ArticleJournal of advanced nursing2025
Multi-Level Factors Influencing eHealth Literacy Among Chinese Older Adults: A Longitudinal Study.
Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed.
- Exploring the status and influencing factors of nurses' digital health literacy: a scoping review.BMC nursing · 2026Article
- The latent profile of health literacy among older adults patients with chronic disease comorbidity and its association with self-management behaviors.Frontiers in public health · 2026Article
- Digital health readiness among rural hypertensive patients: a latent profile analysis.Frontiers in public health · 2026Observational
- Patient-Perceived Barriers to Early Help-Seeking, Diagnosis, and Surgical Treatment for Rural Patients with Venous Leg Ulcers: A Qualitative Study.International journal of general medicine · 2026Article
- Digital health literacy among urban community-dwelling older adults in China: Current status and determinants.Digital healthArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsBased on the socio-ecological model, the present study examined influencing factors of eHealth literacy among Chinese older adults at individual-level (e.g., socio-demographics, Internet use, and health status), interpersonal (e.g., informational support and instrumental support), and community-level (e.g., available public facilities).
designA longitudinal study was conducted among 611 Chinese older adults aged 55 or over.
methodsFrom February to December 2022, older people's eHealth literacy was collected at baseline, 3-month and 6-month follow-up surveys and other variables were collected only at baseline, using online questionnaires.
resultsAmong 611 participants, 464 (75.9%) completed both follow-up surveys. At the individual level, participants who were older, female gender, rural residents, living alone, had lower education, occupational levels and income, and had chronic conditions and long-term medication showed lower eHealth literacy. Older adults with longer Internet use history, online health information seeking, more frequent health-related Internet use, higher self-rated Internet skills and positive perceptions towards online health information exhibited higher eHealth literacy over time. In terms of interpersonal and community-level factors, perceiving informational and instrumental support when using digital health, and having access to health facilities (e.g., health education) and technological training provided by the community could predict older individuals' higher eHealth literacy over time, after adjusting for covariates.
conclusionOlder people's eHealth literacy can be influenced by factors at individual, interpersonal, and community levels. IMPLICATIONS AND IMPACT: This longitudinal study identified significant factors influencing older individuals' eHealth literacy at different levels. Understanding unmodifiable factors at the individual level can help identify the subgroups that may need targeted support and interventions for promoting eHealth literacy. Furthermore, findings can guide tailored interventions to improve eHealth literacy through modifiable factors at the technological, interpersonal and community levels. REPORTING
methodAdhered to the STROBE guidelines. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
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