1.Loneliness, Social Isolation, and Digital Health Literacy Among Older Women Living Alone in South Korea During the COVID-19 Pandemic
Minhwa HWANG ; Gahye KIM ; Seonghyeon LEE ; Yeon-Hwan PARK
Psychiatry Investigation 2025;22(1):75-83
Objective:
While using digital technologies for social health is widely acknowledged, the relationship between loneliness, social isolation, and digital health literacy remains unknown. This study aimed to assess the levels of loneliness, social isolation, and digital health literacy in older women living alone and to explore the associations between these factors.
Methods:
In August 2021, a cross-sectional survey was conducted on 145 older women living alone, selected using convenience sampling. The study used the University of California, Los Angeles Loneliness Scale (version 3), Lubben Social Network Scale-6, and Digital Health Technology Literacy-Assessment Questionnaire. The collected data were analyzed using descriptive statistics, the Mann–Whitney U test, the Kruskal–Wallis test, Spearman’s rho correlation, and a generalized linear model (GLM).
Results:
Of the participants, 22.8% (n=33) reported moderate loneliness, 20.7% (n=30) reported severe loneliness, and 36.6% (n=53) were at risk for social isolation. The mean digital health literacy score among participants was 4.85 (SD=6.92), which is relatively low. Importantly, our findings using a GLM to control for covariates revealed a significant association between loneliness (B=-0.013, p=0.018) and digital health literacy.
Conclusion
The increased loneliness experienced during the pandemic may contribute to low digital health literacy, alienating these individuals from the benefits of digital technologies. Therefore, in developing digital health programs or policies, it is imperative to consider the psychosocial status of individuals, including loneliness, while enhancing digital health literacy.
2.Loneliness, Social Isolation, and Digital Health Literacy Among Older Women Living Alone in South Korea During the COVID-19 Pandemic
Minhwa HWANG ; Gahye KIM ; Seonghyeon LEE ; Yeon-Hwan PARK
Psychiatry Investigation 2025;22(1):75-83
Objective:
While using digital technologies for social health is widely acknowledged, the relationship between loneliness, social isolation, and digital health literacy remains unknown. This study aimed to assess the levels of loneliness, social isolation, and digital health literacy in older women living alone and to explore the associations between these factors.
Methods:
In August 2021, a cross-sectional survey was conducted on 145 older women living alone, selected using convenience sampling. The study used the University of California, Los Angeles Loneliness Scale (version 3), Lubben Social Network Scale-6, and Digital Health Technology Literacy-Assessment Questionnaire. The collected data were analyzed using descriptive statistics, the Mann–Whitney U test, the Kruskal–Wallis test, Spearman’s rho correlation, and a generalized linear model (GLM).
Results:
Of the participants, 22.8% (n=33) reported moderate loneliness, 20.7% (n=30) reported severe loneliness, and 36.6% (n=53) were at risk for social isolation. The mean digital health literacy score among participants was 4.85 (SD=6.92), which is relatively low. Importantly, our findings using a GLM to control for covariates revealed a significant association between loneliness (B=-0.013, p=0.018) and digital health literacy.
Conclusion
The increased loneliness experienced during the pandemic may contribute to low digital health literacy, alienating these individuals from the benefits of digital technologies. Therefore, in developing digital health programs or policies, it is imperative to consider the psychosocial status of individuals, including loneliness, while enhancing digital health literacy.
3.Loneliness, Social Isolation, and Digital Health Literacy Among Older Women Living Alone in South Korea During the COVID-19 Pandemic
Minhwa HWANG ; Gahye KIM ; Seonghyeon LEE ; Yeon-Hwan PARK
Psychiatry Investigation 2025;22(1):75-83
Objective:
While using digital technologies for social health is widely acknowledged, the relationship between loneliness, social isolation, and digital health literacy remains unknown. This study aimed to assess the levels of loneliness, social isolation, and digital health literacy in older women living alone and to explore the associations between these factors.
Methods:
In August 2021, a cross-sectional survey was conducted on 145 older women living alone, selected using convenience sampling. The study used the University of California, Los Angeles Loneliness Scale (version 3), Lubben Social Network Scale-6, and Digital Health Technology Literacy-Assessment Questionnaire. The collected data were analyzed using descriptive statistics, the Mann–Whitney U test, the Kruskal–Wallis test, Spearman’s rho correlation, and a generalized linear model (GLM).
Results:
Of the participants, 22.8% (n=33) reported moderate loneliness, 20.7% (n=30) reported severe loneliness, and 36.6% (n=53) were at risk for social isolation. The mean digital health literacy score among participants was 4.85 (SD=6.92), which is relatively low. Importantly, our findings using a GLM to control for covariates revealed a significant association between loneliness (B=-0.013, p=0.018) and digital health literacy.
