena, and P. Evanson. 2013. Vivendo no fogo cruzado: Moradores de favela, traficantes de droga e violência policial no Rio de Janeiro. São Paulo: Unesp.

    Google Scholar 

  • AAP – American Academy of Pediatrics. 2016. American Academy of Pediatrics announces new recommendations for children’s media use. https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/american-academy-of-pediatrics-announces-new-recommendations-for-childrens-media-use.aspx. Accessed 10 Nov 2017.

  • Akçayir, Murat, Hakan Dündar, and Gökçe Akçayırc. 2016. What makes you a digital native? Is it enough to be born after 1980? Computers in Human Behavior 60: 435–440.

    Article  Google Scholar 

  • Barlow, John. 1996. A declaration of the independence of cyberspace. https://www.eff.org/pt-br/cyberspace-independence. Accessed 20 Oct 2017.

  • Baxter, Pamela, and Susan Jack. 2008. Qualitative case study methodology: Study design and implementation for novice researchers. The Qualitative Report 13: 544–559.

    Google Scholar 

  • Beltrão, Kaizô. 2002. Acesso à educação: diferenciais entre os sexos. Brasília: Ipea.

    Google Scholar 

  • Bennett, Sue, Karl Maton, and Lisa Kervin. 2008. The ‘digital natives’ debate: A critical review of the evidence. British Journal of Educational Technology 39: 775–786.

    Article  Google Scholar 

  • Bimber, Bruce, Andrew Flanagin, and Cynthia Stohl. 2012. Collective action in organizations: Interactions and engagement in an era of technological change. Nova York: Cambridge University Press.

    Book  Google Scholar 

  • Bolton, Ruth, A. Parasuraman, Ankie Hoefnagels, Nanne Migchels, Sertan Kabadayi, et al. 2013. Understanding generation Y and their use of social media: a review and research agenda. Journal of Service Management 24: 245–267.

    Article  Google Scholar 

  • Brazil. Presidência da República. Casa Civil. 1990. Lei n° 8.080, de 19 de setembro de 1990. Dispõe sobre as condições para a promoção, proteção e recuperação da saúde, a organização e o funcionamento dos serviços correspondentes e dá outras providências. Diário Oficial da República Federativa do Brasil, 19 set. 1990.

    Google Scholar 

  • ———. 1996. Lei n° 9.394, de 20 de dezembro de 1996. Estabelece as diretrizes e bases da educação nacional. Diário Oficial da República Federativa do Brasil, 20 dez. 1996.

    Google Scholar 

  • ———. 2003. Decreto n° 4.829, de 3 de setembro de 2003. Dispõe sobre a criação do Brazilian Internet Steering Committee – CGIbr, sobre o modelo de governança da Internet no Brasil, e dá outras providências. Diário Oficial da República Federativa do Brasil, 3 set. 2003.

    Google Scholar 

  • Brown, John. 2000. Growing up digital: how the web changes work, education, and the ways people learn. Change: 10–20.

    Google Scholar 

  • Byrne, Jasmina, Daniel Kardefelt Winther, Sonia Livingstone, and Mariya Stoilova. 2016. Global kids online research synthesis, 2015–2016. Florence: UNICEF Office of Research Innocenti.

    Google Scholar 

  • Caiado, Aurílio. 2001. O espaço da cultura: guia cultural do estado de São Paulo. São Paulo em Perspectiva 15: 55–65.

    Article  Google Scholar 

  • Calderwood, Charles, Jeffrey D. Green, Jennifer A. Joy-Gaba, and Jaclyn M. Moloney. 2016. Forecasting errors in student media multitasking during homework completion. Computers & Education 94: 37–48.

    Article  Google Scholar 

  • Castells, Manuel. 2001. The internet galaxy: Reflections on the internet, business, and society. Oxford: Oxford University Press.

    Book  Google Scholar 

  • Castells, M., Mireia Fernández-Ardèvol, Jack Linchuan Qiu, and Araba Sey. 2007. Mobile communication and society: A global perspective. Cambridge, MA: MIT Press.

