Associations between digital literacy, health literacy, and digital health behaviors among rural residents: evidence from Zhejiang, China

International Journal for Equity in Health, Год журнала: 2024, Номер 23(1)

Опубликована: Апрель 9, 2024

Abstract Objective Within the digital society, limited proficiency in health behaviors among rural residents has emerged as a significant factor intensifying disparities between urban and areas. Addressing this issue, enhancing literacy of stands out crucial strategy. This study aims to investigate relationship literacy, residents. Methods Initially, we developed measurement instruments aimed at assessing levels Subsequently, leveraging micro survey data, conducted assessments on 968 five administrative villages Zhejiang Province, China. Building upon foundation, employed Probit Poisson models empirically scrutinize influence their interaction manifestation within population. analysis was from dual perspective, evaluating participation diversity which they participate such behaviors. Results Digital exhibited notably positive both While did not emerge predictor for occurrence behavior, it exerted substantial impact There were effects concerning These findings remained robust even after implementing instrumental variable method address endogeneity issues. Furthermore, outcomes heterogeneity further fortify steadfastness aforementioned conclusions. Conclusion The suggest that policymakers should implement targeted measures approach is improving residents' access services, thereby mitigating urban–rural inequality.

Язык: Английский

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Demand, utilization, and supply of community smart senior care services for older people in China

Digital Health, Год журнала: 2025, Номер 11

Опубликована: Янв. 1, 2025

Objective Although smart senior care services offer numerous benefits, they have not yet gained widespread acceptance among the general populace, particularly seniors. Numerous related issues surfaced, with structural imbalance between supply and demand being most prominent. Currently, there is a lack of research distinguishing various categories for ageing associated behaviors older individuals. In this study, we aimed to identify types utilization Chinese adults understand their diverse characteristics factors that facilitate certain behaviors. We also analyzed explored influencing it, thereby providing reference optimizing services. Methods conducted cross-sectional study from January March 2023 1037 valid questionnaires. Three were investigated: intelligent information, consultation, monitoring. identified demand, utilization, these Latent class analysis (LCA) was used differentiate heterogeneity in terms service utilization. Factors preferences using binary logistic regression based on Andersen's behavioral model. Results Based LCA findings, divided into two categories: positive (desire use services) or negative taking action The persons high but low comprised largest number people (69.35%). results indicated children (odds ratio (OR) = 1.491), community-provided devices (OR 1.700), chronic diseases 1.218), self-care capacity 0.214) are demand. Meanwhile, pre-retirement employment, income sources, community device provided, promotion, region, ability significant predictors (p < 0.05) outcome, situation had effect information Income sources monitoring Pre-retirement employment housing type variables showed IC Community promotion all three 0.05). Conclusion Older expressed strong services; however, difficulties technology remain serious problem. Further investigation how family support contributes perception needed. Specific policies, such as financial assistance, should be established use. Communities expand services, focusing enhancing digital health literacy seniors product Furthermore, personalized recommendations applications tailored physical conditions essential.

Язык: Английский

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Effects of Diabetes Knowledge and Attitudes Toward Internet Health Information on e-Health Literacy in Middle-Aged Patients with Diabetes

Healthcare, Год журнала: 2025, Номер 13(5), С. 512 - 512

Опубликована: Фев. 27, 2025

Background/Objectives: Effective diabetes self-management requires useful knowledge and health-related literacy based on a positive attitude toward seeking health information the Internet. Therefore, this study aimed to determine relationship of e-health (eHL) with attitudes internet in middle-aged patients identify factors influencing patient eHL. Methods: This descriptive correlational included 185 being followed-up outpatient endocrinology department at South Korean university hospital between 14 January 29 February 2024. Data were collected using self-report structured questionnaires analyzed IBM SPSS 27.0. Results: eHL was positively correlated (r = 0.31, p < 0.001) 0.62, 0.001). Diabetes also 0.25, Attitudes (β 0.55, <0.001), 0.13, 0.040), drinking status 0.12, 0.044) significant variables affecting Conclusions: The most factor is patient's information; identified as predictor. To improve diabetes, it important develop nursing intervention strategies help promote information. Healthcare providers should continuously monitor ensure they acquire utilize correct

