ArticleBMC public health2022
Current status and influencing factors of digital health literacy among community-dwelling older adults in Southwest China: a cross-sectional study.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 4 of them syntheses that pooled it.
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Who cites it
65 citing papers in PubMed, 4 syntheses or guidelines pooled it, 112 citations in OpenAlex.
- Social Media and eHealth Literacy Among Older Adults: Systematic Literature Review.Journal of medical Internet research · 2025Pooled it
- Factors Influencing eHealth Literacy Worldwide: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2025Pooled it
- Influencing factors of digital health technology anxiety in the elderly: a systematic review and meta-analysis.Frontiers in psychology · 2025Pooled it
- The level of electronic health literacy among older adults: a systematic review and meta-analysis.Archives of public health = Archives belges de sante publique · 2024Pooled it
- A study protocol evaluating the effectiveness of the older adult's digital health literacy (ODDHeaL) intervention.PloS one · 2026Trial
- Recommendations From a Health Care Provider's Perspective for Better Implementation of Telemedicine and Telenursing: Descriptive Qualitative Approach.JMIR nursing · 2026Article
- The mediating role of digital health literacy on the relationship of social isolation and digital technology anxiety among older cancer patients.BMC geriatrics · 2026Article
- Digital Health Literacy, Technology Acceptance, and Competence Among Older Adults Aged ≥65 Years: Cross-Sectional Study Investigating Differences Between Women and Men.Journal of medical Internet research · 2026Article
- New model for remote symptom management and self-care of cancer patients based on digital health platforms: a narrative review.Translational cancer research · 2026Review
- Explainable Machine Learning for Assessing Digital Health Literacy in Older Adults: Validation and Development of a Two-Stage Model Integrating Performance-Based and Self-Assessed Indicators.JMIR medical informatics · 2026Article
- The association between internet use and health among rural-to-urban migrants in China: the mediating role of social integration.BMC public health · 2026Article
- Does Family Doctor Contracting Improve the Health of the Elderly: An Empirical Study from Beijing, China.Journal of multidisciplinary healthcare · 2026Article
- The impact of digital literacy on health behaviors among middle-aged and older adults: the mediating roles of proactive health awareness and social capital.Frontiers in public health · 2026Article
- Latent profile analysis of eHealth literacy and its sociodemographic correlates: a cross-sectional study.Frontiers in public health · 2026Article
- Digital health literacy and associated factors among community-dwelling older adults with multimorbidity: a cross-sectional study.Frontiers in public health · 2026Article
- Associations between DigComp 2.2-based digital competence and multidimensional health literacy among older adult learners in Shanghai Universities of the Third Age: a cross-sectional study.Frontiers in public health · 2026Article
- Digital health literacy and associated factors in older adult patients with chronic obstructive pulmonary disease: a latent profile analysis.Frontiers in public health · 2026Article
- Patient activation and self-management in patients with coronary heart disease: the mediating role of eHealth literacy.Frontiers in public health · 2026Article
- A cross-sectional study on the current status and influencing factors of core competencies among public health students.Frontiers in public health · 2026Article
- Digital access, digital health information engagement, and self-reported preventive behavior among rural adults in Guizhou, China: media-use ecologies and cross-sectional associations.Frontiers in public health · 2026Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe rapid development of digital health has reduced the time and cost of medical treatment, bringing efficient and economical benefits. However, older adults all over the world are deficient in digital health knowledge and skills to varying degrees. This study intends to investigate the current status and influencing factors of digital health literacy among community-dwelling older adults in Southwest China, so as to provide theoretical reference for global digital health researches and the construction of gerontological digital health service models.
methodsA cross-sectional survey was conducted from September 2020 to April 2021 in Chongqing, China. 572 community-dwelling older adults (≥ 65 years) were surveyed by stratified sampling. Data on sociodemographic characteristics, Internet usage, attitude towards Internet health information and digital health literacy were collected. Wherein, the digital health literacy assessment adopted the Digital Health Literacy Assessment Scale for community-dwelling older adults, which was developed by the research group, proven to be with good internal consistency (0.941), split-half reliability (0.889), test-retest reliability (0.941), content validity (0.967), criterion validity (0.938) and construct validity. The influencing factors were explored by univariate analysis and multiple linear regression analysis.
resultsThe average score of digital health literacy was 37.10 (SD 18.65). Univariate analysis showed that there were statistically significant differences in the comparison of digital health literacy according to 16 variables, such as different age and education levels. Multiple linear regression analysis showed that education level, marital status, self-rated health status, degree of health concerns, duration of Internet usage, time spent using the Internet per day, frequency of Internet usage, frequency of receiving guidance passively from family members, perceived usefulness, perceived ease of use and perceived reliability were positively correlated with digital health literacy, while age and perceived risk were negatively correlated with digital health literacy.
conclusionThe overall digital health literacy of community-dwelling older adults in Southwest China is relatively low. In the future, health professionals should fully consider the diverse influencing factors of digital health literacy, assess individual differences and provide targeted intervention programs. Meanwhile, global public health authorities should integrate health resources effectively, and seek health service models for older adults in line with the development of the digital age to narrow the digital divide.
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