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The impact of digital literacy on older adults’ utilization of community-based home care services: a cross-sectional study
by
Zhu, Mingbao
, Xia, Xueqing
in
Access to information
/ Aged
/ Aged, 80 and over
/ Aging
/ Care and treatment
/ Challenges faced by older adults in accessing digital health services
/ China
/ Chronic illnesses
/ Community health services
/ Community health services for the aged
/ Community-based home care services
/ Computer Literacy
/ Cross-Sectional Studies
/ Digital literacy
/ Digital technology
/ Elder care
/ Female
/ Health Administration
/ Health aspects
/ Health Informatics
/ Health literacy
/ Health service
/ Health services utilization
/ Home care services
/ Home Care Services - statistics & numerical data
/ Home care services industry
/ Humans
/ Hypotheses
/ Longitudinal Studies
/ Male
/ Medical care
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Nursing Research
/ Older people
/ Population
/ Psychological aspects
/ Public Health
/ Self-efficacy
/ Shopping
/ Skills
/ Surveys
/ Technological literacy
/ Telemedicine
/ Utilization
2025
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The impact of digital literacy on older adults’ utilization of community-based home care services: a cross-sectional study
by
Zhu, Mingbao
, Xia, Xueqing
in
Access to information
/ Aged
/ Aged, 80 and over
/ Aging
/ Care and treatment
/ Challenges faced by older adults in accessing digital health services
/ China
/ Chronic illnesses
/ Community health services
/ Community health services for the aged
/ Community-based home care services
/ Computer Literacy
/ Cross-Sectional Studies
/ Digital literacy
/ Digital technology
/ Elder care
/ Female
/ Health Administration
/ Health aspects
/ Health Informatics
/ Health literacy
/ Health service
/ Health services utilization
/ Home care services
/ Home Care Services - statistics & numerical data
/ Home care services industry
/ Humans
/ Hypotheses
/ Longitudinal Studies
/ Male
/ Medical care
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Nursing Research
/ Older people
/ Population
/ Psychological aspects
/ Public Health
/ Self-efficacy
/ Shopping
/ Skills
/ Surveys
/ Technological literacy
/ Telemedicine
/ Utilization
2025
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Do you wish to request the book?
The impact of digital literacy on older adults’ utilization of community-based home care services: a cross-sectional study
by
Zhu, Mingbao
, Xia, Xueqing
in
Access to information
/ Aged
/ Aged, 80 and over
/ Aging
/ Care and treatment
/ Challenges faced by older adults in accessing digital health services
/ China
/ Chronic illnesses
/ Community health services
/ Community health services for the aged
/ Community-based home care services
/ Computer Literacy
/ Cross-Sectional Studies
/ Digital literacy
/ Digital technology
/ Elder care
/ Female
/ Health Administration
/ Health aspects
/ Health Informatics
/ Health literacy
/ Health service
/ Health services utilization
/ Home care services
/ Home Care Services - statistics & numerical data
/ Home care services industry
/ Humans
/ Hypotheses
/ Longitudinal Studies
/ Male
/ Medical care
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Nursing Research
/ Older people
/ Population
/ Psychological aspects
/ Public Health
/ Self-efficacy
/ Shopping
/ Skills
/ Surveys
/ Technological literacy
/ Telemedicine
/ Utilization
2025
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The impact of digital literacy on older adults’ utilization of community-based home care services: a cross-sectional study
Journal Article
The impact of digital literacy on older adults’ utilization of community-based home care services: a cross-sectional study
2025
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Overview
Background
China has entered a stage of moderate aging, characterized by a “90-7-3” eldercare pattern: 90% of the older adults opt for home-based care, 7% utilize community-based care, and 3% reside in institutional care facilities. With the rapid development of the digital economy, innovative solutions such as smart eldercare devices and telemedicine have emerged, offering new possibilities to enhance the efficiency and quality of eldercare services. However, while benefiting from digital technologies, the older adults generally face challenges posed by the “digital divide,” making digital literacy a critical factor constraining the digital transformation of eldercare services.
Methods
This study utilizes data from the 2020 China Longitudinal Aging Social Survey (CLASS 2020) to examine the impact of digital literacy on older adults’ utilization of community-based home care services (CHCS). Factor analysis was employed to measure digital literacy levels, while probit regression and Heckman’s two-stage model were applied for empirical analysis.
Conclusion
Our empirical analysis yields three key findings: (1) A significant negative relationship is found between digital literacy and the utilization of CHCS. This indicates that, on average, higher digital literacy is associated with a lower propensity to use CHCS. (2) Dimension-specific analysis reveals divergent impacts: Digital application literacy was positively associated with service utilization. However, device operation literacy, information acquisition literacy, and digital social literacy all exhibited significant negative correlations with service use. (3) Mechanism analysis indicates that digital literacy reduces older adults’ reliance on CHCS through multiple pathways, including increased alternative consumption expenditures, strengthened social and family support, and improved self-efficacy.
Discussion
The findings suggest that improved digital literacy may reduce older adults’ utilization of CHCS, providing important implications for optimizing the elderly care system in the digital era. While promoting digital literacy among older populations, policymakers should establish integrated online-offline service delivery models to achieve precise matching between seniors’ needs and care provision.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
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