Digital technology use, in general and for health purposes, by older adults in Singapore

Abstract

Background

Existing research indicates that the use of digital technology among older adults varies across subgroups defined by demographic and health characteristics. We study the prevalence and correlates of digital technology use in general and for health purposes in Singapore, a rapidly aging country, where digital technology use in everyday lives is actively promoted.

Methods

We used data on digital technology use in general (use of a digital device either every day or most days of the week) and health-related digital technology use (use of the internet and/or any app in the past month for seeking information on one's health or help with management of a health condition), pertaining to 2887 respondents aged ≥62 years participating in a national survey conducted in 2019. Andersen's behavioural model of health service use guided selection of potential correlates.

Results

The prevalence of digital technology use was 66.2%. Our multivariable logistic regression analysis shows that those older, of Malay and Indian ethnicity, unemployed, with physical function limitations, and vision impairments were less likely to use digital technology in general whereas those with higher education, in larger housing, physically active, and with strong social networks were more likely. The prevalence of health-related digital technology use was 21.4% among digital technology users, and more likely among females, those with higher education, strong social networks, and with more depressive symptoms but less likely among those older, Malay, and with physical function limitations.

Conclusions

Policies and interventions that promote digital technology use among older adults should focus on specific sub-groups and their access and usage barriers.