Conclusion
The increased loneliness experienced during the pandemic may contribute to low digital health literacy, alienating these individuals from the benefits of digital technologies. Therefore, in developing digital health programs or policies, it is imperative to consider the psychosocial status of individuals, including loneliness, while enhancing digital health literacy.
4.Loneliness, Social Isolation, and Digital Health Literacy Among Older Women Living Alone in South Korea During the COVID-19 Pandemic
Minhwa HWANG ; Gahye KIM ; Seonghyeon LEE ; Yeon-Hwan PARK
Psychiatry Investigation 2025;22(1):75-83
Objective:
While using digital technologies for social health is widely acknowledged, the relationship between loneliness, social isolation, and digital health literacy remains unknown. This study aimed to assess the levels of loneliness, social isolation, and digital health literacy in older women living alone and to explore the associations between these factors.
Methods:
In August 2021, a cross-sectional survey was conducted on 145 older women living alone, selected using convenience sampling. The study used the University of California, Los Angeles Loneliness Scale (version 3), Lubben Social Network Scale-6, and Digital Health Technology Literacy-Assessment Questionnaire. The collected data were analyzed using descriptive statistics, the Mann–Whitney U test, the Kruskal–Wallis test, Spearman’s rho correlation, and a generalized linear model (GLM).
Results:
Of the participants, 22.8% (n=33) reported moderate loneliness, 20.7% (n=30) reported severe loneliness, and 36.6% (n=53) were at risk for social isolation. The mean digital health literacy score among participants was 4.85 (SD=6.92), which is relatively low. Importantly, our findings using a GLM to control for covariates revealed a significant association between loneliness (B=-0.013, p=0.018) and digital health literacy.
Conclusion
The increased loneliness experienced during the pandemic may contribute to low digital health literacy, alienating these individuals from the benefits of digital technologies. Therefore, in developing digital health programs or policies, it is imperative to consider the psychosocial status of individuals, including loneliness, while enhancing digital health literacy.
5.Loneliness, Social Isolation, and Digital Health Literacy Among Older Women Living Alone in South Korea During the COVID-19 Pandemic
Minhwa HWANG ; Gahye KIM ; Seonghyeon LEE ; Yeon-Hwan PARK
Psychiatry Investigation 2025;22(1):75-83
Objective:
While using digital technologies for social health is widely acknowledged, the relationship between loneliness, social isolation, and digital health literacy remains unknown. This study aimed to assess the levels of loneliness, social isolation, and digital health literacy in older women living alone and to explore the associations between these factors.
Methods:
In August 2021, a cross-sectional survey was conducted on 145 older women living alone, selected using convenience sampling. The study used the University of California, Los Angeles Loneliness Scale (version 3), Lubben Social Network Scale-6, and Digital Health Technology Literacy-Assessment Questionnaire. The collected data were analyzed using descriptive statistics, the Mann–Whitney U test, the Kruskal–Wallis test, Spearman’s rho correlation, and a generalized linear model (GLM).
Results:
Of the participants, 22.8% (n=33) reported moderate loneliness, 20.7% (n=30) reported severe loneliness, and 36.6% (n=53) were at risk for social isolation. The mean digital health literacy score among participants was 4.85 (SD=6.92), which is relatively low. Importantly, our findings using a GLM to control for covariates revealed a significant association between loneliness (B=-0.013, p=0.018) and digital health literacy.
Conclusion
The increased loneliness experienced during the pandemic may contribute to low digital health literacy, alienating these individuals from the benefits of digital technologies. Therefore, in developing digital health programs or policies, it is imperative to consider the psychosocial status of individuals, including loneliness, while enhancing digital health literacy.
6.Digital Health Literacy and Associated Factors Among Older Adults Living Alone in South Korea: A Cross-Sectional Study
Minhwa HWANG ; Gahye KIM ; Seonghyeon LEE ; Yeon-Hwan PARK
Journal of Korean Academy of Community Health Nursing 2024;35(4):389-400
Purpose:
This study aimed to examine the level of digital health literacy and identify factors associated with digital health literacy among older adults living alone in South Korea.
Methods:
A cross-sectional study was conducted on 140 older adults aged 65 and above who live alone. Descriptive statistics and non-parametric methods were used to explore the relationship between digital health literacy and independent variables. A generalized linear model was used to identify factors associated with digital health literacy.
Results:
Among 140 smartphone-owning older adults living alone, 52.1% were using the Internet via digital devices, and the participants’ average digital health literacy score was 6.64±7.46. Univariate analysis results showed significant differences in digital health literacy according to age, education level, and multimorbidity. The factors associated with digital health literacy were identified as gender (B=−0.36, p=.031), age (B=−0.06, p<.001), education level (B=0.12, p<.001), and sleep problems (B=−0.06, p=.006).
Conclusion
Despite widespread Internet and smartphone use, older adults living alone with chronic diseases showed low levels of digital health literacy, which were significantly associated with gender, age, education level, and sleep problems. Enhancing digital health literacy among vulnerable populations is crucial for the effective implementation of digital health services. Collaborative efforts, including tailored digital health interventions to enhance the digital health literacy of vulnerable populations and supportive policies, are essential to bridge the digital divide and promote health equity.
