Xie Luyao, Mo Phoenix K H
Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, SAR, China.
J Adv Nurs. 2025 Jan 4. doi: 10.1111/jan.16702.
Based on the socio-ecological model, the present study examined influencing factors of eHealth literacy among Chinese older adults at individual-level (e.g., socio-demographics, Internet use, and health status), interpersonal (e.g., informational support and instrumental support), and community-level (e.g., available public facilities).
A longitudinal study was conducted among 611 Chinese older adults aged 55 or over.
From February to December 2022, older people's eHealth literacy was collected at baseline, 3-month and 6-month follow-up surveys and other variables were collected only at baseline, using online questionnaires.
Among 611 participants, 464 (75.9%) completed both follow-up surveys. At the individual level, participants who were older, female gender, rural residents, living alone, had lower education, occupational levels and income, and had chronic conditions and long-term medication showed lower eHealth literacy. Older adults with longer Internet use history, online health information seeking, more frequent health-related Internet use, higher self-rated Internet skills and positive perceptions towards online health information exhibited higher eHealth literacy over time. In terms of interpersonal and community-level factors, perceiving informational and instrumental support when using digital health, and having access to health facilities (e.g., health education) and technological training provided by the community could predict older individuals' higher eHealth literacy over time, after adjusting for covariates.
Older people's eHealth literacy can be influenced by factors at individual, interpersonal, and community levels.
This longitudinal study identified significant factors influencing older individuals' eHealth literacy at different levels. Understanding unmodifiable factors at the individual level can help identify the subgroups that may need targeted support and interventions for promoting eHealth literacy. Furthermore, findings can guide tailored interventions to improve eHealth literacy through modifiable factors at the technological, interpersonal and community levels.
Adhered to the STROBE guidelines.
No patient or public contribution.
基于社会生态模型，本研究考察了中国老年人电子健康素养在个体层面（如社会人口统计学特征、互联网使用情况和健康状况）、人际层面（如信息支持和工具性支持）以及社区层面（如可用公共设施）的影响因素。
对611名55岁及以上的中国老年人进行了一项纵向研究。
2022年2月至12月，通过在线问卷在基线、3个月和6个月随访调查时收集老年人的电子健康素养，其他变量仅在基线时收集。
在611名参与者中，464名（75.9%）完成了两次随访调查。在个体层面，年龄较大、女性、农村居民、独居、教育程度较低、职业水平和收入较低、患有慢性病且长期服药的参与者电子健康素养较低。互联网使用历史较长、在线寻求健康信息、更频繁使用与健康相关的互联网、自评互联网技能较高以及对在线健康信息持积极看法的老年人随着时间推移表现出较高的电子健康素养。在人际和社区层面因素方面，在使用数字健康时感知到信息和工具性支持，以及能够获得社区提供的健康设施（如健康教育）和技术培训，在调整协变量后，可以预测老年人随着时间推移具有较高的电子健康素养。
老年人的电子健康素养会受到个体、人际和社区层面因素的影响。
这项纵向研究确定了不同层面影响老年人电子健康素养的重要因素。了解个体层面不可改变的因素有助于识别可能需要针对性支持和干预以提高电子健康素养的亚组。此外，研究结果可以指导通过技术、人际和社区层面的可改变因素进行量身定制的干预措施，以提高电子健康素养。
遵循STROBE指南。
无患者或公众贡献。
