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Is China’s digital divide tied to health gaps?

In older Chinese adults, Internet use was rare and SES-linked, while mobile phones were common—shaping how digital tools might reduce health disparities.

Source

The Digital Divide and Health Disparities in China: Evidence From a National Survey and Policy Implications

Hong YA, Zhou Z, Fang Y, et al. · Journal of medical Internet research · 2017

doi.org/10.2196/jmir.7786Read the full paper ↗123 citationscc by

What they did

Analysts used a national survey of 18,215 middle-aged and elderly Chinese participants to relate Internet access and mobile-phone ownership to socioeconomic position, community resources, and health outcomes.

What they found

Only 6.5% accessed the Internet recently while 83% owned a mobile phone. Internet access tracked neighbourhood amenities and health disparities; mobile phones were more evenly distributed across classes.

The limits

What it doesn't show

Cross-sectional associations cannot prove that giving Internet access alone closes health gaps.

Key terms

Digital divide
Gap between people with and without meaningful access to information technologies.
Health disparities
Systematic differences in health across social groups.
Internet access
Ability to go online, here measured as recent use.
Mobile phone ownership
Having a phone that may enable mHealth even without home Internet.
Community resources
Neighbourhood amenities and infrastructure shaping opportunity.

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Quiz yourself

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Internet access among older participants was about:

Common questions

How common was Internet use?

Only about 6.5% of middle-aged/elderly participants accessed the Internet.

How common were phones?

About 83% owned a mobile phone.

Why does that matter for mHealth?

Phones may reach groups that lack computer Internet.

Sample size?

18,215 participants in the analysed survey sample.

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