A Profile of eHealth Behaviors in China: Results From a National Survey Show a Low of Usage and Significant Digital Divide

Hong, Ying; Zhou, Zhongjun

doi:10.3389/fpubh.2018.00274

Cited by 23 publications

(18 citation statements)

References 12 publications

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“…Previous national and international studies have provided insights into some barriers preventing the elderly from adapting to e-health services, but further research is warranted (31,32,39). Consistent with these studies on user acceptance, the elderly use e-health services less frequently than young people (8,40). In addition, low confidence is more common amongst the elderly than young people when using e-health services (17).…”

Section: Elderly and E-health Servicesmentioning

confidence: 64%

Non-use of Digital Health Consultations Among Swedish Elderly Living in the Countryside

Landgren¹,

Cajander²

2021

Front. Public Health

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Digital health consultations in primary care have the advantage of offering equal healthcare for people residing in the countryside. While it is gaining acceptance among young- and middle-aged people, the elderly are reluctant to use it. The aim of this study was hence to identify reasons for non-use among elderly in the countryside and describe perceived possible challenges and opportunities with digital health consultations. Semi-structured interviews were conducted with 13 persons over 65 years old residing in the Swedish countryside. There was a mistrust for services offered by private companies and their public funding, a lack of knowledge of available services, and a lack of perceived usefulness. Personal interaction and continuity was more important than time or travel conveniences, although these advantages were recognized. To prevent digital exclusion, caregivers need to offer information, encouragement, or tools for the elderly. Digital primary care also needs to offer familiarity, with continuity and personal connections.

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Section: Elderly and E-health Servicesmentioning

confidence: 64%

Non-use of Digital Health Consultations Among Swedish Elderly Living in the Countryside

Landgren¹,

Cajander²

2021

Front. Public Health

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“… 51 E-health apps (fitness and health combined apps) acceptance behavior is associated with urban residence, education, higher income, and age. 52 The majority of the study participants agreed that E-health apps effectively reduce physical inactivity and improve health outcomes during the COVID-19 preventive measures. Health and fitness apps intervention significantly impacts health-related quality of life (HRQOL).…”

Section: Discussionmentioning

confidence: 94%

Demographic Characteristics and Digital Platforms for Physical Activity Among the Chinese Residents During the COVID-19 Pandemic: A Mediating Analysis

Fang¹,

Shi²,

Menhas³

et al. 2022

JMDH

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Background E-health apps play a vital role in the era of the COVID-19 pandemic. More people across the globe have started to use fitness and health apps to mitigate the COVID-19 negative impacts on the health-related quality of life. E-health treatments are becoming more common these days. Aim The present research aim was to explore the mediating role of digital platforms for physical activity and fitness with demographic characteristics among Chinese people during the pandemic. Methods The primary data was collected through an online survey across China under the snowball sampling technique. A total of 5351 respondents took part in the online questionnaire survey. After quantification and quality check of the data, a total of 5000 respondents’ responses were added in the final analysis. The collected data were analyzed by using SPSS-25 and SmartPLS 3.0 software. Results The structural equation model analysis H1 (β = 0.227, t = 18.725, p = < 0.000), H2 (β = 0.225, t = 17.892, p = < 0.000), H3 (β = 0.229, t = 17.845, p = < 0.000), H4 (β = 0.54, t = 60.928, p= < 0.000), H5 (β = 0.553, t = 57.291, p = < 0.000), H6 (β = 0.559, t = 56.956, p = < 0.000), H7 (β = 0.358, t = 24.779, p = < 0.000), H8 (β = 0.259, t = 19.617, p = < 0.000) and H9 (β = 0.288, t = 19.92, p = < 0.000) results confirm the proposed hypothesis of the study. Conclusion E-health apps are playing a vital role in maintaining an active lifestyle through physical activity. Fitness and health apps can promote physical activity and improve health-related quality of life. Results of the current study concluded that E-health apps are promising to promote physical activity and fitness during the COVID-19 preventive measures.

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“…China has witnessed the rapid popularization of mobile phones and the fast development of digital health technology. In the last decade, the Chinese government has been committed to actively promoting the adoption of ICT into the healthcare domain [ 35 , 36 ], and meanwhile it has also introduced a series of policies to improve the digital adaptation of older adults [ 37 ]. However, at present, the lack in the knowledge of the overall digital health literacy level of community-dwelling older adults in China virtually hinders the long-term development of digital health and smart elderly care.…”

Section: Introductionmentioning

confidence: 99%

Current status and influencing factors of digital health literacy among community-dwelling older adults in Southwest China: a cross-sectional study

Liu

Zhao²,

et al. 2022

BMC Public Health

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Background The rapid development of digital health has reduced the time and cost of medical treatment, bringing efficient and economical benefits. However, older adults all over the world are deficient in digital health knowledge and skills to varying degrees. This study intends to investigate the current status and influencing factors of digital health literacy among community-dwelling older adults in Southwest China, so as to provide theoretical reference for global digital health researches and the construction of gerontological digital health service models. Methods A cross-sectional survey was conducted from September 2020 to April 2021 in Chongqing, China. 572 community-dwelling older adults (≥ 65 years) were surveyed by stratified sampling. Data on sociodemographic characteristics, Internet usage, attitude towards Internet health information and digital health literacy were collected. Wherein, the digital health literacy assessment adopted the Digital Health Literacy Assessment Scale for community-dwelling older adults, which was developed by the research group, proven to be with good internal consistency (0.941), split-half reliability (0.889), test–retest reliability (0.941), content validity (0.967), criterion validity (0.938) and construct validity. The influencing factors were explored by univariate analysis and multiple linear regression analysis. Results The average score of digital health literacy was 37.10 (SD 18.65). Univariate analysis showed that there were statistically significant differences in the comparison of digital health literacy according to 16 variables, such as different age and education levels. Multiple linear regression analysis showed that education level, marital status, self-rated health status, degree of health concerns, duration of Internet usage, time spent using the Internet per day, frequency of Internet usage, frequency of receiving guidance passively from family members, perceived usefulness, perceived ease of use and perceived reliability were positively correlated with digital health literacy, while age and perceived risk were negatively correlated with digital health literacy. Conclusion The overall digital health literacy of community-dwelling older adults in Southwest China is relatively low. In the future, health professionals should fully consider the diverse influencing factors of digital health literacy, assess individual differences and provide targeted intervention programs. Meanwhile, global public health authorities should integrate health resources effectively, and seek health service models for older adults in line with the development of the digital age to narrow the digital divide.

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A Profile of eHealth Behaviors in China: Results From a National Survey Show a Low of Usage and Significant Digital Divide

Cited by 23 publications

References 12 publications

Non-use of Digital Health Consultations Among Swedish Elderly Living in the Countryside

Non-use of Digital Health Consultations Among Swedish Elderly Living in the Countryside

Demographic Characteristics and Digital Platforms for Physical Activity Among the Chinese Residents During the COVID-19 Pandemic: A Mediating Analysis

Current status and influencing factors of digital health literacy among community-dwelling older adults in Southwest China: a cross-sectional study

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