ArticleDigital health
The association between digital health literacy and health inequalities among Chinese older adults: A multicenter cross-sectional study.
Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- The Relationship Between Electronic Health Literacy and Health-Related Quality of Life Among Chinese Older Adults: Cross-Sectional Study.Journal of medical Internet research · 2026Article
- Dose-response relationship between eHealth literacy and oral frailty in the elderly: a multicentric cross-sectional study.BMC geriatrics · 2026Article
- Article
- Bridging the digital health divide: digital endowment, informal social participation, and health inequality among older adults.BMC health services research · 2025Article
- The negative association between health status and digital health literacy among Chinese youth: a cross-sectional study on Chinese general social survey.Frontiers in public health · 2025Article
- Article
- The impact of smart healthcare and eldercare on older adults' health and health inequality: Evidence from China.Digital healthArticle
- Exploring digital health literacy among Tanzanian primary care workers: A qualitative study.Digital healthArticle
- Article
- Determinants Shaping Healthcare Experiences Among Vulnerable Populations in Hong Kong: A Qualitative Descriptive Study.Journal of primary care & community healthArticle
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Authors and funding
8 authors.
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Abstract
Background: With the rapid advancement of digital transformation, digital health literacy (DHL) has emerged as a crucial determinant influencing health outcomes and health inequalities among older adults. However, empirical evidence on how DHL affects health inequalities remains relatively limited. This study aims to investigate the association between DHL and health inequalities while analyzing the potential mechanisms through which DHL exerts its influence via mechanism testing among older adults in China. Methods: From June to November 2024, a multicenter cross-sectional study was conducted by five research groups from four universities in China. DHL was assessed using the eHEALS scale, while health inequalities were measured using an index of relative deprivation. Multivariate regression models examined the association between DHL and health inequalities. The Baron and Kenny stepwise regression method was used to examine the mediating effect, and bias-corrected bootstrap resampling with 5000 iterations was applied to calculate 95% confidence intervals (95% CI) to confirm the significance of the mediating effect. Results: Overall, 8696 valid individuals were included. DHL demonstrated a significant positive association with self-rated health (SRH) ( Conclusion: DHL was associated with health inequalities and mitigates them by alleviating depressive symptoms and promoting physical activity. It is recommended that while bridging the digital divide, more attention could be paid to DHL and the translation of competencies among older adults to reduce health disparities and promote equitable aging.
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