{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:51:30Z","timestamp":1782845490097,"version":"3.54.5"},"reference-count":58,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Older adults might not use computers due to psychological barriers, environmental barriers such as not owning a computer or lack of internet access, and health-related barriers such as difficulties with fine motor skills, low cognitive function, or low vision. Given the health benefits of internet use among older adults, inadequate use of the internet is an urgent public health issue in many countries.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n We aimed to determine whether visual impairment is associated with internet use in a population-based sample of older adults.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This cross-sectional study sourced data for the year 2016 from the Japan Gerontological Evaluation Study. It included functionally independent community-dwelling individuals aged \u226565 years (N=19,452) in Japan. The respondents reported their visual status by answering the question, \u201cIs your eyesight (without or with usual glasses or corrective lenses) excellent, very good, good, fair, or poor?\u201d We defined \u201cinternet user\u201d as a person who uses the internet \u201calmost daily.\u201d We used multivariate logistic regression with multiple imputations to analyze visual status, daily internet use, and any correlations between them.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n We observed that 23.6% (4599\/19,452) of respondents used the internet almost daily. Respondents with good visual status notably tended to use the internet more frequently than those with poor visual status. Specifically, 13% and 31% of respondents with poor and excellent vision, respectively, used the internet almost daily. In contrast, 66% and 45% of respondents with poor and excellent vision, respectively, did not use the internet. Even after adjusting for several covariates (age, sex, equivalized income, years of education, marital status, depression, history of systemic comorbidities, frequency of meeting friends, and total social participation score), significant associations persisted between visual status and daily internet usage. The odds ratios (ORs) tended to increase as visual status improved (\n P<\/jats:italic>\n for trend <.001). The adjusted ORs for individuals with excellent and very good visual status who used the internet almost daily were 1.38 (95% CI 1.22-1.56) and 1.25 (95% CI 1.15-1.36), respectively. Conversely, the adjusted OR for those with fair or poor visual status was 0.73 (95% CI 0.62-0.86).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n In this study, we reaffirmed what several previous studies have pointed out using a very large dataset; visual impairment negatively impacted daily internet use by older adults. This highlights the need to address visual impairments to promote web use as health care services become more easily accessed on the web.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/58729","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T07:41:58Z","timestamp":1728546118000},"page":"e58729-e58729","source":"Crossref","is-referenced-by-count":1,"title":["Association Between Visual Impairment and Daily Internet Use Among Older Japanese Individuals: Cross-Sectional Questionnaire Study"],"prefix":"10.2196","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1478-6230","authenticated-orcid":false,"given":"Atsuhide","family":"Takesue","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8934-9396","authenticated-orcid":false,"given":"Yoshimune","family":"Hiratsuka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0076-816X","authenticated-orcid":false,"given":"Katsunori","family":"Kondo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8405-9872","authenticated-orcid":false,"given":"Jun","family":"Aida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3908-696X","authenticated-orcid":false,"given":"Atsushi","family":"Nakagomi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4200-0052","authenticated-orcid":false,"given":"Shintaro","family":"Nakao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"issue":"10053","key":"R1","doi-asserted-by":"publisher","first-page":"1603","DOI":"10.1016\/S0140-6736(16)31460-X","article-title":"Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015","volume":"388","author":"Kassebaum","journal-title":"Lancet"},{"issue":"6","key":"R2","doi-asserted-by":"publisher","first-page":"766","DOI":"10.1001\/archophthalmol.2010.86","article-title":"Economic cost of visual impairment in Japan","volume":"128","author":"Roberts","journal-title":"Arch Ophthalmol"},{"issue":"14","key":"R3","doi-asserted-by":"publisher","first-page":"1083","DOI":"10.1001\/jama.279.14.1083","article-title":"Visual processing impairment and risk of motor vehicle crash among older adults","volume":"279","author":"Owsley","journal-title":"JAMA"},{"issue":"5","key":"R4","doi-asserted-by":"publisher","first-page":"664","DOI":"10.1046\/j.1532-5415.2001.49115.x","article-title":"Guideline for the prevention of falls in older persons. 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