Published on in Vol 19, No 9 (2017): September

The Digital Divide and Health Disparities in China: Evidence From a National Survey and Policy Implications

The Digital Divide and Health Disparities in China: Evidence From a National Survey and Policy Implications

The Digital Divide and Health Disparities in China: Evidence From a National Survey and Policy Implications

Authors of this article:

Y Alicia Hong1, 2 Author Orcid Image ;   Zi Zhou1 Author Orcid Image ;   Ya Fang1 Author Orcid Image ;   Leiyu Shi3 Author Orcid Image

Journals

  1. Guo Y, Hong Y, Cai W, Li L, Hao Y, Qiao J, Xu Z, Zhang H, Zeng C, Liu C, Li Y, Zhu M, Zeng Y, Penedo F. Effect of a WeChat-Based Intervention (Run4Love) on Depressive Symptoms Among People Living With HIV in China: A Randomized Controlled Trial. Journal of Medical Internet Research 2020;22(2):e16715 View
  2. Yao H, Chen J, Zhao M, Qiu J, Koenen K, Stewart R, Mellor D, Xu Y. Mitigating mental health consequences during the COVID‐19 outbreak: Lessons from China. Psychiatry and Clinical Neurosciences 2020;74(7):407 View
  3. Qian W, Lam T, Lam H, Li C, Cheung Y. Telehealth Interventions for Improving Self-Management in Patients With Hemophilia: Scoping Review of Clinical Studies. Journal of Medical Internet Research 2019;21(7):e12340 View
  4. Yao H, Chen J, Xu Y. Rethinking online mental health services in China during the COVID-19 epidemic. Asian Journal of Psychiatry 2020;50:102015 View
  5. Joshi A, Malhotra B, Amadi C, Loomba M, Misra A, Sharma S, Arora A, Amatya J. Gender and the Digital Divide Across Urban Slums of New Delhi, India: Cross-Sectional Study. Journal of Medical Internet Research 2020;22(6):e14714 View
  6. Liao S, Zhou Y, Liu Y, Wang R. Variety, frequency, and type of Internet use and its association with risk of depression in middle- and older-aged Chinese: A cross-sectional study. Journal of Affective Disorders 2020;273:280 View
  7. Zhou K, Wang W, Zhao W, Li L, Zhang M, Guo P, Zhou C, Li M, An J, Li J, Li X. Benefits of a WeChat-based multimodal nursing program on early rehabilitation in postoperative women with breast cancer: A clinical randomized controlled trial. International Journal of Nursing Studies 2020;106:103565 View
  8. Hunsaker A, Hargittai E. A review of Internet use among older adults. New Media & Society 2018;20(10):3937 View
  9. Kamiński M, Łoniewski I, Marlicz W. “Dr. Google, I am in Pain”—Global Internet Searches Associated with Pain: A Retrospective Analysis of Google Trends Data. International Journal of Environmental Research and Public Health 2020;17(3):954 View
  10. Jiang S. Talk to Your Doctors Online: An Internet-based Intervention in China. Health Communication 2021;36(4):405 View
  11. Yan B, Chen X, Gill T. Health inequality among Chinese older adults: The role of childhood circumstances. The Journal of the Economics of Ageing 2020;17:100237 View
  12. Chen X, Yan B, Gill T. Childhood Circumstances and Health Inequality in Old Age: Comparative Evidence from China and the USA. Social Indicators Research 2022;160(2-3):689 View
  13. Yang J, Du P. Gender, capital endowment and digital exclusion of older people in China. Ageing and Society 2021;41(11):2502 View
  14. Alshammari R, Parkes M, Adlington R. Factors influencing Saudi Arabian Preparatory Year students’ skills and attitudes in the use of mobile devices in learning English as a Foreign Language. International Journal of Research Studies in Educational Technology 2018;7(1) View
  15. Al-Ansari A, El Tantawi M, Mehaina M, Alhareky M, Sadaf S, AlHumaid J, AlAgl A, Al-Harbi F. Regional caries data availability in Saudi Arabia: Impact of socioeconomic factors and research potential. The Saudi Dental Journal 2019;31(2):157 View
  16. Fiske A, Prainsack B, Buyx A. Meeting the needs of underserved populations: setting the agenda for more inclusive citizen science of medicine. Journal of Medical Ethics 2019;45(9):617 View
  17. Yu D, Fiebig D. Internet use and cognition among middle-aged and older adults in China: A cross-lagged panel analysis. The Journal of the Economics of Ageing 2020;17:100262 View
