The impact of digital literacy on personal health: Evidence from the China family panel study

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES International Journal of Health Planning and Management Pub Date : 2024-05-28 DOI:10.1002/hpm.3816
Hao Li, Zihan Yang
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Abstract

Background

In the digital era, digital literacy is a fundamental indicator of a nation's quality and plays a crucial role in public health. Exploring the theoretical mechanisms and effects of digital literacy on individuals' health is of great practical importance, advancing the initiatives of ‘Digital China’ and ‘Healthy China’.

Methods

The study utilised three-period survey panel data from the China Family Panel Study spanning 2016, 2018, and 2020 to measure and evaluate levels of digital literacy, physical health, mental health, healthy lifestyle, and integrated health among the participants. Subsequently, a series of empirical analyses were conducted to examine the general impact, heterogeneous effects and transmission pathways of digital literacy on various types of health levels.

Results

Digital literacy significantly enhances all aspects of respondents' health, and this conclusion remains valid even after conducting robustness tests and addressing endogeneity through variable substitution and selecting instrumental variables using the 2SLS method. Furthermore, examining heterogeneity by considering individual traits and the makeup of digital literacy reveals that the impact of digital literacy on individuals' health varies according to age, cultural background, personal income, and the components of digital literacy. Pathway analyses also demonstrate that medical accessibility, information access, social network, and planned behaviour are key routes through which digital literacy enhances the health of the population.

Conclusions

It is imperative for the government to actively promote the advancement of the digital healthcare industry, while individuals should strive to enhance their digital literacy. By collectively focussing on these efforts, national health can be significantly improved.

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数字素养对个人健康的影响:来自中国家庭面板研究的证据。
背景:数字时代,数字素养是衡量一个民族素质的基本指标,对公众健康起着至关重要的作用。探讨数字素养对个人健康的理论机制和影响,对推进 "数字中国 "和 "健康中国 "建设具有重要的现实意义:本研究利用《中国家庭面板研究》2016年、2018年和2020年三期调查面板数据,对参与者的数字素养、身体健康、心理健康、健康生活方式和综合健康水平进行测量和评估。随后,进行了一系列实证分析,考察数字素养对各类健康水平的总体影响、异质性效应和传导途径:数字扫盲极大地提升了受访者各方面的健康水平,即使在进行稳健性检验、通过变量替代解决内生性问题以及使用 2SLS 方法选择工具变量后,这一结论依然有效。此外,通过考虑个人特征和数字素养的构成来研究异质性,可以发现数字素养对个人健康的影响因年龄、文化背景、个人收入和数字素养的构成而异。路径分析还表明,医疗可及性、信息获取、社交网络和计划行为是数字素养提高人口健康水平的主要途径:政府必须积极推动数字医疗行业的发展,而个人则应努力提高自身的数字素养。结论:政府应积极推动数字医疗产业的发展,个人也应努力提高自身的数字素养,通过共同努力,国民健康水平将得到显著提高。
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来源期刊
CiteScore
4.50
自引率
3.70%
发文量
197
期刊介绍: Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.
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