Open AccessInternet Use in Old Age: Results of a German Population-Representative Survey
Author(s) -
Janine Quittschalle,
Janine Stein,
Melanie Luppa,
Alexander Pabst,
Margrit Löbner,
HansHelmut König,
Steffi G Riedel-Heller
Publication year - 2020
Publication title -
jmir. journal of medical internet research/journal of medical internet research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.446
H-Index - 142
eISSN - 1439-4456
pISSN - 1438-8871
DOI - 10.2196/15543
Subject(s) - medicine , logistic regression , the internet , odds ratio , demography , psychological intervention , health information national trends survey , gerontology , population , german , health care , health information , environmental health , psychiatry , world wide web , geography , sociology , computer science , economics , economic growth , archaeology
Background The internet has the potential to foster healthy lifestyles and to support chronic disease management. Older adults could benefit from using the internet and other information and communication technology to access health-related information and interventions available online. Objective The aim of this study was to investigate factors influencing internet use in older and oldest age groups and to determine the frequency of internet use for health-related purposes. Methods Using data from a nationally representative telephone survey of older adults aged 75 years and over, a sample of 999 people was assessed using structured clinical interviews. Descriptive and binary logistic regression analyses were performed. Results Overall, 42.6% (418/999) of participants used the internet. Among those, 55.7% (233/417) searched the internet for health-related information. Regression analyses revealed that internet use was significantly associated with younger age (odds ratio [OR] 0.89, 95% CI 0.85-0.92; P <.001), male gender (OR 2.84, 95% CI 2.02-4.00; P <.001), higher education levels (OR 6.69, 95% CI 4.48-9.99; P <.001), a wider social network (OR 1.04, 95% CI 1.01-1.07; P =.01), higher health-related quality of life (OR 1.02, 95% CI 1.00-1.03; P =.006), lower levels of depressive symptoms (OR 0.89, 95% CI 0.80-0.99; P =.04), and higher rates of chronic illness (OR 1.12, 95% CI 1.04-1.21; P <.004). Conclusions This study provides population-representative data on internet use in old age in Germany. People in the older and oldest age groups participate in online activities. Understanding the factors that are associated with older adults internet use can contribute to developing tailored interventions and eHealth (electronic health) services to improve well-being in older adults.