    Google Scholar 

  • CEPCM – Colégio Estadual Professor Clóvis Monteiro. 2014. Colégio Estadual Prof. Clóvis Monteiro: desde 1950 formando cidadãos. http://cepcm.blogspot.com.br/. Accessed 10 Nov 2017.

  • CGI – Comitê Gestor da Internet. 2016a. Survey on internet use by children in Brazil: ICT kids online Brazil. São Paulo: Brazilian Internet Steering Committee.

    Google Scholar 

  • ———. 2016b. Survey on the use of information and communication technologies in Brazilian households: ICT households 2015. São Paulo: Brazilian Internet Steering Committee.

    Google Scholar 

  • Cunha, Joana, and Álvaro Fagundes. 2017. 22% dos brasileiros vivem abaixo da linha da pobreza, diz estudo. http://www1.folha.uol.com.br/mercado/2017/10/1931680-22-dos-brasileiros-vivem-abaixo-da-linha-da-pobreza-diz-estudo.shtml. Accessed 19 Jan 2018.

  • EU Kids Online. 2014. Eu Kids Online: findings, methods and recommendations.https://lsedesignunit.com/EUKidsOnline/html5/index.html?page=1&noflash. Accessed 2 Dec 2017.

  • Fernandes, Tania, and Renato Gama-Rosa Costa. 2013. As comunidades de Manguinhos na história das favelas no Rio de Janeiro. Tempo 19: 117–133.

    Article  Google Scholar 

  • Fidalgo, António, and João Canavilhas. 2009. Todos os jornais no bolso: pensando o jornalismo na era do celular. In Jornalismo on-line: modos de fazer, ed. Carla Rodrigues, 99–117. Rio de Janeiro: Sulina.

    Google Scholar 

  • Frúgoli Junior, Heitor, and Mariana Cavalcanti. 2012. Territorialidades da(s) cracolândia(s)em São Paulo e no Rio de Janeiro. Anuário Antropológico 2: 73–97.

    Google Scholar 

  • Fuchs, Christian. 2008. Internet and society: Social theory in the information age. New York: Routledge.

    Google Scholar 

  • Gibbons, Susan. 2007. The academic library and the net gen student: Making the connections. Chicago: American Library Association.

    Google Scholar 

  • Gomes, Romeu, Elaine Ferreira do Nascimento, and Fábio Carvalho de Araujo. 2007. Por que os homens buscam menos os serviços de saúde do que as mulheres? As explicações de homens com baixa escolaridade e homens com ensino superior. Cadernos de Saúde Pública 23: 565–574.

    Article  Google Scholar 

  • González, Irene Miguel, Cristina Echevarría Broz, Elena Ferrero Fernández, and Patricio Suárez Gil. 2011. Uso de Internet por parte de los adolescentes de Gijón (Asturias) como fuente de información sobre salud. Atención Primaria 43: 281–286.

    Article  Google Scholar 

  • Gray, Nicola J., Jonathan D. Klein, Peter R. Noyce, Tracy S. Sesselberg, and Judith A. Cantrill. 2005. Health information seeking behavior in adolescence: The place of the internet. Social Science & Medicine 60: 1467–1478.

    Article  Google Scholar 

  • Hollanda, Eliane, Sandra Aparecida Venâncio de Siqueira, Gabriela Rieveres Borges de Andrade, Alex Molinaro, and Jeni Vaitsman. 2012. Satisfação e responsividade em serviços de atenção à saúde da Fundação Oswaldo Cruz. Ciência & Saúde Coletiva 17: 3343–3352.

    Article  Google Scholar 

  • Hughes-Hassell, Sandra, Dana Hanson-Baldauf, and Jennifer Burke. 2008. Urban teenagers, health information, and public library web sites. Young Adult Library Services 6: 3–42.