  18. Guo Y, Hong Y, Qiao J, Xu Z, Zhang H, Zeng C, Cai W, Li L, Liu C, Li Y, Zhu M, Harris N, Yang C. Run4Love, a mHealth (WeChat-based) intervention to improve mental health of people living with HIV: a randomized controlled trial protocol. BMC Public Health 2018;18(1) View
  19. Jiang S. The Relationship between Face-to-Face and Online Patient-Provider Communication: Examining the Moderating Roles of Patient Trust and Patient Satisfaction. Health Communication 2020;35(3):341 View
  20. Fiske A, Prainsack B, Buyx A. Data Work: Meaning-Making in the Era of Data-Rich Medicine. Journal of Medical Internet Research 2019;21(7):e11672 View
  21. Hong Y, Zhou Z. A Profile of eHealth Behaviors in China: Results From a National Survey Show a Low of Usage and Significant Digital Divide. Frontiers in Public Health 2018;6 View
  22. Duan W, Bu H, Chen Z. COVID-19-related stigma profiles and risk factors among people who are at high risk of contagion. Social Science & Medicine 2020;266:113425 View
  23. Liu B. The Impact of Intersectionality of Multiple Identities on the Digital Health Divide, Quality of Life and Loneliness amongst Older Adults in the UK. The British Journal of Social Work 2021;51(8):3077 View
  24. Shen H, van der Kleij R, van der Boog P, Song X, Wang W, Zhang T, Li Z, Lou X, Chavannes N. Development and evaluation of an eHealth self-management intervention for patients with chronic kidney disease in China: protocol for a mixed-method hybrid type 2 trial. BMC Nephrology 2020;21(1) View
  25. Qian Y, Gui W. Identifying health information needs of senior online communities users: a text mining approach. Aslib Journal of Information Management 2020;73(1):5 View
  26. Wang T, Guo X, Wu T, Pires I. Social Capital and Digital Divide: Implications for Mobile Health Policy in Developing Countries. Journal of Healthcare Engineering 2021;2021:1 View
  27. Shen H, van der Kleij R, van der Boog P, Wang W, Song X, Li Z, Lou X, Chavannes N. Patients’ and healthcare professionals’ beliefs, perceptions and needs towards chronic kidney disease self-management in China: a qualitative study. BMJ Open 2021;11(3):e044059 View
  28. Mu A, Deng Z, Wu X, Zhou L. Does digital technology reduce health disparity? Investigating difference of depression stemming from socioeconomic status among Chinese older adults. BMC Geriatrics 2021;21(1) View
  29. Han H, Xiong J, Zhao K. Digital inclusion in social media marketing adoption: the role of product suitability in the agriculture sector. Information Systems and e-Business Management 2022;20(4):657 View
  30. Liu C, Wang L. Who is left behind? Exploring the characteristics of China's broadband non-adopting families. Telecommunications Policy 2021;45(9):102187 View
  31. Kouvonen A, Kemppainen L, Ketonen E, Kemppainen T, Olakivi A, Wrede S. Digital Information Technology Use, Self-Rated Health, and Depression: Population-Based Analysis of a Survey Study on Older Migrants. Journal of Medical Internet Research 2021;23(6):e20988 View
  32. Shi Y, Ma D, Zhang J, Chen B. In the digital age: a systematic literature review of the e-health literacy and influencing factors among Chinese older adults. Journal of Public Health 2023;31(5):679 View
  33. You Z, Zhong M, Gao Q, Wei H, Zeng X. The Impact of Digital Economy on Residents' Health: Based on the Perspective of Population Ageing. Frontiers in Public Health 2021;9 View
  34. Zimmer C, McDonough M. Social Support and Physical Activity in Older Adults: Identifying Predictors Using Data From the Canadian Longitudinal Study on Aging. Journal of Aging and Physical Activity 2022;30(1):136 View
  35. Li D, Zhang R, Chen C, Huang Y, Wang X, Yang Q, Zhu X, Zhang X, Hao M, Shui L. Developing a Capsule Clinic—A 24-Hour Institution for Improving Primary Health Care Accessibility: Evidence From China. JMIR Medical Informatics 2023;11:e41212 View
  36. Huang Q, Wei L. Explaining education-based difference in systematic processing of COVID-19 information: Insights into global recovery from infodemic. Information Processing & Management 2022;59(4):102989 View
