Background: The internet has the potential to foster healthy lifestyles and to support chronic disease management. Older adults could benefit from using the internet and other information and communication technology to access health-related information and interventions available online. Objective: The aim of this study was to investigate factors influencing internet use in older and oldest age groups and to determine the frequency of internet use for health-related purposes. Methods: Using data from a nationally representative telephone survey of older adults aged 75 years and over, a sample of 999 people was assessed using structured clinical interviews. Descriptive and binary logistic regression analyses were performed. Results: Overall, 42.6% (418/999) of participants used the internet. Among those, 55.7% (233/417) searched the internet for health-related information. Regression analyses revealed that internet use was significantly associated with younger age (odds ratio [OR] 0.89, 95% CI 0.85-0.92; P<.001), male gender (OR 2.84, 95% CI 2.02-4.00; P<.001), higher education levels (OR 6.69, 95% CI 4.48-9.99; P<.001), a wider social network (OR 1.04, 95% CI 1.01-1.07; P=.01), higher health-related quality of life (OR 1.02, 95% CI 1.00-1.03; P=.006), lower levels of depressive symptoms (OR 0.89, 95% CI 0.80-0.99; P=.04), and higher rates of chronic illness (OR 1.12, 95% CI 1.04-1.21; P<.004). Conclusions: This study provides population-representative data on internet use in old age in Germany. People in the older and oldest age groups participate in online activities. Understanding the factors that are associated with older adults internet use can contribute to developing tailored interventions and eHealth (electronic health) services to improve well-being in older adults.

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中文翻译：

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老年人使用互联网：德国人口代表性调查的结果

背景：互联网具有促进健康生活方式和支持慢性疾病管理的潜力。老年人可以受益于使用互联网以及其他信息和通信技术来访问与健康相关的信息和在线干预措施。目的：本研究的目的是调查影响年龄最大和最老的年龄组的互联网使用的因素，并确定出于健康目的使用互联网的频率。方法：使用来自全国代表性的75岁及以上老年人电话调查的数据，使用结构化临床访谈对999人进行了评估。进行了描述性和二进制逻辑回归分析。结果：总体上，有42.6％（418/999）的参与者使用了互联网。其中55。7％（233/417）在互联网上搜索了与健康相关的信息。回归分析显示，互联网的使用与年轻人年龄（优势比[OR] 0.89，95％CI 0.85-0.92； P <.001），男性（OR 2.84，95％CI 2.02-4.00； P <.001）显着相关。 ），更高的教育水平（OR 6.69，95％CI 4.48-9.99； P <.001），更广泛的社交网络（OR 1.04，95％CI 1.01-1.07； P = .01），与健康相关的生活质量更高（OR 1.02，95％CI 1.00-1.03; P = .006），抑郁症状水平较低（OR 0.89，95％CI 0.80-0.99; P = .04），慢性病发病率较高（OR 1.12，95） ％CI 1.04-1.21； P ＜.004）。结论：本研究提供了德国老年人互联网使用的人口代表性数据。年龄较大和年龄最大的人群参加在线活动。

这仅仅是抽象的。阅读JMIR网站上的全文。JMIR是互联网时代电子健康和医疗保健领域领先的开放获取期刊。