{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T07:53:18Z","timestamp":1774425198931,"version":"3.50.1"},"reference-count":86,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,12,14]],"date-time":"2024-12-14T00:00:00Z","timestamp":1734134400000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Health and Wellbeing Strategic Research Area"},{"DOI":"10.13039\/100008509","name":"Open University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008509","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background and Objectives<\/jats:title>\n                  <jats:p>\u201cSuccessful aging\u201d 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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Research Design and Methods<\/jats:title>\n                  <jats:p>Online surveys were conducted between April 4, 2020, and September 30, 2021, collecting responses (N\u2005=\u20052,091) 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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>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\u201329 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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion and Implications<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/geront\/gnae170","type":"journal-article","created":{"date-parts":[[2024,12,14]],"date-time":"2024-12-14T22:00:09Z","timestamp":1734213609000},"source":"Crossref","is-referenced-by-count":8,"title":["Successful Aging Across Middle Versus High-Income Countries: An Analysis of the Role of eHealth Literacy Associated With Loneliness and Well-Being"],"prefix":"10.1093","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7153-5198","authenticated-orcid":false,"given":"Loredana","family":"Ivan","sequence":"first","affiliation":[{"name":"The National University of Political Studies and Public Administration (SNSPA) , Bucharest,","place":["Romania"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8018-4166","authenticated-orcid":false,"given":"Hannah R","family":"Marston","sequence":"additional","affiliation":[{"name":"School of Health, Wellbeing, and Social Care, The Open University , Milton Keynes,","place":["UK"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5410-9894","authenticated-orcid":false,"given":"Vishnunarayan Girishan","family":"Prabhu","sequence":"additional","affiliation":[{"name":"Department of Industrial and Systems Engineering, University of North Carolina , Charlotte, North Carolina,","place":["USA"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6726-0443","authenticated-orcid":false,"given":"Franziska","family":"Gro\u00dfsch\u00e4dl","sequence":"additional","affiliation":[{"name":"Institute of Nursing Science and Age and Care Research Group, Medical University Graz , Graz,","place":["Austria"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1573-7446","authenticated-orcid":false,"given":"Paula","family":"Alexandra Silva","sequence":"additional","affiliation":[{"name":"Department of Informatics Engineering (DEI), Centre for Informatics and Systems (CISUC), Faculty of Science and Technology, University of Coimbra , Coimbra,","place":["Portugal"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0572-2462","authenticated-orcid":false,"given":"Sandra C","family":"Buttigieg","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Department of Health Systems Management and Leadership, University of Malta, Tal-Qroqq , Msida,","place":["Malta"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0121-7124","authenticated-orcid":false,"given":"Halime","family":"\u00d6zt\u00fcrk \u00c7al\u0131ko\u011flu","sequence":"additional","affiliation":[{"name":"Department of Educational Sciences, Canakkale Onsekiz Mart University , \u00c7anakkale,","place":["Turkey"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8292-0358","authenticated-orcid":false,"given":"Burcu","family":"Bilir Koca","sequence":"additional","affiliation":[{"name":"Department of Educational Sciences, Canakkale Onsekiz Mart University , \u00c7anakkale,","place":["Turkey"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8011-3069","authenticated-orcid":false,"given":"Hasan","family":"Arslan","sequence":"additional","affiliation":[{"name":"Department of Educational Sciences, Canakkale Onsekiz Mart University , \u00c7anakkale,","place":["Turkey"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2890-1244","authenticated-orcid":false,"given":"Rubal","family":"Kanozia","sequence":"additional","affiliation":[{"name":"Department of Mass Communication and Media Studies, Central University of Punjab , Bathinda,","place":["India"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2296-7602","authenticated-orcid":false,"given":"Matthew H E M","family":"Browning","sequence":"additional","affiliation":[{"name":"Department of Parks, Recreation, and Tourism Management, Clemson University , Clemson, South Carolina,","place":["USA"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8129-6696","authenticated-orcid":false,"given":"Shannon","family":"Freeman","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Northern British Columbia , Prince George, British 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