  37. Tay W, Quek R, Kaur B, Lim J, Henry C. Use of Facial Morphology to Determine Nutritional Status in Older Adults: Opportunities and Challenges. JMIR Public Health and Surveillance 2022;8(7):e33478 View
  38. Jiang S, Zhang W, Yang T, Wu D, Yu L, Cottrell R. Regional Internet Access and Mental Stress Among University Students: A Representative Nationwide Study of China. Frontiers in Public Health 2022;10 View
  39. Wang Z, Xiao H, Lin L, Tang K, Unger J. Geographic social inequalities in information-seeking response to the COVID-19 pandemic in China: longitudinal analysis of Baidu Index. Scientific Reports 2022;12(1) View
  40. Hung J. Smart Elderly Care Services in China: Challenges, Progress, and Policy Development. Sustainability 2022;15(1):178 View
  41. Li L, Jin G, Guo Y, Zhang Y, Jing R. Internet access, support, usage divides, and depressive symptoms among older adults in China: A nationally representative cross-sectional study. Journal of Affective Disorders 2023;323:514 View
  42. Zhang Y, Zhang X, Li Y, Lin Z, Li X, Tu X, Zhou Y, Qian D, Liu H. The Utilization of Mobile Phones in Health Information Seeking in Rural China. Libri 2022;72(3):297 View
  43. Fang P, Shi S, Menhas R, Laar R, Saeed M. Demographic Characteristics and Digital Platforms for Physical Activity Among the Chinese Residents During the COVID-19 Pandemic: A Mediating Analysis. Journal of Multidisciplinary Healthcare 2022;Volume 15:515 View
  44. Kickbusch I, Piselli D, Agrawal A, Balicer R, Banner O, Adelhardt M, Capobianco E, Fabian C, Singh Gill A, Lupton D, Medhora R, Ndili N, Ryś A, Sambuli N, Settle D, Swaminathan S, Morales J, Wolpert M, Wyckoff A, Xue L, Bytyqi A, Franz C, Gray W, Holly L, Neumann M, Panda L, Smith R, Georges Stevens E, Wong B. The Lancet and Financial Times Commission on governing health futures 2030: growing up in a digital world. The Lancet 2021;398(10312):1727 View
  45. He Y, Zhou L, Xu X, Li J, Li J. A study on the impact and buffer path of the internet use gap on population health: Latent category analysis and mediating effect analysis. Frontiers in Public Health 2022;10 View
  46. Lu Z, Shi L, Que J, Zheng Y, Wang Q, Liu W, Huang Y, Liu X, Yuan K, Yan W, Shi J, Bao Y, Lu L. Accessibility to Digital Mental Health Services among the General Public throughout COVID-19: Trajectories, Influencing Factors and Association with Long-Term Mental Health Symptoms. International Journal of Environmental Research and Public Health 2022;19(6):3593 View
  47. Liu Y, Wang J, Yan Z, Huang R, Cao Y, Song H, Feng D. Impact of child’s migration on health status and health care utilization of older parents with chronic diseases left behind in China. BMC Public Health 2021;21(1) View
  48. Chen W, Yang L, Wang X. Internet Use, Cultural Engagement, and Multi-Dimensional Health of Older Adults: A Cross-Sectional Study in China. Frontiers in Public Health 2022;10 View
  49. He R, He J, Zhang H. Generational differences in the relationship between media exposure and health behaviors during COVID-19 pandemic. Frontiers in Psychology 2023;14 View
  50. Zhang S, Zuo H, Meng X, Hu D. Support Life Club: A New Model Based on Social Media Group Chats and Social Activities That Can Improve Adherence and Clinical Outcomes in Patients Receiving Cardiac Rehabilitation. Patient Preference and Adherence 2022;Volume 16:1907 View
  51. Zhou S, Ni Z, Ogihara A, Wang X. Behavioral Patterns of Supply and Demand Sides of Health Services for the Elderly in Sustainable Digital Transformation: A Mixed Methods Study. International Journal of Environmental Research and Public Health 2022;19(13):8221 View
  52. Shen H, van der Kleij R, van der Boog P, Wang W, Song X, Li Z, Brakema E, Lou X, Chavannes N. Digital tools/eHealth to support CKD self-management: A qualitative study of perceptions, attitudes and needs of patients and health care professionals in China. International Journal of Medical Informatics 2022;165:104811 View
