JMIR Publications

ABSTRACT

Background:

Given the demographic trend and the aging population, the Internet seems to have the potential to foster a healthy lifestyle and to support chronic disease management.

Objective:

The aim of this study was to investigate factors influencing Internet use among the German oldest old, and further to determine the frequency of Internet use for health related purposes.

Methods:

Using data from a nationally representative telephone survey among older adults aged 75 years and over, a sample of 999 people was assessed using structured clinical interviews. Descriptive and interferential statistical analyses were performed.

Results:

Overall, almost half (42.6%) of people over the age of 75 used the Internet. Among the Internet users, more than half searched the Internet for health-related information (55.7%). Further, regression analyses revealed that Internet use were significantly associated with younger age (OR 0.89 (0.85-0.92)), male gender (OR 2.84 (2.02-4.00)), higher education levels (OR 6.69 (4.48-9.99)), a wider social network (OR 1.04 (1.01-1.07)), higher health-related quality of life (OR 1.02 (1.00-1.03)), lower levels of depressive symptoms (OR 0.89 (0.80-0.99)), and higher rates of chronic illness (OR 1.12 (1.04-1.21)).

Conclusions:

This study provides population-representative data on Internet use among the oldest old in Germany. The findings reveal that people aging 75 years and older participate in online activities. Understanding the factors that are associated with older adults Internet use can contribute to develop tailored interventions and e-health services to improve older adult’s well-being.