School of Business, Xinyang Normal University, Xinyang, China.
Dabie Mountain Economic and Social Development Center, Xinyang, China.
Int J Health Plann Manage. 2024 Sep;39(5):1411-1433. doi: 10.1002/hpm.3816. Epub 2024 May 28.
In the digital era, digital literacy is a fundamental indicator of a nation's quality and plays a crucial role in public health. Exploring the theoretical mechanisms and effects of digital literacy on individuals' health is of great practical importance, advancing the initiatives of 'Digital China' and 'Healthy China'.
The study utilised three-period survey panel data from the China Family Panel Study spanning 2016, 2018, and 2020 to measure and evaluate levels of digital literacy, physical health, mental health, healthy lifestyle, and integrated health among the participants. Subsequently, a series of empirical analyses were conducted to examine the general impact, heterogeneous effects and transmission pathways of digital literacy on various types of health levels.
Digital literacy significantly enhances all aspects of respondents' health, and this conclusion remains valid even after conducting robustness tests and addressing endogeneity through variable substitution and selecting instrumental variables using the 2SLS method. Furthermore, examining heterogeneity by considering individual traits and the makeup of digital literacy reveals that the impact of digital literacy on individuals' health varies according to age, cultural background, personal income, and the components of digital literacy. Pathway analyses also demonstrate that medical accessibility, information access, social network, and planned behaviour are key routes through which digital literacy enhances the health of the population.
It is imperative for the government to actively promote the advancement of the digital healthcare industry, while individuals should strive to enhance their digital literacy. By collectively focussing on these efforts, national health can be significantly improved.
在数字时代,数字素养是衡量一个国家素质的基本指标,对公共卫生具有重要作用。探索数字素养对个体健康的理论机制和影响,对推进“数字中国”和“健康中国”战略具有重要的现实意义。
本研究使用了中国家庭追踪调查 2016、2018 和 2020 年三期面板数据,测量和评估了参与者的数字素养、身体健康、心理健康、健康生活方式和综合健康水平。然后,通过一系列实证分析,检验了数字素养对各种健康水平的总体影响、异质效应和传递途径。
数字素养显著提高了受访者的各方面健康水平,即使通过稳健性检验、变量替换和 2SLS 方法选择工具变量来解决内生性问题,这一结论仍然成立。此外,通过考虑个体特征和数字素养的构成来考察异质性,发现数字素养对个体健康的影响因年龄、文化背景、个人收入和数字素养的组成部分而异。路径分析还表明,医疗可及性、信息获取、社交网络和计划行为是数字素养提高人口健康的关键途径。
政府积极推动数字医疗产业的发展,个人努力提高数字素养至关重要。通过共同关注这些努力,可以显著提高国民健康水平。