  53. Shi J, Liu M, Fu G, Dai X. Internet use among older adults: Determinants of usage and impacts on individuals’ well-being. Computers in Human Behavior 2023;139:107538 View
  54. Chen W, Miao J. Does the Internet Moderate the Neighborhood Effect? Internet Use, Neighborhoods, and Mental Health among Older Adults in Shanghai. International Journal of Environmental Research and Public Health 2023;20(3):2267 View
  55. Li L, Ding H. The Relationship between Internet Use and Population Health: A Cross-Sectional Survey in China. International Journal of Environmental Research and Public Health 2022;19(3):1322 View
  56. Albizzati A, Riva Crugnola C, Moioli M, Ierardi E. Aspetti positivi e limiti della telemedicina: esperienze di lavoro in Neuropsichiatria infantile in tempo di Covid-19. Medico e Bambino 2021;40(9):583 View
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  59. Li Y, Guo Y, Hong Y, Zeng Y, Monroe-Wise A, Zeng C, Zhu M, Zhang H, Qiao J, Xu Z, Cai W, Li L, Liu C. Dose–Response Effects of Patient Engagement on Health Outcomes in an mHealth Intervention: Secondary Analysis of a Randomized Controlled Trial. JMIR mHealth and uHealth 2022;10(1):e25586 View
  60. Bu H, He A, Gong N, Huang L, Liang K, Kastelic K, Ma J, Liu Y, Chen S, Chi X. Optimal movement behaviors: correlates and associations with anxiety symptoms among Chinese university students. BMC Public Health 2021;21(1) View
  61. Xin M, Mo P, Li J, Liu X, Jiang H, Chen Y, Ma L, Lau J. Smartphone non-users experience disproportionately higher psychological distress than their counterparts: Mediations via psychosocial resources in a large sample of college students in China. Journal of Affective Disorders 2022;296:41 View
  62. Li J, Dai Y, Wang C, Sun J. Assessment of Environmental Demands of Age-Friendly Communities from Perspectives of Different Residential Groups: A Case of Wuhan, China. International Journal of Environmental Research and Public Health 2022;19(15):9120 View
  63. Jiao R, Hj Ahmad J, Guo J. Is There a Barrier between Seniors and Smartphone Use in The Internet Age? A Study of Digital Disconnection among Older Adults. SHS Web of Conferences 2023;155:03010 View
  64. Rogers-Jarrell T, Vervaecke D, Meisner B. Intergenerational family leisure in the COVID-19 pandemic: some potentials, pitfalls, and paradoxes. World Leisure Journal 2021;63(3):316 View
  65. Jiang S, Zhang W, Yang T, Wu D, Yu L, Cottrell R. Regional Internet Access and Mental Stress among University Students: A Representative Nationwide Study of China (Preprint). JMIR Formative Research 2020 View
  66. Qu X, Houser S, Zhang J, Wen J, Zhang W. Association between using social media WeChat and depressive symptoms among middle-aged and older people: findings from a national survey. BMC Geriatrics 2022;22(1) View
  67. Wen W, Zhang Y, Shi W, Li J. Association Between Internet Use and Physical Health, Mental Health, and Subjective Health in Middle-aged and Older Adults: Nationally Representative Cross-sectional Survey in China. Journal of Medical Internet Research 2023;25:e40956 View
  68. Li Z, Yin H, Wang T, Jakovljevic M. Digital Divide of the Shattered “Iron Rice Bowl”: Economic Insecurity and ICT Access in China. Journal of Healthcare Engineering 2021;2021:1 View
  69. Wu H, Ba N, Ren S, Xu L, Chai J, Irfan M, Hao Y, Lu Z. The impact of internet development on the health of Chinese residents: Transmission mechanisms and empirical tests. Socio-Economic Planning Sciences 2022;81:101178 View
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  71. Wang F, Wang Z. The impact of the digital economy on occupational health: A quasi-experiment based on “Broadband China” pilot. Frontiers in Public Health 2023;10 View
  72. Wang C, Xie X, Hou D, Sun C, He W. Effect of WeChat Messaging on Improving the Quality of Bowel Preparation for Outpatient Colonoscopy. Gastroenterology Nursing 2022;45(2):120 View
  73. Han J, Zhao X. Impact of Internet Use on Multi-dimensional Health: An Empirical Study Based on CGSS 2017 Data. Frontiers in Public Health 2021;9 View
