Sense of coherence mediates the relationship between digital health literacy and anxiety about the future in aging population during the COVID-19 pandemic: a path analysis
Abstract
Objectives: During the COVID-19 pandemic, older adults experience various challenges, including information uncertainties, financial pressure, and visit restrictions, which may lead to anxiety about the future. As a protective factor, sense of coherence (SOC) may play a role to reduce some psychological discomfort. This study aimed to analyze the relationships of SOC with anxiety, digital health literacy (DHL), information, and financial satisfaction among older adults during the outbreak. Methods: This is part of a large-scale DHL study with a cross-sectional survey across 41 countries. This study extracted data from three Asian countries (China, the Philippines, and Singapore) and included people aged ≥60. Structural equation modeling with path analysis was utilized to examine the relationships of SOC with anxiety about the future and other variables. Results: A total of 266 older adults were included, with 43.2% expressed anxiety about the future. DHL (β=-0.13, p p = 0.01) were negatively associated with anxiety, while financial and information satisfaction were not. However, financial satisfaction (β = 0.34, p p = 0.01) were positively associated with SOC. Higher SOC further mediated the negative relationships of DHL (β= -0.11, p = 0.004) and financial satisfaction (β= -0.12, p = 0.004) on anxiety of older adults. Conclusions: SOC had direct negative effect on anxiety and mediated the relationships between anxiety and DHL/financial satisfaction. Strategies should be devel…
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In an elderly population, DHL was associated with information satisfaction.
“Similarly, a study conducted among an elderly population reported that DHL was associated with information satisfaction [61].”
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Digital literacy as a new determinant of health: A scoping review
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- Authors
- Leung, A. Y. M., Parial, L. L., Tolabing, M. C., Sim, T., Mo, P., Okan, O., & Dadaczynski, K.
- Affiliations
- Hong Kong Polytechnic University (HK)
- University of the Philippines Manila (PH)
- Chinese University of Hong Kong (HK)
- Bielefeld University (DE)
- Leuphana University of Lüneburg (DE)
- Corresponding author
- Leung, Angela Yee Man
- ORCID
- Venue
- Aging & Mental Health
- Publisher
- Informa UK Limited
- Published
- 2021-01-13
- Volume
- 26
- Issue
- 3
- Pages
- 544-553
- ISSN
- 1360-7863 (ISSN-L)
- 1364-6915
- OpenAlex
- W3119261037
- Cited by
- 76
- References
- 5
- Citations by year
- 2026: 3 · 2025: 20 · 2024: 15 · 2023: 16 · 2022: 16 · 2021: 6
- FWCI
- 14.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Aging & Mental Health (publishedVersion)
- PubMed (publishedVersion)
- mediaTUM (Technical University of Munich) (submittedVersion)
- PUB – Publications at Bielefeld University (Bielefeld University) (submittedVersion)
- Multilingual Matters (Channel View Publications) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Keywords
- sense of coherence, digital health literacy, future anxiety, older adults, COVID-19 pandemic, financial satisfaction, information satisfaction, mediation, protective factors, psychological well-being
- MeSH terms
- COVID-19, SARS-CoV-2, Aged, Aging, Anxiety, Cross-Sectional Studies, Humans, Health Literacy, Pandemics, Sense of Coherence
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