    Google Scholar 

  • IBGE – Brazilian Institute of Geography and Statistics. 2017. Estatísticas Econômicas. https://cnae.ibge.gov.br/home-por/9865-ibge-divulga-o-rendimento-domiciliar-per-capita-de-2017.html. Accessed 10 Nov 2017.

  • ———. 2018. O IBGE. https://www.ibge.gov.br/institucional/o-ibge.html. Accessed 19 Jan 2018.

  • INEP – National Institute for Educational Studies and Research “Anísio Teixeira”. 2015. Enem por escola. http://portal.inep.gov.br/web/guest/enem-por-escola. Accessed 10 Nov 2017.

  • ———. 2017. Censo escolar da educação básica 2016: notas estatísticas. http://download.inep.gov.br/educacao_basica/censo_escolar/notas_estatisticas/2017/notas_estatisticas_censo_escolar_da_educacao_basica_2016.pdf. Accessed 10 Nov 2017.

  • IPP – Instituto Pereira Passos. 2013. Bairros cariocas. http://pcrj.maps.arcgis.com/apps/MapJournal/index.html?appid=096ae1e5497145838ca64191be66f3e3. Accessed 10 Nov 2017.

  • ———. 2017. Data-Rio. http://www.data.rio/. Accessed 10 Nov 2017.

  • IPEA – Instituto de Pesquisa Econômica Aplicada. 2017. Avaliação da priorização para a expansão da rede de acesso a banda larga nos municípios brasileiros. Rio de Janeiro: IPEA.

    Google Scholar 

  • Jenkins, Henry. 2008. Convergence culture: Where old and new media colide. New York: NYU Press.

    Google Scholar 

  • Kalba, Kas. 2008. The adoption of mobile phones in emerging markets: Global diffusion and the rural challenge. International Journal of Communication 2: 631–661.

    Google Scholar 

  • Lemos, André. 2004. Cibercultura e mobilidade: a era da conexão. Razón y Palabra 41: 107–133.

    Google Scholar 

  • Lenhart, Amanda, Maeve Duggan, Andrew Perrin, Renee Stepler, Lee Rainie, and Kim Parker. 2015. Teen, social media and technology overview 2015. Pew Research Center. http://www.pewinternet.org/2015/04/09/teens-social-media-technology-2015. Accessed 10 Nov 2017.

  • Lévy, Pierre. 2001. Cyberculture. Minnesota: University of Minnesota Press.

    Google Scholar 

  • Lima, Carla. 2010. Vozes de quem sofre: discutindo a Saúde Ambiental na Bacia do Canal do Cunha. In Território, participação popular e saúde: Manguinhos em debate, ed. Carla Lima and Leonardo Bueno, 63–80. Rio de Janeiro: ENSP/Fiocruz.

    Google Scholar 

  • Ministry of Health. 2007. Entendendo o SUS. http://portalarquivossaudegovbr/images/pdf/2013/agosto/28/cartilha-entendendo-o-sus-2007pdf. Accessed 10 Nov 2017.

  • ———. 2012. Política Nacional de Atenção Básica (PNAB). Brasília: Ministério da Saúde.

    Google Scholar 

  • Misse, Michel. 2011. Crime organizado e crime comum no Rio de Janeiro: diferenças e afinidades. Revista Sociologia Politica 19: 13–25.

    Article  Google Scholar 

  • Monteiro, Jéssica, and Diego Silva. 2015. A influência da estrutura escolar no processo de ensino-aprendizagem: uma análise baseada nas experiências do estágio supervisionado em Geografia. Geografia Ensino & Pesquisa 19: 19–28.

    Google Scholar 

  • Moura, Eliana, and Dinora Zucchetti. 2014. Socialização escolar, educação não escolar e (con)formação de sujeitos. Revista Contrapontos 14: 339–352.

    Article  Google Scholar 

  • Muccioli, Cristina, Paulo E.C. Dantas, Mauro Campos, and Harley E.A. Bicas. 2008. Relevância do Comitê de Ética em Pesquisa nas publicações científicas. Arquivos Brasileiros de Oftalmologia 71: 773–774.

