
Journal of Prevention, Journal Year: 2024, Volume and Issue: unknown
Published: Dec. 18, 2024
Abstract Background Wearable technologies have the potential to support health promotion and disease prevention. However, it remains unclear how role of social determinants (SDoH) digital (DDoH) plays in this context. Objective This study investigates differences sociodemographic factors literacy between wearable users non-users, whether association with use varies across age groups its mediator. Methods A cross-sectional nationwide telephone survey was conducted November 2022 a panel adult internet Germany. Assessments included self-reported use, (sex, age, education, household size income, residence region), (measured eHealth Literacy Scale, eHEALS). Associations were analyzed using binomial logistic regression models total sample group stratification, supplementary mediation analysis examining as mediator relationship use. Results Overall, 24% (223/932) participants (52% male, mean 55.6 years) reported wearables for health. lower among aged 65 above, educational attainment, living 1–2 person households, below-average residing smaller cities or former East prevalence is substantially older ( 18–40 : 36%; 41–64 26%; 65+ :14%). higher levels (mean: 30.7, SD = 5) than non-users 28.3, 6). Stratified analyses indicate that by group, significant positive observed (OR 1.00, 95% CI: 0.94 1.07 18–40; OR 1.07, 1.03 1.12 41–64; 1.11, 1.04 1.19 65+). Mediation indicated partially mediates (indirect effect: coefficient -0.0156, -0.0244 -0.00791, p <.001). Conclusions indicates disparities German population non-users. generational divide identified, adults being less likely embrace technology. especially true literacy. Future public initiatives employing should take SDoH DDoH into consideration ensure effective equitable impacts.
Language: Английский