ArticleGlobal health & medicine2026
Factors associated with digital health literacy among community-dwelling older adults in Japan: An in-person cross-sectional study.
Article in Global health & medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Digital health literacy (DHL) is increasingly important as health information, appointment systems, patient portals, and other services move online. However, evidence in older adults remains limited and is often based on online surveys that may underrepresent digitally disadvantaged groups. This in-person cross-sectional study examined factors associated with DHL among 91 community-dwelling older adults in Japan. Participants completed paper-based questionnaires and performance-based assessments, including a modified 15-item score from the Japanese Digital Health Literacy Instrument (DHLI-J), the Japanese version of the Montreal Cognitive Assessment (MoCA-J), and the Nine-Hole Peg Test (NHPT). Group comparisons, bivariate correlations, and hierarchical multiple regression analyses were performed, with structural equation modeling (SEM) as a supplementary analysis. Higher modified DHLI-J scores were associated with younger age, longer personal computer use, better cognitive function, better manual dexterity, greater digital confidence and interest, and better well-being. In the final regression model (adjusted
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