How does digital literacy affect the health status of senior citizens? Micro-level evidence from the CFPS data

Abstract Background The popularization of the Internet and digital technology has called for higher digital literacy among citizens, especially the elderly. However, most existing studies didn’t measure digital literacy at the micro level, and the impact mechanism has rarely been discussed. The purp...

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Main Authors: Xiaoyi Chen, Nian Wang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-025-12314-7
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author Xiaoyi Chen
Nian Wang
author_facet Xiaoyi Chen
Nian Wang
author_sort Xiaoyi Chen
collection DOAJ
description Abstract Background The popularization of the Internet and digital technology has called for higher digital literacy among citizens, especially the elderly. However, most existing studies didn’t measure digital literacy at the micro level, and the impact mechanism has rarely been discussed. The purpose of this study is to clarify whether and how digital literacy affects the health status of senior citizens. Methods The data used in this study are collected from the China Family Panel Studies (CFPS) from three periods: 2016, 2018, and 2020. The balanced panel data comprised 7836 samples, with 2612 samples per year. Based on the CFPS data, this study constructs a balanced panel and employs a two-way fixed-effects model for the estimation. The instrumental variable (IV) method is employed for tackling the endogenous problems. Next, the mediation effect model is applied to identify the influencing mechanism. Results First, digital literacy can improve the health status of senior citizens. This result remains valid after introducing lagged explanatory variables and addressing the endogeneity issues. Second, social support acts as a partial mediator in the relationship between digital literacy and the health status of senior citizens. Third, the heterogeneity analysis reveals that the effect of digital literacy on the health status of senior citizens varies across age groups, urban–rural types, and education levels. Conclusions This study examines the impact of digital literacy on the health status of senior citizens at the micro-level and identifies the mediation mechanism. The results enhance our understanding of the positive effects of digitalization on aging society and offer useful insights for the government in formulating more targeted active aging strategies.
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spelling doaj-art-72e0925fcb8a4e63a68ea440480d0cd62025-02-02T12:13:59ZengBMCBMC Health Services Research1472-69632025-01-0125111510.1186/s12913-025-12314-7How does digital literacy affect the health status of senior citizens? Micro-level evidence from the CFPS dataXiaoyi Chen0Nian Wang1College of Digital Economics, Nanning UniversityChina-ASEAN Institute of Statistics, Guangxi University of Finance and EconomicsAbstract Background The popularization of the Internet and digital technology has called for higher digital literacy among citizens, especially the elderly. However, most existing studies didn’t measure digital literacy at the micro level, and the impact mechanism has rarely been discussed. The purpose of this study is to clarify whether and how digital literacy affects the health status of senior citizens. Methods The data used in this study are collected from the China Family Panel Studies (CFPS) from three periods: 2016, 2018, and 2020. The balanced panel data comprised 7836 samples, with 2612 samples per year. Based on the CFPS data, this study constructs a balanced panel and employs a two-way fixed-effects model for the estimation. The instrumental variable (IV) method is employed for tackling the endogenous problems. Next, the mediation effect model is applied to identify the influencing mechanism. Results First, digital literacy can improve the health status of senior citizens. This result remains valid after introducing lagged explanatory variables and addressing the endogeneity issues. Second, social support acts as a partial mediator in the relationship between digital literacy and the health status of senior citizens. Third, the heterogeneity analysis reveals that the effect of digital literacy on the health status of senior citizens varies across age groups, urban–rural types, and education levels. Conclusions This study examines the impact of digital literacy on the health status of senior citizens at the micro-level and identifies the mediation mechanism. The results enhance our understanding of the positive effects of digitalization on aging society and offer useful insights for the government in formulating more targeted active aging strategies.https://doi.org/10.1186/s12913-025-12314-7Digital literacyHealth statusSenior citizensSocial supportMediation mechanism
spellingShingle Xiaoyi Chen
Nian Wang
How does digital literacy affect the health status of senior citizens? Micro-level evidence from the CFPS data
BMC Health Services Research
Digital literacy
Health status
Senior citizens
Social support
Mediation mechanism
title How does digital literacy affect the health status of senior citizens? Micro-level evidence from the CFPS data
title_full How does digital literacy affect the health status of senior citizens? Micro-level evidence from the CFPS data
title_fullStr How does digital literacy affect the health status of senior citizens? Micro-level evidence from the CFPS data
title_full_unstemmed How does digital literacy affect the health status of senior citizens? Micro-level evidence from the CFPS data
title_short How does digital literacy affect the health status of senior citizens? Micro-level evidence from the CFPS data
title_sort how does digital literacy affect the health status of senior citizens micro level evidence from the cfps data
topic Digital literacy
Health status
Senior citizens
Social support
Mediation mechanism
url https://doi.org/10.1186/s12913-025-12314-7
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