  74. Du Y, Zhou Q, Cheng W, Zhang Z, Hoelzer S, Liang Y, Xue H, Ma X, Sylvia S, Tian J, Tang W. Factors Influencing Adoption and Use of Telemedicine Services in Rural Areas of China: Mixed Methods Study. JMIR Public Health and Surveillance 2022;8(12):e40771 View
  75. Wang Y, Yang L, Xu W, Wang C, Chen J, Wu Y, Hu R. Effects of a WeChat-based multimodal psychoeducational intervention on psychological well-being and quality of life in acute leukaemia patients in China: a randomised controlled trial. Journal of Cancer Survivorship 2022;16(6):1461 View
  76. Huang Q, Lei S, Su S, Chen C. Explicating the health-related digital divide: A mediation mechanism between education level and online cancer information seeking frequency among Chinese adults. Information Development 2023;39(4):866 View
  77. Byaro M, Rwezaula A, Ngowi N. Does internet use and adoption matter for better health outcomes in sub-Saharan African countries? New evidence from panel quantile regression. Technological Forecasting and Social Change 2023;191:122445 View
  78. Ghosh A, Krishnan N, Kathirvel S, Pillai R, Basu D, George B, P. V. A, Sharma K, Kumar A. Digital screening and brief intervention for alcohol misuse in college students: A pilot, mixed‐methods, cluster randomized controlled trial from a low‐resourced setting. Asia-Pacific Psychiatry 2023;15(2-3) View
  79. Cao C, Cao W, Zheng X, Ji K, Wu Y, Hu Z, Chen R, Bai Z. Association of social capital with self-perceived eHealth literacy among community-dwelling older people: Age and gender differences. Frontiers in Public Health 2023;11 View
  80. Yan B, Chen X, Gill T. Health Inequality Among Chinese Older Adults: The Role of Childhood Circumstances. SSRN Electronic Journal 2020 View
  81. Zhou J, Zhao Q, Zhou J. Smart senior care cognition and health among Chinese elderly: A moderated mediation model featuring parent-child relationship and internet use. Current Psychology 2024;43(5):4374 View
  82. Han H, Hai C, Wu T, Zhou N. How does digital infrastructure affect residents' healthcare expenditures? Evidence from Chinese microdata. Frontiers in Public Health 2023;11 View
  83. Chirwa G, Manja L, Chasukwa M, Gunde A, Dulani B, Kayuni H, Chinsinga B. Assessing the relationship between digital divide and citizens’ political participation in Africa. Development Southern Africa 2023;40(6):1258 View
  84. Haryanti T, Rakhmawati N, Subriadi A. Measuring the digital transformation maturity level independently with the design science research methodology. Systems Engineering 2024;27(1):159 View
  85. Chen H, Marzo R, Sapa N, Ahmad A, Anuar H, Baobaid M, Jamaludin N, Hamzah H, Sarrafan S, Ads H, Kumar K, Hadi J, Sazali H, Abdalqader M. Trends in Health Communication: Social Media Needs and Quality of Life among Older Adults in Malaysia. Healthcare 2023;11(10):1455 View
  86. Liu W, Li W, Mou J. Does Internet usage make middle-aged and older adults feel healthier? Mediating role of social engagement. Industrial Management & Data Systems 2024;124(1):1 View
  87. Gong W, Jiang L, Guo Q, Shen F. The role of family communication patterns in intergenerational COVID-19 discussions and preventive behaviors: a social cognitive approach. BMC Psychology 2023;11(1) View
  88. Morse B, Soares A, Kwan B, Allen M, Lee R, Desanto K, Holliman B, Ytell K, Schilling L. A Transgender Health Information Resource: Participatory Design Study. JMIR Human Factors 2023;10:e42382 View
  89. Zhong W, Wang Z. The impact of regional Internet development on Chinese middle-aged and older adults’ depression, 2011–2018. Health Policy and Technology 2023;12(3):100784 View
  90. Wang S, Wang Y, Wan Y, Su P, Tao F, Sun Y. Modifiable factors associated with cognitive performance in Chinese adolescents: a national environment-wide association study. European Child & Adolescent Psychiatry 2024;33(4):1047 View
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Books/Policy Documents

  1. Celdrán M, Serrat R, Villar F. Perspectives on Human-Computer Interaction Research with Older People. View
  2. Kool V, Agrawal R. Gandhi and the Psychology of Nonviolence, Volume 2. View
  3. Chen Z, Pei X. Coping with COVID-19, the Mobile Way. View