The impact of digital literacy on older adults' self-rated health, depression, and life satisfaction: a cross-sectional study using 2023 National Survey of Older Koreans

数字素养对老年人自评健康、抑郁和生活满意度的影响:一项基于2023年韩国老年人全国调查的横断面研究

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Abstract

OBJECTIVES: This study examined the associations between digital literacy and self-rated health (SRH), depression, and life satisfaction among older adults in the Republic of Korea. METHODS: Data were obtained from the 2023 National Survey of Older Koreans (n=9,951). Digital literacy was evaluated based on participants' ability to use 8 smartphone functions and their perceived difficulty adapting to a digital society. Dependent variables included SRH, depression (measured using the short form of Geriatric Depression Scale), and life satisfaction (assessed through a composite score across 7 domains). Multiple logistic regression was applied for SRH and depression, while linear regression was conducted for life satisfaction, adjusting for sociodemographic and health-related covariates. RESULTS: Higher digital literacy was significantly associated with better SRH and greater life satisfaction. Compared to participants with no digital skills, those with moderate or high digital literacy had higher odds of reporting good SRH and significantly higher life satisfaction scores. Older adults who reported difficulty adapting to a digital society demonstrated significantly lower SRH and life satisfaction. However, after adjusting for covariates, the association between digital literacy and depression was not statistically significant. CONCLUSION: Higher digital literacy is linked to better SRH and greater life satisfaction. Moreover, digital literacy reduced the explanatory power of socioeconomic variables, suggesting that it serves as an important behavioral determinant. These findings underscore the importance of promoting digital literacy as a means of improving health equity and well-being in aging populations.

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