{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:46:56Z","timestamp":1790822816671,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,1,4]],"date-time":"2025-01-04T00:00:00Z","timestamp":1735948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,1,4]],"date-time":"2025-01-04T00:00:00Z","timestamp":1735948800000},"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":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Based on the socio\u2010ecological model, the present study examined influencing factors of eHealth literacy among Chinese older adults at individual\u2010level (e.g., socio\u2010demographics, Internet use, and health status), interpersonal (e.g., informational support and instrumental support), and community\u2010level (e.g., available public facilities).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A longitudinal study was conducted among 611 Chinese older adults aged 55 or over.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From February to December 2022, older people's eHealth literacy was collected at baseline, 3\u2010month and 6\u2010month follow\u2010up surveys and other variables were collected only at baseline, using online questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 611 participants, 464 (75.9%) completed both follow\u2010up surveys. At the individual level, participants who were older, female gender, rural residents, living alone, had lower education, occupational levels and income, and had chronic conditions and long\u2010term medication showed lower eHealth literacy. Older adults with longer Internet use history, online health information seeking, more frequent health\u2010related Internet use, higher self\u2010rated Internet skills and positive perceptions towards online health information exhibited higher eHealth literacy over time. In terms of interpersonal and community\u2010level factors, perceiving informational and instrumental support when using digital health, and having access to health facilities (e.g., health education) and technological training provided by the community could predict older individuals' higher eHealth literacy over time, after adjusting for covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Older people's eHealth literacy can be influenced by factors at individual, interpersonal, and community levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications and Impact<\/jats:title>\n                    <jats:p>This longitudinal study identified significant factors influencing older individuals' eHealth literacy at different levels. Understanding unmodifiable factors at the individual level can help identify the subgroups that may need targeted support and interventions for promoting eHealth literacy. Furthermore, findings can guide tailored interventions to improve eHealth literacy through modifiable factors at the technological, interpersonal and community levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>Adhered to the STROBE guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.16702","type":"journal-article","created":{"date-parts":[[2025,1,4]],"date-time":"2025-01-04T20:48:42Z","timestamp":1736023722000},"page":"5831-5844","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Multi\u2010Level Factors Influencing\n                    <scp>eHealth<\/scp>\n                    Literacy Among Chinese Older Adults: A Longitudinal Study"],"prefix":"10.1111","volume":"81","author":[{"given":"Luyao","family":"Xie","sequence":"first","affiliation":[{"name":"Centre for Health Behaviours Research, JC School of Public Health and Primary Care The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9822-5424","authenticated-orcid":false,"given":"Phoenix K. H.","family":"Mo","sequence":"additional","affiliation":[{"name":"Centre for Health Behaviours Research, JC School of Public Health and Primary Care The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,4]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"(CNNIC) C.I.N.I.C.2011. \u201cThe 27th Statistical Report on Internet Development in China.\u201dhttps:\/\/www.cnnic.net.cn\/NMediaFile\/old_attach\/P020120612484952635717.pdf."},{"key":"e_1_2_13_3_1","unstructured":"(CNNIC) C.I.N.I.C.2024. \u201cThe 53rd Statistical Report on Internet Development in 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