Язык: Английский

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Perspectives and Requirements of Patients with Prostate Cancer on Mobile Health Interventions During Androgen Deprivation Therapy: A Descriptive Qualitative Study

Journal of Clinical Nursing, Год журнала: 2025, Номер unknown

Опубликована: Март 9, 2025

To explore the perceptions of patients with prostate cancer undergoing androgen deprivation therapy towards mobile health interventions. The study employed a qualitative descriptive design. Seventeen participants were recruited from tertiary care hospitals November 2022 to June 2023. collected data subsequently analysed using content analysis approach. main themes facilitators, barriers, information needs, emotional and social self-management needs. Facilitators for included support healthcare professionals family, competitive design features user-friendly interfaces. Barriers negative past experiences technology satisfactory current state health. Informational those who expressed desire timely, accurate integrated traditional Chinese medical principles. Regarding support, emphasised their independence, preferring not burden family friends, showing disinterest in mindfulness relaxation therapies, generally disliking online interactions fellow patients. For self-management, medication reminders rehabilitation guidance seen as vital tools enhance supportive care. highlights importance customising applications meet unique needs among engagement satisfaction. Understanding specific preferences enables development more effective applications. COREQ checklist.

Язык: Английский

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Catenation between mHealth application advertisements and cardiovascular diseases: moderation of artificial intelligence (AI)-enabled internet of things, digital divide, and individual trust

BMC Public Health, Год журнала: 2025, Номер 25(1)

Опубликована: Март 19, 2025

World Health Organization (WHO) identified noncommunicable diseases as the foremost risk to public health globally and cause of approximately 80% premature deaths. However, Cardiovascular account for most these deaths established threats health. Recently, digitization consultancy services through mHealth (e.g., mobile applications) using artificial intelligence (AI)-enabled Internet Things has notably facilitated accessibility expert advice continuous monitoring Cardiac on matters, making it more convenient adoption in recent times. Nonetheless, scant attention been paid how digital media might encourage digitally based consulting while accounting current IoT, Digital Divide, Individual Trust conditions. Given this status quo, study contributes body literature by delving into an unexplored evaluation role advertising plays outlining characteristics effectiveness AI-enabled IoT mHealth. The used a cross-sectional online survey collect data from 495 middle-aged adults. findings showed that social influence, performance expectation, effort expectancy, facilitating conditions are critical factors predicting intention use applications. While advertisements effective ingraining perception their better regarding evading cardiovascular added with is tool adopting utilization promote emerging elements like counter diseases, e.g., disease, not yet thoroughly explored. Consequently, communication features promotion among adults remains largely uncharted. This research examines respond showcasing media. Drawing analogy UTAUT-3 theory, investigates advertisement can effectively recently integrated consultation services. Remarkably, trust IoTs-based applications remained insignificant. divide resulting low literacy Global South, especially Pakistan, primary obstacle apps suggests organizations such WHO, apps, telemedicine service providers employ messaging instructional educate public.

Язык: Английский

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Internet Use and Self-Rated Health: The Mediating Role of Physical Exercise

Healthcare, Год журнала: 2025, Номер 13(7), С. 714 - 714

Опубликована: Март 24, 2025

Background: The rise in digital engagement has positioned self-rated health (SRH) among Chinese adults as a pressing public challenge. This study employs cross-sectional data to analyze the mechanisms by which Internet use impacts SRH outcomes, with particular emphasis on elucidating physical exercise’s moderating role within this dynamic relationship. Methods: were obtained from 2021 China General Social Survey (2021CGSS). analytical sample comprised 7582 participants. An ordered probit model was used relationship between use, exercise, and health. To assess robustness of results, an alternative substitute independent variable employed. Karlson–Holm–Breen (KHB) method applied examine mediating exercise. Results: Significant correlations found (p < 0.01). Physical exercise partially mediated positive effect health, accounting for 9% total effect. Conclusions: suggests playing role. Expanding access reducing divide across regions age groups may contribute better outcomes.

