Older Adult Internet Use and eHealth Literacy

被引:196
作者
Arcury, Thomas A. [1 ]
Sandberg, Joanne C. [1 ]
Melius, Kathryn P. [1 ]
Quandt, Sara A. [1 ]
Leng, Xiaoyan [1 ]
Latulipe, Celine [2 ]
Miller, David P., Jr. [1 ]
Smith, D. Alden [3 ]
Bertoni, Alain G. [1 ]
机构
[1] Wake Forest Sch Med, Winston Salem, NC 27157 USA
[2] Univ N Carolina, Charlotte, NC USA
[3] Greene Cty Hlth Care Inc, Snow Hill, NC USA
关键词
health self-management; health literacy; eHEALS; digital divide; TECHNOLOGY ACCEPTANCE MODEL; HEALTH INFORMATION; DIGITAL DIVIDE; MANAGEMENT; CARE; RELIABILITY; SUPPORT; ACCESS;
D O I
10.1177/0733464818807468
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
We examine Internet use and eHealth literacy among older adults (aged 55+ years) who were patients at clinics serving low-income populations. Participants included 200 minority and White adults who completed interviews based on a technology acceptance conceptual model. A total of 106 participants (53.0%) used the Internet; utilization was associated with personal characteristics (age, ethnicity, education, poverty), computer characteristics (number of e-devices, computer stress), social support (marital status), and health knowledge and attitudes (health literacy, medical decision making, health information sources), but not health status. Of the 106 participants who used the Internet, 52 (49.1%) had high eHealth literacy; eHealth literacy was associated with computer characteristics (number of e-devices, computer stress), and health knowledge and attitudes (medical decision making, health information sources). In multivariate analysis, computer stress maintained a significant inverse association with eHealth literacy. Educational interventions to help older adults successfully use technology and improve eHealth literacy must be identified.
引用
收藏
页码:141 / 150
页数:10
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