Successful Aging Across Middle Versus High-Income Countries: An Analysis of the Role of eHealth Literacy Associated With Loneliness and Well-Being

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dc.contributor.authorIvan, Loredana
dc.contributor.authorMarston, Hannah R.
dc.contributor.authorPrabhu, Vishnunarayan Girishan
dc.contributor.authorGrossschadl, Franziska
dc.contributor.authorSilva, Paula Alexandra
dc.contributor.authorButtigieg, Sandra C.
dc.contributor.authorCalikoglu, Halime Ozturk
dc.date.accessioned2025-01-27T20:58:27Z
dc.date.available2025-01-27T20:58:27Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground and Objectives Successful aging concerns the process of growing older while maintaining physical, cognitive, and social well-being, emphasizing independence for overall satisfaction and quality of life. We investigate the impact of eHealth literacy on reducing loneliness and sustaining well-being during the pandemic, comparing middle- and high-income countries.Research Design and Methods Online surveys were conducted between April 4, 2020, and September 30, 2021, collecting responses (N = 2,091) from medium- and high-income countries in Europe, Asia, and North America. T-tests and ANOVAs were used to test how sociodemographic predictors were associated with differences in e-Health literacy, loneliness, and well-being.Results Respondents from high-income countries reported significantly higher well-being scores than those from middle-income countries and respondents from high-income countries had significantly higher e-HEALS (e-Health literacy) scores compared to middle-income countries. No significant difference was observed in loneliness scores between high-income and middle-income country respondents. Well-being is associated with age, with younger adults (18-29 years) and those aged 40+ reporting higher levels. Higher education and income are linked to greater well-being. Gender differences are observed, with females and those with a partner reporting higher well-being. In middle-income countries, higher education levels are more linked to loneliness, while in higher-income countries, loneliness is observed across education levels.Discussion and Implications Future interventions by governments and policymakers should consider intersectionality in e-Health planning and offer digital literacy and digital skills training to those with lower education levels.
dc.description.sponsorshipHealth and Wellbeing Strategic Research Area (H&W SRA) at The Open University
dc.description.sponsorshipNo external funding is attached to this work. Seed funding was received from the Health and Wellbeing Strategic Research Area (H&W SRA) at The Open University to pay for data cleaning.
dc.identifier.doi10.1093/geront/gnae170
dc.identifier.issn0016-9013
dc.identifier.issn1758-5341
dc.identifier.issue1
dc.identifier.pmid39673788
dc.identifier.scopus2-s2.0-85215147156
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1093/geront/gnae170
dc.identifier.urihttps://hdl.handle.net/20.500.12428/26708
dc.identifier.volume65
dc.identifier.wosWOS:001391887500001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherOxford Univ Press Inc
dc.relation.ispartofGerontologist
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectCOVID-19
dc.subjectCross-cultural studies
dc.subjecte-Health
dc.subjectSuccessful aging
dc.subjectTechnology
dc.titleSuccessful Aging Across Middle Versus High-Income Countries: An Analysis of the Role of eHealth Literacy Associated With Loneliness and Well-Being
dc.typeArticle

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