Evidence map›Paper›PMID 40238518›Full record

ArticleInternational journal of environmental research and public health2025

The Impact of Depression and Leisure Activities on E-Health Literacy Among Older Adults: A Cross-Cultural Study in the EU and Japan.

Kumi Morishita-Suzuki, Toshimi Ogawa, Roberta Bevilacqua, Sebastien Dacunha, Vera Stara, Johanna Möller, Cecilia Palmier, Asako Ohara, Ai Abe, Denilson Brilliant T and 7 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Kumi Morishita-SuzukiSendai Center for Dementia Care Research and Practices, Sendai 989-3201, Japan.ORCID 0000-0003-3429-8645
Toshimi OgawaSmart-Aging Research Center, Tohoku University, Sendai 980-8575, Japan.ORCID 0000-0002-7852-2787
Roberta BevilacquaScientific Direction, IRCCS INRCA, 60124 Ancona, Italy.
Sebastien DacunhaMaladie d'Alzheimer, Université de Parisance, 75006 Paris, France.
Vera StaraScientific Direction, IRCCS INRCA, 60124 Ancona, Italy.ORCID 0000-0001-7536-7606
Johanna MöllerDiöcesan Caritas Association for the Archdiocese of Cologne, D-50676 Cologne, Germany.
Cecilia PalmierCentre Hospitalier Jacques Coeur, 18000 Bourges, France.
Asako OharaMisawa Homes Institute, Research and Development Co., Ltd., Tokyo 168-0072, Japan.
Ai AbeSmart-Aging Research Center, Tohoku University, Sendai 980-8575, Japan.
Denilson Brilliant TSmart-Aging Research Center, Tohoku University, Sendai 980-8575, Japan.ORCID 0000-0001-5881-9199
Maribel PinoMaladie d'Alzheimer, Université de Parisance, 75006 Paris, France.ORCID 0000-0002-1598-9144
Rainer WiechingInstitute for New Media & Information Systems, University Siegen, D-57072 Siegen, Germany.
Elvira MaranesiScientific Direction, IRCCS INRCA, 60124 Ancona, Italy.ORCID 0000-0002-2414-3773
Anne-Sophie RigaudMaladie d'Alzheimer, Université de Parisance, 75006 Paris, France.
Shuichiro WatanabeGraduate School of Gerontology, J.F. Oberlin University, Tokyo 194-0213, Japan.
Volker WulfInstitute for New Media & Information Systems, University Siegen, D-57072 Siegen, Germany.
Yasuyuki TakiSmart-Aging Research Center, Tohoku University, Sendai 980-8575, Japan.

Funding

European Union 101016453the Japanese Ministry of Internal Affairs and Communication JPJ000595
6 · The paper itself

Abstract

Health services through digital technologies (e-health) offer a promising solution, but some older adults may encounter difficulties in utilizing these resources due to varying levels of e-health literacy. This study investigated the relationship between depression, leisure activities, and e-health literacy among older adults in the EU and Japan using cross-sectional data from the e-ViTA baseline survey. Findings revealed that depression was negatively associated with e-health literacy in both regions (EU: β = -0.54, 95% confidence interval (CI): -0.79, -0.28; Japan: β= -0.24, 95%CI: -0.46, -0.02). Leisure activities were positively associated with e-health literacy only in the EU (β = 0.55, 95%CI: 0.23, 0.87). Moreover, leisure activities appeared to partially mediate the relationship between depression and e-health literacy in the EU group. These results highlight the need to address mental health issues and promote leisure activities to improve e-health literacy among older adults, emphasizing tailored interventions for different cultural contexts.

Indexed as

DepressionHealth LiteracyLeisure ActivitiesAgedAged, 80 and overCross-Cultural ComparisonCross-Sectional StudiesEuropean UnionFemaleHumansJapanMaleMiddle Agedaging populationdigital healthe-ViTAmental healthsocial engagement

Identifiers

PMID40238518
PMCPMC11941757

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.