ArticleBMC health services research2026
eHealth Literacy, self-management, and selected clinical and social correlates of nutrition-inflammation level among older adults with diabetes.
Article in BMC health services research, 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
backgroundOlder adults with diabetes are vulnerable to coexisting nutritional deficits and chronic inflammation, yet the roles of eHealth literacy and self-management in nutrition-inflammation level (NIL) remain insufficiently understood.
objectiveThis study aimed to examine the associations of eHealth literacy, self-management, and selected clinical and social characteristics with NIL among older adults with diabetes.
methodsThis study employed a cross-sectional design and enrolled older adults (≥ 60 years) with confirmed diabetes, recruited through convenience sampling at a tertiary medical center. We developed a simplified NIL score tailored for older adults with diabetes. Participants completed anonymous questionnaires, including the validated Chinese versions of the eHealth Literacy Scale (eHEALS) and the Summary of Diabetes Self-Care Activities (SDSCA). We employed SPSS 26.0 and R 4.4.3 for data analysis and graphical representation. This study adhered to STROBE guidelines for reporting.
resultsAmong 246 participants (mean age 69.91 ± 7.98 years), NIL showed significant negative correlations with eHealth literacy (r = -0.243, P < 0.01) and self-management capacity (r = -0.192, P < 0.01). Forward stepwise multiple linear regression showed that higher eHealth literacy (β = -0.163, P = 0.011), better self-management capacity (β = -0.161, P = 0.013), and higher HbA1c (β = -0.216, P = 0.001) were independent factors associated with lower NIL scores, whereas rural residential environment (β = 0.200, P = 0.002) was independently associated with higher NIL scores.
conclusioneHealth literacy and self-management capacity were associated with nutrition-inflammation risks among older adults with diabetes, with urban-rural disparities also warranting attention. Future interventions may consider incorporating eHealth literacy and self-management support into nutrition-inflammation risk management for older adults with diabetes. These findings also suggest opportunities to embed NIL and eHealth literacy assessments into electronic health records or patient portals to support data-driven self-care in this population.
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