Abstract

Objectives: This study aimed to identify the differences and influencing factors in the use rates of healthcare apps according to eHealth literacy. Methods: Data were collected using an online survey, with eight evaluation items of eHealth literacy, for 1,000 Seoul citizens aged 19 through 64. The data were analyzed through a chi-square (χ²) test on the general characteristics and eHealth literacy of two groups: the users’ group and the non-users’ group mobile apps. Multiple logistic regression analysis was performed to understand the effect of eHealth literacy on the users’ group. Results: Of the respondents, 58.9% had experience using healthcare apps. Women and the middle-aged (50-64 years old) were used healthcare apps more. As for the type of apps used, physical activity apps were used the most at 85.4%, and the period of use was the highest for them at 49.4%. Most respondents (70.0%) agreed with the statement, ‘I know how to use the Internet to answer my health questions.’ Respondents who agreed that ‘I can distinguish high-quality health information from the Internet’ were the lowest at 40.0%. On the other hand, there was a significant difference between the users’ group and the non-users’ group in all eight evaluation items of eHealth literacy. The effect of eHealth literacy on the experience of using apps was that those who had access to information to help their health were most likely to use the apps (adjusted OR 2.328); 95% CI 1.782-3.040). Conclusion: eHealth literacy significantly increases the experience of using digital healthcare. With the development of digital technology, digital health policies and designs are required that do not alienate groups with weak eHealth literacy.

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