Evidence map›Paper›PMID 42056905›Full record

ArticleBMC geriatrics2026

Understanding digital health literacy in later life: the role of sociodemographic and health-related factors - a cross-sectional study.

Franziska U Jung, Melanie Luppa, Matthias Reusche, Kerstin Wirkner, Melanie Eberl, Yvonne Dietz, Christoph Engel, Steffi G Riedel-Heller

Erratum issuedAbstract read
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Franziska U JungInstitute of Social Medicine, Occupational Health and Public Health (ISAP), Leipzig University, Leipzig, Germany. franziska.jung@medizin.uni-leipzig.de.
Melanie LuppaInstitute of Social Medicine, Occupational Health and Public Health (ISAP), Leipzig University, Leipzig, Germany.
Matthias ReuscheInstitute for Medical Informatics, Statistics and Epidemiology, Leipzig University, Leipzig, Germany.
Kerstin WirknerLIFE - Leipzig Research Centre for Civilization Diseases, Leipzig University, Leipzig, Germany.
Melanie EberlLIFE - Leipzig Research Centre for Civilization Diseases, Leipzig University, Leipzig, Germany.
Yvonne DietzLIFE - Leipzig Research Centre for Civilization Diseases, Leipzig University, Leipzig, Germany.
Christoph EngelInstitute for Medical Informatics, Statistics and Epidemiology, Leipzig University, Leipzig, Germany.
Steffi G Riedel-HellerInstitute of Social Medicine, Occupational Health and Public Health (ISAP), Leipzig University, Leipzig, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSo far, digital health literacy (DHL) has been linked to disparities in access to digital tools, differences in usage habits, and varying levels of proficiency in using digital technologies. The aim of the current study was to investigate the link between sociodemographic or health-related factors and digital health literacy among older adults in Germany.

methodA total of 3,000 participants from the LIFE Adult Cohort - a population-based cohort study in Germany - aged 65 years and older were re-contacted and surveyed using a paper-and-pencil questionnaire in May 2024. Participation rate was 74%. A sample of n = 2.227 participants was analysed with regard to digital health literacy (revised eHealth Literacy Scale (GR-eHEALS)), sociodemographic and health-related factors (overall health status, chronic diseases and body mass index). In addition, participants were compared regarding their internet use, as well as application of health-related devices and services.

resultsAccording to the multivariate regression analysis, digital health literacy (overall and sub-scales) was positively associated with better health status (p < 0.001). Having a chronic disease or long-term health problem, however, as well as BMI-category were not significantly related to DHL. Internet use was the most prominent predictor across all three models (p < 0.001). Being 75 years and older was significantly associated with a decrease in digital health literacy compared to being 65 to 69 years. Moreover, a high educational level (CASMIN) compared to a low level was associated with a 9.3% increase in digital health literacy. Whereas a high income (≥ 3.500 €) compared to an income below 1.500€ was associated with a 7.2% increase in digital health literacy. No significant associations were found with regard to sex or marital status.

conclusionThe findings of the current study highlight the importance of sociodemographic and health-related factors in relation to digital health literacy among individuals aged 65 years and older. Further research is needed to clarify these associations in terms of causality and underlying mechanisms in order to develop interventions that focus on older adults in order to improve digital health literacy.

Indexed as

Health LiteracyHealth StatusSociodemographic FactorsAgedAged, 80 and overCohort StudiesCross-Sectional StudiesDigital HealthDigital MediaFemaleGermanyHumansMaleSocioeconomic Disparities in HealthSurveys and QuestionnairesBody mass indexChronic diseaseDigital health literacyHealth status

Identifiers

PMID42056905
PMCPMC13130565

What OpenQuestion holds

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LicenceCC BY
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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.