Abstract
Information and Communication Technology (ICT) tools are essential in accessing health information (HI) today, which has proven to be especially true under pandemic conditions. Since older people have been the most at risk of Covid-19 and many do not use new technology, this article focuses on older adults’ online health information seeking behavior (OHISB) in the digitally advanced Eastern European country Estonia. A survey involving 500 people aged 50 and over was conducted in 2020. As expected, men reported better access to computers and smart devices and were also more willing to use digital health applications. However, women prioritized remote communication with medical personnel. The perceived need for HI and the frequency of searching for it were similar for men and women. However, in the older age group (≥65), female internet users claimed to search HI more frequently. Higher education among older men was associated with more intensive information seeking in the past 30 days. As expected, women tend to use a greater variety of HI sources. The fact that men were more eager to vaccinate against Covid-19 indicates that they may not be as oblivious to their health as commonly believed. The results of the study imply that older people in Estonia, well-educated men in particular, are enthusiastic digital technology users for health purposes. Men’s interest in ICT devices and digital health applications should be considered more when developing health strategies and campaigns.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ihm, J., Hsieh, J.P.: The implications of information and communication technology use for the social well-being of older adults. Inf. Commun. Soc. 18(10), 1123–1138 (2021). https://doi.org/10.1080/1369118X.2015.1019912
Asla, T., Williamson, K., Mills, J.: The role of information in successful aging: the case for a research focus on the oldest old. Libr. Inf. Sci. Res. 28, 49–63 (2006). https://doi.org/10.1016/j.lisr.2005.11.005
Chu, L., Fung, H.H., Tse, D.C., Tsang, V.H., Zhang, H., Mai, C.: Obtaining information from different sources matters during the COVID-19 pandemic. Gerontologist 61(2), 187–195 (2021). https://doi.org/10.1093/geront/gnaa222. PMID: 33388758; PMCID: PMC7799117. https://pubmed.ncbi.nlm.nih.gov/33388758/
Eriksson-Backa, K., Enwald, E., Hirvonen, N., Huvila, I.: Health information seeking, beliefs about abilities, and health behaviour among Finnish seniors. J. Librariansh. Inf. Sci. 50(3), 284–295 (2018). https://doi.org/10.1177/0961000618769 971
Enwald, H., et al.: Health information behaviour, attitudes towards health information and motivating factors for encouraging physical activity among older people: differences by sex and age. In: Proceedings of ISIC: The Information Behaviour Conference, Zadar, Croatia, 20–23 September (2016). Part 2. http://informationr.net/ir/22-1/isic/isic1623.html
Choi, N.G., DiNitto, D.M., Marti, C.N., Choi, B.Y.: Telehealth use among older adults during COVID-19: associations with sociodemographic and health characteristics, technology device ownership, and technology learning. J. Appl. Gerontol. 5 (2021). https://doi.org/10.1177/07334648211047347
Ekoh, P.C., George, E.O., Ezulike, C.D.: Digital and physical social exclusion of older people in rural nigeria in the time of COVID-19. J. Gerontol. Soc. Work 64(6), 629–642 (2021). https://doi.org/10.1080/01634372.2021.1907496. Epub 2021 May 27 PMID: 34042022
Frydman, J.L., Gelfman, L.P., Goldstein, N.E., Kelley, A.S., Ankuda, C.K.: The digital divide: do older adults with serious illness access telemedicine? J. Gen. Intern. Med. 37(4), 984–986 (2022)
