Morishita-Suzuki Kumi, Ogawa Toshimi, Bevilacqua Roberta, Dacunha Sebastien, Stara Vera, Möller Johanna, Palmier Cecilia, Ohara Asako, Abe Ai, Brilliant T Denilson, Pino Maribel, Wieching Rainer, Maranesi Elvira, Rigaud Anne-Sophie, Watanabe Shuichiro, Wulf Volker, Taki Yasuyuki
Sendai Center for Dementia Care Research and Practices, Sendai 989-3201, Japan.
Graduate School of Gerontology, J.F. Oberlin University, Tokyo 194-0213, Japan.
Int J Environ Res Public Health. 2025 Mar 10;22(3):403. doi: 10.3390/ijerph22030403.
Health services through digital technologies (e-health) offer a promising solution, but some older adults may encounter difficulties in utilizing these resources due to varying levels of e-health literacy. This study investigated the relationship between depression, leisure activities, and e-health literacy among older adults in the EU and Japan using cross-sectional data from the e-ViTA baseline survey. Findings revealed that depression was negatively associated with e-health literacy in both regions (EU: β = -0.54, 95% confidence interval (CI): -0.79, -0.28; Japan: β= -0.24, 95%CI: -0.46, -0.02). Leisure activities were positively associated with e-health literacy only in the EU (β = 0.55, 95%CI: 0.23, 0.87). Moreover, leisure activities appeared to partially mediate the relationship between depression and e-health literacy in the EU group. These results highlight the need to address mental health issues and promote leisure activities to improve e-health literacy among older adults, emphasizing tailored interventions for different cultural contexts.
通过数字技术提供的卫生服务（电子健康）提供了一个很有前景的解决方案，但由于电子健康素养水平各异，一些老年人在利用这些资源时可能会遇到困难。本研究利用电子健康与衰老轨迹（e-ViTA）基线调查的横断面数据，调查了欧盟和日本老年人中抑郁、休闲活动与电子健康素养之间的关系。研究结果显示，在这两个地区，抑郁与电子健康素养均呈负相关（欧盟：β = -0.54，95%置信区间（CI）：-0.79，-0.28；日本：β = -0.24，95%CI：-0.46，-0.02）。仅在欧盟，休闲活动与电子健康素养呈正相关（β = 0.55，95%CI：0.23，0.87）。此外，在欧盟组中，休闲活动似乎部分介导了抑郁与电子健康素养之间的关系。这些结果凸显了解决心理健康问题和促进休闲活动以提高老年人电子健康素养的必要性，强调了针对不同文化背景的量身定制干预措施。
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