    Article  Google Scholar 

  • Néri, Marcelo. 2015. Motivos para evasão escolar. Rio de Janeiro: Fundação Getúlio Vargas.

    Google Scholar 

  • Oblinger, Diane, and P. Hagner, 2005. Seminar on educating the net generation. http://www.innovateonline.info/pdf/vol3_issue4/teaching_and_learning_with_the_net_generation.pdf. Accessed 10 Nov 2017.

  • Oliveira, Eloiza. 2017. Adolescência, internet e tempo: desafios para a Educação. Educar em Revista 64: 283–298.

    Article  Google Scholar 

  • OECD – Organisation for Economic Cooperation and Development. 2017. Education at a Glance 2017. http://www.oecd-ilibrary.org/education/education-at-a-glance-2017_eag-2017-en;jsessionid=1oy4g4byvx4gu.x-oecd-live-03. Accessed 10 Nov 2017.

  • Paim, Jairnilson. 2015. O que é o SUS? Rio de Janeiro: Editora Fiocruz.

    Google Scholar 

  • Palfrey, John, and Urs Gasser. 2010. Born digital: Understanding the first generation of digital natives. New York: Basic Books.

    Google Scholar 

  • Prensky, Marc. 2001a. Digital natives, digital immigrants: Part 1. On the Horizon 9: 1–6.

    Google Scholar 

  • ———. 2001b. Digital natives, digital immigrants: Part 2. On the Horizon 9: 1–6.

    Google Scholar 

  • Ritzer, George, and Nathan Jurgenson. 2010. Production, consumption, prosumption: The nature of capitalism in the age of the digital ‘prosumer’. Journal of Consumer Culture 10: 13–36.

    Article  Google Scholar 

  • Rosen, Larry. 2010. Rewired: understanding the iGeneration and the way they learn. New York: Macmillan.

    Google Scholar 

  • SEEDUC – Secretária de Educação do Estado. 2017. Quadro de Horários 2017 das Escolas do Rio de Janeiro. http://consultaqh.educacao.rj.gov.br/ConsultaQHIGestao.aspx. Accessed 10 Nov 2017.

  • Soares, Daniel. 2010. Análise crítica do Plano de Desenvolvimento Urbanístico do Complexo de Manguinhos. In Território, participação popular e saúde: Manguinhos em debate, ed. Carla Lima and Leonardo Bueno, 15–36. Rio de Janeiro: ENSP/Fiocruz.

    Google Scholar 

  • Srivastava, L. 2005. Mobile phones and the evolution of social behaviour. Behaviour & Information Technology 24: 111–129.

    Article  Google Scholar 

  • Tapscott, Don. 1998. Growing up digital: the rise of the net generation. New York: McGraw-Hill.

    Google Scholar 

  • Telebrasil. 2017. Número de celulares com tecnologia 4G já supera o de 3G no Brasil. http://www.telebrasil.org.br/sala-de-imprensa/releases/8384-numero-de-celulares-com-tecnologia-4g-ja-supera-o-de-3g-no-brasil. Accessed 10 Nov 2017.

  • TEIAS – Território Escola Manguinhos. 2014. Quem somos. http://andromeda.ensp.fiocruz.br/teias/quem-somos. Accessed 10 Nov 2017

  • UNESCO – United Nations Educational, Scientific and Cultural Organization. 2015. Report education for all in Brazil: 2000–2015. http://unesdoc.unesco.org/images/0023/002300/230021e.pdf. Accessed 10 Nov 2017.

  • Yin, Robert K. 2003. Case study research: Design and methods. Thousand Oaks: Sage.

    Google Scholar 

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Pereira Neto, A., Barbosa, L., Barão, L., Muci, S. (2019). Digital Natives and Health: An Exploratory Study with Young Brazilians of Different Socioeconomic Profiles. In: Pereira Neto, A., Flynn, M. (eds) The Internet and Health in Brazil . Springer, Cham. https://doi.org/10.1007/978-3-319-99289-1_7

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