Lambert, S.D., Loiselle, C.G.: Health information seeking behavior. Qual. Health Res. 17(8), 1006–1019 (2007). https://doi.org/10.1177/1049732307305199. PMID: 17928475
Kattel, R., Mergel, I.: Estonia’s Digital Transformation. Mission Mystique and the Hiding Hand. Working Paper Series: IIPP WP (2018). https://doi.org/10.1093/oso/9780198843719.003.0008
European Social Survey. Round 9 (2018/2019) (2019). https://www.europeansocialsurvey.org/data/download.html?r=9
Unt, M., Kazjulja, M., Krönström, V.: Estonia. In: Ní Léime, Á., et al. (eds.) Extended Working Life Policies, pp. 241–249. Springer, Cham (2020). https://doi.org/10.1007/978-3-030-40985-2_17
The Active Ageing Index and its extension to the regional level (2014). https://webcache.googleusercontent.com/search?q=cache:HbywBEGAvPwJ:https://ec.europa.eu/social/BlobServlet%3FdocId%3D13544%26langId%3Den+&cd=3&hl=et&ct=clnk&gl=ee
Eurostat. At Risk of Poverty or Social Exclusion in the EU (2020). https://ec.europa.eu/eurostat/en/web/products-eurostat-news/-/edn-20211017-1. Accessed 11 Mar 2022
Statistics Estonia. At-Risk-of-Poverty Rate (2020). https://www.stat.ee/en/find-statistics/statistics-theme/well-being/social-exclusion-and-poverty/risk-poverty-rate. Accessed 11 Mar 2022
Future Health Care. The future healthcare in Estonia. Scenarios up to 2035. Ageing in the Digital Era (2021). UNECE Policy Brief on Ageing No. 26 July. https://unece.org/sites/default/files/2021-07/PB26-ECE-WG.1-38.pdf
Arthanat, S.: Promoting information communication technology adoption and acceptance for aging-in-place: a randomized controlled trial. J. Appl. Gerontol. 40(5), 471–480 (2021). https://doi.org/10.1177/0733464819891045
Pourrazavi, S., Kouzekanani, K., Asghari Jafarabadi, M., Bazargan-Hejazi, S., Hashemiparast, M., Allahverdipour, H.: Correlates of older adults’ e-health information-seeking behaviors. Gerontology 14, 1–8 (2022). https://doi.org/10.1159/000521251. Epub ahead of print. PMID: 35034012
Hankewitz, S.: Estonian women among the most highly educated in Europe (2022). https://estonianworld.com/knowledge/estonian-women-among-the-most-highly-educated-in-europe/#:~:text=In%20Estonia%2C%20women%20are%20much,were%2047% 25%20and%2030%25
Eesti naised on endiselt Euroopa ühed kõrgemalt haritumad. [Estonian women are still among the most highly educated in Europe.] (2022). https://www.stat.ee/et/uudised/eesti-naised-endiselt-euroopa-uhed-korgemalt-haritumad?fbclid=IwAR2r0ONDstmsKrRzoF8iT_iZd32iMdnP-T2FZbNUov581szGO_Ymn6-bErU
Estonia. State of Health in the EU (2017). https://www.euro.who.int/__data/assets/pdf_file/0010/355978/Health-Profile-Estonia-Eng.pdf
Eurostat. Healthy life years at birth by sex. (2022). https://ec.europa.eu/eurostat/databrowser/view/tps00150/default/table?lang=en&fbclid=IwAR3_p1sJIGlaw90IFJW4gaZptN-mvzZOhWAeEa3nipo-9gMh68ogKTIkW98. Accessed 25 Jan 2022
Tervis, tervis arstiabi terviseseisund [Health, health medical care health condition]. https://www.stat.ee/et/avasta-statistikat/valdkonnad/heaolu/tervis
Study: Estonians’ health depends on gender, wage and education. ERR News (2020). https://news.err.ee/1026573/study-estonians-health-depends-on-gender-wage-and-education
Pärli, M.: Mulluste liigsurmade taga on koroona, kuumalaine ja vananev rahvastik [Behind Last Year’s Excess Deaths is a Corona, a Heat Wave and an Aging Population] (2022). https://www.err.ee/1608466241/mulluste-liigsurmade-taga-on-koroona-kuumalaine-ja-vananev-rahvastik
Terviseamet [Health Board]: Koroonaviiruse andmestik [Coronavirus Data] (2022). https://www.terviseamet.ee/et/koroonaviirus/koroonakaart. Accessed 2 Mar 2022
Tervisemet [Health Board]: Covid-19 vaktsineerimise maakondade, vanuserühmade ja soolise jaotuse andmestik [Data on Counties, Age Groups and Gender Distribution of Covid-19 Vaccination] (2021)
