Age as an important predictor for digital health literacy: Cross-sectional evidence of internet users from an international multisite study in North America and EU countries.

This study investigates digital health literacy across North America and Europe to understand the sociodemographic factors influencing eHealth literacy, specifically the role of age. This international, multi-site population employed a convenience sample across nine countries (N = 1,314) between Apr...

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Published in:Educational Gerontology Vol. 52; no. 5; pp. 488 - 502
Main Authors: Großschädl, Franziska, Marston, Hannah R., Ivan, Loredana, Prabhu, Vishnu, Earle, Sarah
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd May2026
Online Access:View this record in EBSCOhost
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      dt: May2026
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/03601277.2025.2505568
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        atl: Age as an important predictor for digital health literacy: Cross-sectional evidence of internet users from an international multisite study in North America and EU countries.
      aug:
        au:
          Großschädl, Franziska
          Marston, Hannah R.
          Ivan, Loredana
          Prabhu, Vishnu
          Earle, Sarah
        affil: Institute of Nursing Science, Medical University of Graz, Graz, Austria
      sug:
        subj:
          COVID-19 Pandemic Psychosocial Factors
          COVID-19 Pandemic Psychosocial Factors
          Age Factors
          Telemedicine
          Health Literacy
          Internet Utilization
          Sociodemographic Factors
          Human
          Male
          Female
          Adolescence
          Adult
          Middle Age
          North America
          Europe
          Cross Sectional Studies
          Convenience Sample
          Snowball Sample
          Health Informatics
          Socioeconomic Factors
          Information Seeking Behavior
          Digital Technology
          Educational Status
          Employment
          Sex Factors
          One-Way Analysis of Variance
          T-Tests
          Post Hoc Analysis
          Bivariate Statistics
          Statistical Significance
          Data Analysis Software
          Descriptive Statistics
          Scales
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: This study investigates digital health literacy across North America and Europe to understand the sociodemographic factors influencing eHealth literacy, specifically the role of age. This international, multi-site population employed a convenience sample across nine countries (N = 1,314) between April 2020–2021, presenting significant insights and recommendations for eHealth transformations. Using the eHealth Literacy Scale, a validated self-rated instrument, respondents in North America showed higher (t1641 = 2.18, p-value =.03) eHealth literacy than those in Europe. Respondents from the UK showed the highest scores (34.48 ± 5.45), and those from Spain – the lowest (29.50 ± 6.40). Age had a significant (f4,1292 = 3.73, p-value <.01) impact on the eHEALS scores, whereby respondents aged 50+ years reported higher eHealth literacy than younger respondents. Interaction effects of age*gender and age*employment predicted the highest eHealth literacy among adults aged 50+ years. Our findings reveal high eHEALS scores, suggesting that internet users in North America and Europe are confident in their ability to find and assess eHealth information. The coronavirus pandemic could have led to older people using mobile communication technologies for health purposes and becoming more confident in using digital tools. Offer diverse technology-based learning opportunities for older adults who want to learn about new technologies so that they have better access to their eHealth information.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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