Karina Karolina De Santis|Tina Jahnel|Elida Sina|Julian Wienert|Hajo Zeeb
Digitization and Health in Germany: Cross-sectional Nationwide Survey
Leibniz Institute for Prevention Research and Epidemiology - BIPS|University of Bremen|Faculty (United Kingdom)|Leibniz Institute for Prevention Research and Epidemiology - BIPS|Leibniz Institute for Prevention Research and Epidemiology - BIPS|Klinik Bad Reichenhall|IU International University of Applied Sciences|University of Bremen|Leibniz Institute for Prevention Research and Epidemiology - BIPS|Faculty (United Kingdom)
digital technologies shaping medicine public healththe aim study investigate attitudes toward use digital technologies healthrelated purposes using nationwide surveywe performed crosssectional study using panel sample internet users selected general population living germany responses survey 28 items collected using computerassisted telephone interviews conducted october 2020 items divided four topics 1 general attitudes toward digitization 2 covid19 pandemic 3 physical activity 4 perceived digital health ehealth literacy measured ehealth literacy scale eheals sum score 8lowest 40highest perceived ehealth literacy data analyzed ibmspss24 using relative frequencies three univariate multiple regression analyses linear binary logistic performed investigate associations among sociodemographic factors age gender education household income digital technology usethe participants included 1014 internet users n528 5207 women aged 14 93 years mean 54 sd 17 among participants 6647 6741014 completed tertiary primary secondary education 4507 4571017 reported household income 3500 euromonth 1 eurous 118 half 5791014 5710 reported used digital technologies healthrelated purposes majority 8981014 8856 noted digitization important therapy health care future 2564 2601014 reported interest smartphone apps health promotionprevention 4270 4331014 downloaded covid19 contacttracing app although 5247 5321014 reported come across inaccurate digital information covid19 pandemic 7801 7911014 confident ability recognize inaccurate information among use digital technologies moderate physical activity n220 187 850 found technologies easy use 140 636 reported using regularly least week although perceived ehealth literacy high eheals mean score 31 points sd 6 less half 4310 400928 confident using digital information health decisions use digital technologies health associated higher household income odds ratio 128 95 ci 111147 use digital technologies physical activity associated younger age 095 95 ci 094096 education 122 95 ci 101146 higher perceived ehealth literacy score associated younger age 22 p001 higher household income 21 p001 education 14 p001internet users germany expect digitization affect preventive therapeutic health care future facilitators barriers associated use digital technologies health warrant research gap exists high confidence perceived ability evaluate digital information low trust internetbased information covid19 pandemic health decisions