Huisman, M., Joye, S., Biltereyst, D.: Searching for health: doctor google and the shifting dynamics of the middle-aged and older adult patient-physician relationship and interaction. J. Aging Health 32(9), 998–1007 (2020). https://doi.org/10.1177/0898264319873809
Broekhus, M., van Velsen, L., ter Stal, S., Weldink J., Tabak, M.: Why my grandfather finds difficulty in using e-health: differences in usability evaluations between older age groups. In: Proceedings of the 5th International Conference on Information and Communication Technologies for Ageing Well and e-Health, 1 (ICT4AWE), Heraklion, Crete, Greece, pp. 48–57 (2019)
European Social Survey. Round 9 (2018/2019). https://www.europeansocialsurvey.org/data/download.html?r=9
Eurostat. Individuals – frequency of internet use (2022). http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=isoc_ci_ifp_fu&lang=en. Accessed 24 Jan 2022
ELSA. English Longitudinal Study of Ageing. Covid-19 Substudy (Wave 1). Digital inclusion and older people – how have things changed in a Covid-19 world? (2021). https://www.pslhub.org/learn/commissioning-service-provision-and-innovation-in-health-and-care/digital-health-and-care-service-provision/digital-inclusion-and-older-people-%E2%80%93-how-have-things-changed-in-a-covid-19-world-march-2021-r4342/
Shi, Y., Ma, D., Zhang, J., Chen, B.: In the digital age: a systematic literature review of the e-health literacy and influencing factors among Chinese older adults. Z Gesundh Wiss 4(1), 9 (2021). https://doi.org/10.1007/s10389-021-01604-z. Epub ahead of print. PMID: 34104627; PMCID: PMC8175232
Goswami, A., Dutta, S.: Gender differences in technology usage—a literature review. Open J. Bus. Manag. 4, 51–59 (2016). https://doi.org/10.4236/ojbm.2016.41006
Marston, H.R., Kroll, M., Fink, D., et al.: Technology use, adoption and behavior in older adults: results from the iStoppFalls project. Educ. Gerontol. 42(6), 371–387 (2016). https://doi.org/10.1080/03601277.2015.1125178
Durndell, A., Haag, Z., Asenova, D., Laithwaite, H.: Computer self efficacy and gender: a cross cultural study of scotland and Romania. Personality Individ. Differ. 28, 1037–1044 (2000). https://doi.org/10.1016/S0191-8869(99)00155-5
Qazi, A., et al.: Gender differences in information and communication technology use & skills: a systematic review and meta-analysis. Educ. Inf. Technol. 27(3), 4225–4258 (2021). https://doi.org/10.1007/s10639-021-10775-x
Dixon, L.M., Brocklehurst, S., Sandilands, V., Bateson, M., Tolkamp, B.J., D’Eath, R.B.: Measuring motivation for appetitive behaviour: food-restricted broiler breeder chickens cross a water barrier to forage in an area of wood shavings without food. PLoS One 9 (2014)
Statistics Estonia. Statistika andmebaas: Sotsiaalelu. 16–74-aastased internetikasutajad elukoha ja kasutuseesmärgi järgi. (Statistical database: Social life. Internet users aged 16–74 by residence and purpose of use) (2021). http://pub.stat.ee/px-web. Accessed 5 Jan 2022
Menéndez Alvarez-Dardet, S., Lorence Lara, B., Perez-Padilla, J.: Older adults and ICT adoption: analysis of the use and attitudes toward computers in elderly Spanish people. Comput. Hum. Behav. 110 (2020). https://doi.org/10.1016/j.chb.2020.106377
Chaudhuri, S., Le, T., White, C., Thompson, H., Demiris, G.: Examining health information-seeking behaviors of older adults. Comput. Inf. Nurs. CIN 31(11), 547–553 (2013). https://doi.org/10.1097/01.NCN.0000432131.92020.42
Pálsdóttir, A.: Health and lifestyle: icelanders’ everyday life information behaviour. Informaatiotutkimus 25(1) (2008). https://journal.fi/inf/article/view/2241
