JMIR Publications

ABSTRACT

Background:

The rapid evolution of digital technologies has transformed many aspects of daily life, offering substantial benefits for health and well-being through telemedicine and telehealth services. However, disparities in access to these technologies, particularly among older adults with visual impairments, remain a significant concern.

Objective:

This study aimed to examine the differences in access to and use of digital technologies between older adults in Poland with near visual impairment and those without.

Methods:

This cross-sectional analysis utilized data from the PolSenior2 project, a nationwide, multicenter survey conducted between 2018 and 2019. The sample included 5,872 community-dwelling Polish adults aged 60 and older, selected using a random, three-stage, proportional sampling method, stratified by age and sex. Self-reported data on access to and usage of digital technologies, including smartphones, computers, and internet access, were collected. Near visual acuity was assessed using the Snellen chart for near vision.

Results:

Older adults with near visual impairment had significantly lower odds of owning and using digital devices compared to those without visual impairment. Specifically, the odds of having and knowing how to use a smartphone (OR 0.62, 95% CI 0.46-0.84), a computer (OR 0.65, 95% CI 0.50-0.86), and having internet access (OR 0.64, 95% CI 0.48-0.83) were notably lower among individuals with near visual impairment. Furthermore, these individuals were less likely to use the internet for tasks such as searching for information about goods and services (OR 0.65, 95% CI 0.49-0.86).

Conclusions:

Older adults with near visual impairment in Poland face significant barriers in accessing and using digital technologies. These disparities highlight the need for targeted interventions to bridge the digital divide and improve digital inclusion for visually impaired seniors, ensuring they can benefit from the advantages of digital health solutions. Further research is required to develop and evaluate strategies to promote digital equity in this vulnerable population.