{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T12:31:17Z","timestamp":1789129877250,"version":"build-2803163510"},"reference-count":47,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Research in Nursing &amp;amp; Health"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Diabetes, a chronic condition prevalent among older adults, imposes a substantial disease burden. Effective care requires sustained self\u2010management, and digital health technologies increasingly support this process. For older adults, engagement in digital health depends not only on individual skills but also on health\u2010related social needs (HRSNs), which reflect unmet social and environmental conditions that hinder effective health maintenance. This study aimed to examine associations between diabetes status and HRSNs and to investigate their associations with eHealth literacy in community\u2010dwelling older adults with chronic diseases. A cross\u2010sectional survey was conducted with community\u2010dwelling adults aged \u226560 years in South Korea. HRSNs were assessed using the Accountable Health Communities Screening Tool, and eHealth literacy was measured using the eHealth Literacy Scale. Multivariable logistic regression was used to examine differences in domain\u2010specific HRSNs by diabetes status and generalized linear models were applied to assess the associations of diabetes status and HRSNs with eHealth literacy. The overall HRSN burden did not differ according to diabetes status; however, older adults with diabetes were less likely to report unmet mental health needs. Diabetes status, but not HRSNs, was associated with lower eHealth literacy. These findings suggest that digital self\u2010management support for older adults with diabetes should consider eHealth literacy levels and diabetes\u2010related characteristics, while HRSN screening may provide complementary information on unmet social needs relevant to digital health access and engagement.<\/jats:p>","DOI":"10.1002\/nur.70128","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T11:41:10Z","timestamp":1789126870000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Health\u2010Related Social Needs and eHealth Literacy Among Community\u2010Dwelling Older Adults With Chronic Diseases: Associations With Diabetes Status"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6234-9564","authenticated-orcid":false,"given":"Minhwa","family":"Hwang","sequence":"first","affiliation":[{"name":"College of Nursing Seoul National University Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4067-5678","authenticated-orcid":false,"given":"Ga Eun","family":"Park","sequence":"additional","affiliation":[{"name":"College of Nursing Seoul National University Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7180-8283","authenticated-orcid":false,"given":"Hyo Jung","family":"Han","sequence":"additional","affiliation":[{"name":"College of Nursing Seoul National University Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5116-8634","authenticated-orcid":false,"given":"Gahye","family":"Kim","sequence":"additional","affiliation":[{"name":"College of Nursing Eulji University Uijeongbu Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5236-6683","authenticated-orcid":false,"given":"Yeon\u2010Hwan","family":"Park","sequence":"additional","affiliation":[{"name":"College of Nursing Seoul National University Seoul Korea"},{"name":"The Research Institute of Nursing Science, College of Nursing Seoul National University Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.24.6.1069"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-022-01844-2"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-023-08135-1"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.31478\/201705b"},{"key":"e_1_2_10_6_1","unstructured":"Centers for Medicare & Medicaid Services. (2023). A Guide to Using the Accountable Health Communities Health\u2010Related Social Needs Screening Tool: Promising Practices and Key Insights.https:\/\/www.cms.gov\/priorities\/innovation\/media\/document\/ahcm-screeningtool-companion."},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2023-003903"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2023.105124"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/pop.2020.0236"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(25)00299-2"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.2196\/18404"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocpiqo.2023.08.005"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.2337\/dci20-0053"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.2307\/2336325"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-022-07403-w"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.2337\/dci23-0021"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13690-024-01428-9"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-023-02125-2"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2025.109278"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.12779\/dnd.2024.23.3.117"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2024.0087"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.2196\/40778"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1518\/155534308x284363"},{"key":"e_1_2_10_24_1","volume-title":"National Survey of Older Koreans","author":"Lee Y.","year":"2020"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2008.10.008"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0291229"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.2196\/70112"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1943"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2024.240139R2"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2024.102895"},{"key":"e_1_2_10_31_1","volume-title":"Integrating Social Care Into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health","author":"National Academies of Sciences, Engineering, and Medicine","year":"2019"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.7175\/rhc.v3i3.281"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8.4.e27"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8.2.e9"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2022.01502"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2024.0818"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-020-05856-5"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1751305"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.9316"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40265-015-0347-4"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1447747"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.48036"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-021-00413-8"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdi.70024"},{"key":"e_1_2_10_45_1","unstructured":"U.S. Department of Health and Human Services. n.d. Social Determinants of Health\u2014Healthy People 2030. 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