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Association between digital literacy and mental health among older adults in Heilongjiang province: a cross-sectional study of the mediating role of digital health literacy
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Zeyu YAN, Zixuan LIU, Yue MA, Ziyu WANG, Kai ZHENG, Qiaoqiao REN, Yanhua HAO
Chinese Journal of Public Health | 2025, 41(6) : 681 - 685
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Chinese Journal of Public Health | 2025, 41(6): 681-685
• Special Report – Promoting Older Adult Health Knowledge and Enhancing Health Literacy •
Association between digital literacy and mental health among older adults in Heilongjiang province: a cross-sectional study of the mediating role of digital health literacy
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Zeyu YAN, Zixuan LIU, Yue MA, Ziyu WANG, Kai ZHENG, Qiaoqiao REN, Yanhua HAO
Affiliations
  • School of Health Management, Harbin Medical University, Harbin 150081, China
Published: 2025-06-10 doi: 10.11847/zgggws1146016
Outline
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Objective

To investigate the digital literacy, digital health literacy, and mental health status of the elderly in Heilongjiang province, and to explore the relationships among these three factors, thereby providing a reference for improving the mental health of this population.

Methods

A face-to-face interview was conducted among 800 residents aged ≥ 60 years, recruited using stratified cluster sampling in two cities of Heilongjiang province in August 2024. A self-developed questionnaire on demographics, digital literacy, and digital health literacy, along with the simplified version of the Center for Epidemiologic Studies Depression Scale (CES-D), the six-item UCLA Loneliness Scale (ULS-6), and the Satisfaction with Life Scale (SWLS), was used in the survey. AMOS 28 software was used to analyze the relationships among the three, and the bootstrap method was used to test the mediating effect.

Results

Valid information was collected from all participants. Participants′ total scores and scoring indices were as follows: digital literacy (15.30 ± 14.23, 31.9%), digital health literacy (30.60 ± 16.56, 40.8%), and mental health (55.59 ± 11.96, 84.2%). Digital literacy positively predicted digital health literacy (standardized beta = 1.021, 95% confidence interval [95%CI]: 1.006 - 1.034), and digital health literacy positively predicted mental health (standardized beta = 0.601, 95%CI: 0.014 - 2.526). The mediating effect of digital health literacy on the relationship between digital literacy and mental health was significant (standardized beta = 0.613, 95%CI: 0.013 - 2.522).

Conclusions

The digital literacy and digital health literacy of the elderly in Heilongjiang province are relatively low. Digital health literacy plays a mediating role in the relationship between digital literacy and mental health. Improving the digital literacy of the elderly is of great importance in promoting their digital health behaviors and mental health.

digital literacy  /  digital health literacy  /  mental health  /  older adults  /  mediating effect  /  Heilongjiang province
闫泽煜, 刘子轩, 马悦, 王子予, 郑凯, 任侨侨, 郝艳华. 老年人数字素养与心理健康关系及数字健康素养的中介作用. 中国公共卫生, 2025 , 41 (6) : 681 -685 . DOI: 10.11847/zgggws1146016
Zeyu YAN, Zixuan LIU, Yue MA, Ziyu WANG, Kai ZHENG, Qiaoqiao REN, Yanhua HAO. Association between digital literacy and mental health among older adults in Heilongjiang province: a cross-sectional study of the mediating role of digital health literacy[J]. Chinese Journal of Public Health, 2025 , 41 (6) : 681 -685 . DOI: 10.11847/zgggws1146016
Year 2025 volume 41 Issue 6
113
50
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doi: 10.11847/zgggws1146016
  • Receive Date:2024-10-31
  • Online Date:2026-10-25
  • Published:2025-06-10
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History
  • Received:2024-10-31
  • Revised:2024-11-19
  • Accepted:2025-04-12
Affiliations
    School of Health Management, Harbin Medical University, Harbin 150081, China

Corresponding:

HAO Yanhua, E-mail:
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表12种不同金属材料的力学参数
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红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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