Язык: Английский

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Relationship Between eHealth Literacy and Healthy Aging in Older Chinese People: The Mediating Effect of Health Behaviors

Journal of the American Medical Directors Association, Год журнала: 2023, Номер 25(2), С. 237 - 242.e1

Опубликована: Июль 29, 2023

Язык: Английский

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Digital Care Pathway for Patients With Sleep Apnea in Specialized Care: Mixed Methods Study

JMIR Human Factors, Год журнала: 2024, Номер 11, С. e47809 - e47809

Опубликована: Янв. 21, 2024

Background Sleep apnea is a significant public health disorder in Finland, with prevalence of 3.7%. Continuous positive airway pressure (CPAP) therapy the first-line treatment for moderate or severe sleep apnea. From November 18, 2019, all patients who started their CPAP at Oulu University Hospital were attached to digital care pathway (SA-DCP) and instructed on its use. Some still did not use SA-DCP although they had therapy. Objective We aimed study professionals’ (HCPs’) perspectives usefulness work; whether main targets can be reached: shortening initial guiding sessions therapy, reducing patient calls contact HCPs, improving patients’ adherence therapy; them. Methods Overall, 6 HCPs interviewed May June 2021. The survey users (58/91, 64%) nonusers (33/91, 36%) was conducted 2 phases: from August 2021 January 2022. device remote monitoring data collected (80/170, 47.1%) (90/170, 52.9%) registered phone call during 2020, Feedback 446 between February March Results According introducing yet significantly improved workload work practices, but it brought more flexibility some communication situations. A larger proportion familiarized themselves prior information about before session than (43/58, 74% vs 16/33, 49%; P=.02). received therefore, most carried out according needs. devices, high both nonusers. number decrease study. perceived abilities communications technology better (mean 4.2, SD 0.8 mean 3.2, 1.2; P<.001). Conclusions this study, goals set introduction have been achieved. Despite using SA-DCP, wanted communicate by phone. factors explaining nonuse lower literacy older age patients. In future, attention should paid these user groups when designing upcoming pathways.

Язык: Английский

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Health literacy and falls among community-dwelling older people in China: is there a sex difference?

Aging Clinical and Experimental Research, Год журнала: 2024, Номер 36(1)

Опубликована: Июль 18, 2024

Abstract Background Health literacy is one of the important determinants healthy aging, yet few studies have focused on association between health and falls. Aims This study aims to explore relationship falls, with a focus sex differences among older people in China. Methods cross-sectional enrolled 2,144 aged ≥ 60 years from Shandong Province, China 2021. We used general screening scale assess literacy, collected incidence falls past year. Logistic regression models were employed analyze investigated by subgroup analyses. Results The prevalence adequate was 21.7% (95% CI: 20.0–23.5%) 25.4% 23.6–27.3%), respectively. In fully-adjusted model, associated lower adults (OR = 0.71, 95%CI: 0.52–0.96). Subgroup analysis revealed this ( P for interaction <0.05). Specifically, female group showed no significant 0.92, 95% 0.59–1.44); however, male demonstrated robust 0.58, 0.37–0.90). Conclusions Older which appears differ sex. men but not women. These findings emphasize need policymakers healthcare providers consider when designing implementing programs aimed at improving preventing population. Improving women could be strategic component bridging inequality

Язык: Английский

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Factors Associated with the e-Health Literacy Among Older Adults with Chronic Obstructive Pulmonary Disease: A Cross-Sectional Study

Telemedicine Journal and e-Health, Год журнала: 2023, Номер 30(4), С. e1138 - e1147

Опубликована: Окт. 18, 2023

Background: The telemanagement model in chronic diseases needs older patients to have a certain level of e-Health literacy. According Electronic Health Literacy model, factors associated with the literacy among could be comprehensively investigated from individual, situational, and environmental aspects. Objectives:To investigate levels obstructive pulmonary disease (COPD) explore factors. Methods: A cross-sectional study was conducted COPD. Scale used measure individuals' multiple linear regression applied identify Results: total 230 responses were included final analysis. average score for COPD 24.66 (6.86). After adjusting results demonstrated that aging attitudes (B = 0.067, p < 0.001), technophobia −0.285, self-efficacy 0.431, 0.001) accounted 68.3% (p variation Conclusion: This identifies significant correlations technophobia, attitudes, self-efficacy, respectively, literacy, may constant predictive In future, intervention research on should social psychology perspective, particular emphasis addressing negative technophobia. That will promote tele-management diseases. Trial Registration:Chinese Clinical Registry (ChiCTR): ChiCTR1900028563;http://apps.who.int/trialsearch/default.aspx.

Язык: Английский

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