School of Physical Education, Henan University of Science and Technology, Luoyang, China.
Medicine (Baltimore). 2024 Oct 18;103(42):e39877. doi: 10.1097/MD.0000000000039877.
Although several studies have discussed the relationships among digital health literacy, health, and exercise behavior, few have integrated these 3 factors into a single model. This study aims to address this research gap. This article aims to analyze the impact of digital health literacy on the health of older adults, as well as the mediating mechanisms related to exercise frequency and duration. A cross-sectional survey was conducted in Luoyang and Zhengzhou urban areas from December 2023 to January 2024. Utilizing random sampling methods, data were collected from 661 older adults through the "digital health literacy scale," "health scale," and "count of exercise duration and frequency" questionnaires. The data were processed by employing SPSS 20 and Process, v3.0, and analyzed through independent samples t test, 1-way ANOVA (F-test), and mediation testing methods. The results indicate that no statistical significance (P > .05) is observed in terms of the 3 dimensions of digital health literacy, exercise behavior, and health status among older adults with different genders, living conditions, educational backgrounds, and economic status. In contrast, statistical significance (P < .05) is observed in terms of exercise frequency and health status among older adults with varying levels of smoking and drinking. The 3 dimensions of digital health literacy among older adults statistically impact (P < .05) their exercise duration, frequency, and health. The dimension of access and assessment exerts the most significant influence on exercise duration (β = 0.415) and a considerable impact on health (β = 0.214). Furthermore, the impact of exercise duration and frequency on health status is statistically significant (P < .05). In terms of the interactive capability dimension, exercise frequency exerts the most significant influence (β = 0.199). Digital health literacy has a significant impact on the health of older adults. The duration and frequency of exercise play a partial mediating role between older adults' digital health literacy and their physical health status. Digital health literacy can encourage older adults to increase the duration and frequency of exercise, which, in turn, promotes their physical health.
尽管已有多项研究探讨了数字健康素养、健康和运动行为之间的关系，但很少有研究将这 3 个因素整合到一个单一的模型中。本研究旨在填补这一研究空白。本研究旨在分析数字健康素养对老年人健康的影响，以及与运动频率和持续时间相关的中介机制。2023 年 12 月至 2024 年 1 月，在洛阳和郑州城区进行了一项横断面调查。利用随机抽样方法，通过“数字健康素养量表”、“健康量表”和“运动持续时间和频率计数”问卷，从 661 名老年人中收集数据。使用 SPSS 20 和 Process，v3.0 对数据进行处理，并通过独立样本 t 检验、单因素方差分析（F 检验）和中介检验方法进行分析。结果表明，不同性别、居住条件、教育背景和经济状况的老年人在数字健康素养的 3 个维度、运动行为和健康状况方面没有统计学意义（P ＞.05）。然而，在不同吸烟和饮酒水平的老年人中，运动频率和健康状况方面存在统计学意义（P ＜.05）。数字健康素养的 3 个维度对老年人的运动持续时间、频率和健康状况均有统计学影响（P ＜.05）。获取和评估维度对运动持续时间（β = 0.415）和健康状况（β = 0.214）的影响最大。此外，运动持续时间和频率对健康状况的影响具有统计学意义（P ＜.05）。在交互能力维度方面，运动频率的影响最大（β = 0.199）。数字健康素养对老年人的健康有显著影响。运动的持续时间和频率在老年人的数字健康素养与身体健康状况之间起着部分中介作用。数字健康素养可以鼓励老年人增加运动的持续时间和频率，从而促进他们的身体健康。
