Research Square (Research Square),
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 23, 2025
Abstract
Background
The
rapid
aging
of
the
global
population
has
intensified
chronic
disease
burdens,
widened
healthcare
access
disparities,
and
increased
unmet
care
needs.
Internet‑based
services
(IHS)
offer
a
potential
solution
to
these
challenges.
This
study
assessed
prevalence
IHS
use,
its
key
determinants,
main
motivations
barriers
among
adults
aged
≥
50
years
in
mainland
China.
Methods
An
online
survey
China
was
conducted
March
2021.
Participants
(N
=
500)
were
recruited
via
an
automated
random‑sampling
procedure
on
platform.
Logistic
regression
models
used
examine
predisposing,
need,
enabling
factors
associated
with
use.
Results
Only
17.14%
respondents
reported
using
IHS,
medical
consultation
being
most
common
(38.5%).
Respondents
between
59
(AOR
4,975
[95%
CI
1.224–19.608]),
urban
residents
6.056
1.689–21.713]),
higher
income
3.862
1.822–8.186]),
conditions
5.323
2.866–9.888]),
delays
seeking
mobility
difficulties
9.802
4.005–23.993]),
positive
attitude
3.038
1.039–8.884])
more
likely
use
after
adjusting
for
variations
other
variables.
primary
distrust
ambiguity
self-described
symptoms.
Conclusion
Low
levels
observed
middle-aged
elderly
populations
Although
can
benefit
individuals
high
needs
or
challenges,
income-related
urban-rural
inequalities
persist.
Addressing
trust
issues
enhancing
digital
literacy
are
essential
widespread
effective
development
IHS.