Allington, D., Duffy, B., Wessely, S., Dhavan, N., Rubin, J.: Health-protective behaviour, social media usage and conspiracy belief during the COVID-19 public health emergency. Psychol. Med. 51(10), 1763–1769 (2021). https://doi.org/10.1017/S003329172000224X
Eriksson-Backa, K., Enwald, H., Hirvonen, N., Huvila, I.: Health information seeking, beliefs about abilities, and health behaviour among Finnish seniors. J. Librariansh. Inf. Sci. 50(3), 284–295 (2018). https://journals.sagepub.com/doi/abs/. https://doi.org/10.1177/0961000618769971
Choi, W.: Older adults’ health information behavior in everyday life settings. Libr. Inf. Sci. Res. 41(4) (2019). https://doi.org/10.1016/j.lisr.2019.100983
Sbaffi, L., Rowley, J.: Trust and credibility in web-based health information: a review and agenda for future research. J. Med. Internet Res. 19(6), e218 (2017). https://doi.org/10.2196/jmir.7579
Kim, H., Xie, B.: Health literacy in the eHealth era: a systematic review of the literature. Patient Educ. Couns. 100(6), 1073–1082 (2017). https://doi.org/10.1016/j.pec.2017.01.015. Epub 2017 Jan 28 PMID: 28174067
Bruine de Bruin, W., Bennett, D.: Relationships between initial COVID-19 risk perceptions and protective health behaviors: a national survey. Am. J. Prev. Med. 59(2), 157–167 (2020). https://doi.org/10.1016/j.amepre.2020.05.001. Epub 2020 May 22. PMID: 32576418; PMCID: PMC7242956
Dryhurst, S., et al.: Risk perceptions of COVID-19 around the world. J. Risk Res. 23(7–8), 994–1006 (2020). https://doi.org/10.1080/13669877.2020.1758193
Dai, H., Saccardo, S., Han, M.A., et al.: Behavioural nudges increase COVID-19 vaccinations. Nature 597, 404–409 (2021). https://doi.org/10.1038/s41586-021-03843-2
Hu, G., Qiu, W.: From guidance to practice: Promoting risk communication and community engagement for prevention and control of coronavirus disease (COVID-19) outbreak in China. J. Evid. Based Med. 13(2), 168–172 (2020). https://doi.org/10.1111/jebm.12387. Epub 2020 May 22. PMID: 32445287; PMCID: PMC7280730
Hallyburton, A., Evarts, L.A.: Gender and online health information seeking: a five survey meta-analysis. J. Consum. Health Internet 18(2), 128–142 (2014)
Ek, S.: Gender differences in health information behaviour: a Finnish population-based survey. Health Promot. Int. 30(3), 736–745 (2015). https://doi.org/10.1093/heapro/dat063
Sbaffi, L., Rowley, J.: Trust and credibility in web-based health information: a review and agenda for future research. J. Med. Internet Res. 19(6), e218 (2017). https://www.jmir.org/2017/6/e218. https://doi.org/10.2196/jmir.7579
Nikoloudakis, I.A., et al.: Examining the correlates of online health information-seeking behavior among men compared with women. Am. J. Mens Health 12(5), 1358–1367 (2018). https://doi.org/10.1177/1557988316650625. Epub 2016 May 18. PMID: 27193765; PMCID: PMC6142140
Bidmon, S., Terlutter, R.: Gender differences in searching for health information on the internet and the virtual patient-physician relationship in Germany: exploratory results on how men and women differ and why. J. Med. Internet Res. 17(6), e156 8 (2015). https://doi.org/10.2196/jmir.4127
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this paper
Cite this paper
Paimre, M., Osula, K. (2023). Gender Aspect in Online Health Information Seeking Behavior Among Estonians Aged ≥ 50 During the Covid-19 Pandemic. In: Maciaszek, L.A., Mulvenna, M.D., Ziefle, M. (eds) Information and Communication Technologies for Ageing Well and e-Health. ICT4AWE ICT4AWE 2021 2022. Communications in Computer and Information Science, vol 1856. Springer, Cham. https://doi.org/10.1007/978-3-031-37496-8_10
Download citation
DOI: https://doi.org/10.1007/978-3-031-37496-8_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-37495-1
Online ISBN: 978-3-031-37496-8
eBook Packages: Computer ScienceComputer Science (R0)