ArticleFrontiers in public health2026
Relationship between digital health literacy and self-assessment of health among older adults in Xuzhou City: based on the mediating effect of health self-management.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: With the global rise in aging populations and the proliferation of digital technologies, digital health literacy has emerged as a critical determinant of older adults' ability to access health information and enhance their health outcomes. This study investigates the complex interplay and mechanisms linking digital health literacy, health self-management, and self-assessed physical health among older adults in Xuzhou, China. Methods: In November 2024, a questionnaire-based survey was conducted among adults aged 60 and older in urban communities of Xuzhou City, Jiangsu Province, China. The questionnaire assessed general demographic characteristics, self-assessed physical health, the Chinese version of the Digital Health Literacy Scale, and the Health Self-Management Scale. A total of 1,005 participants were included, comprising 47% males and 53% females, with a mean age of 67.6 years. Data were analyzed using SPSS 23 software. Results: The mean scores for self-assessed physical health, digital health literacy, and health self-management were 3.41 ± 0.83, 24.75 ± 11.74, and 159.72 ± 21.24, respectively. Statistically significant differences were observed in these scores across age groups, marital status, pre-retirement occupation, number of medications, living arrangement, monthly disposable income, and daily internet use (all Conclusion: The findings indicate that digital health literacy positively influences health self-management among older adults. Moreover, through the mediating role of health self-management, digital health literacy contributes to improvements in health behaviors and overall health status among older adults.
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