7.Digital Health Literacy and Associated Factors Among Older Adults Living Alone in South Korea: A Cross-Sectional Study
Minhwa HWANG ; Gahye KIM ; Seonghyeon LEE ; Yeon-Hwan PARK
Journal of Korean Academy of Community Health Nursing 2024;35(4):389-400
Purpose:
This study aimed to examine the level of digital health literacy and identify factors associated with digital health literacy among older adults living alone in South Korea.
Methods:
A cross-sectional study was conducted on 140 older adults aged 65 and above who live alone. Descriptive statistics and non-parametric methods were used to explore the relationship between digital health literacy and independent variables. A generalized linear model was used to identify factors associated with digital health literacy.
Results:
Among 140 smartphone-owning older adults living alone, 52.1% were using the Internet via digital devices, and the participants’ average digital health literacy score was 6.64±7.46. Univariate analysis results showed significant differences in digital health literacy according to age, education level, and multimorbidity. The factors associated with digital health literacy were identified as gender (B=−0.36, p=.031), age (B=−0.06, p<.001), education level (B=0.12, p<.001), and sleep problems (B=−0.06, p=.006).
Conclusion
Despite widespread Internet and smartphone use, older adults living alone with chronic diseases showed low levels of digital health literacy, which were significantly associated with gender, age, education level, and sleep problems. Enhancing digital health literacy among vulnerable populations is crucial for the effective implementation of digital health services. Collaborative efforts, including tailored digital health interventions to enhance the digital health literacy of vulnerable populations and supportive policies, are essential to bridge the digital divide and promote health equity.
8.Digital Health Literacy and Associated Factors Among Older Adults Living Alone in South Korea: A Cross-Sectional Study
Minhwa HWANG ; Gahye KIM ; Seonghyeon LEE ; Yeon-Hwan PARK
Journal of Korean Academy of Community Health Nursing 2024;35(4):389-400
Purpose:
This study aimed to examine the level of digital health literacy and identify factors associated with digital health literacy among older adults living alone in South Korea.
Methods:
A cross-sectional study was conducted on 140 older adults aged 65 and above who live alone. Descriptive statistics and non-parametric methods were used to explore the relationship between digital health literacy and independent variables. A generalized linear model was used to identify factors associated with digital health literacy.
Results:
Among 140 smartphone-owning older adults living alone, 52.1% were using the Internet via digital devices, and the participants’ average digital health literacy score was 6.64±7.46. Univariate analysis results showed significant differences in digital health literacy according to age, education level, and multimorbidity. The factors associated with digital health literacy were identified as gender (B=−0.36, p=.031), age (B=−0.06, p<.001), education level (B=0.12, p<.001), and sleep problems (B=−0.06, p=.006).
Conclusion
Despite widespread Internet and smartphone use, older adults living alone with chronic diseases showed low levels of digital health literacy, which were significantly associated with gender, age, education level, and sleep problems. Enhancing digital health literacy among vulnerable populations is crucial for the effective implementation of digital health services. Collaborative efforts, including tailored digital health interventions to enhance the digital health literacy of vulnerable populations and supportive policies, are essential to bridge the digital divide and promote health equity.
9.Effects of Intralesional Steroid Injection in Incision and Curettage of Chalazia
Annals of Optometry and Contact Lens 2024;23(3):97-101
Purpose:
To investigate the postoperative effect of intralesional steroid injection during incision and curettage of chalazia.
Methods:
From January 2015 to January 2021, patients who underwent incision and curettage for the diagnosis of chalazia were divided into groups: with or without intralesional steroid injection during incision and curettage. Incision and curettage were performed in 88 eyes, and concurrent intralesional steroid injection, incision, and curettage were performed in 44 eyes. Each group was further divided according to the incision site: subconjunctival or skin incisions. The degree of erythema, recurrence, and recurrence rate were reviewed in patients who underwent skin incisions, while the degree of swelling, recurrence, and recurrence rate, in those who underwent subconjunctival incisions.
Results:
In the group that underwent incision and drainage through skin incisions, no significant difference was observed in the degree of erythema reduction 1 week after surgery between patients treated with steroid injections and those without (p = 0.609). No difference was observed in the degree of swelling reduction 1 week after surgery between the two groups that underwent incision drainage with steroid injection and the group that did not (p = 0.502). No significant difference was observed between the two groups, with a rate of 0.04% of remaining chalazia after 1 month in patients who underwent incision and drainage alone and 0.02% in patients who received both incision drainage and steroid injections (p = 0.414).
Conclusions
In the treatment of chalazia, concurrent intralesional steroid injections were not effective in the regression of postoperative lesional erythema and swelling.
10.Digital Health Literacy and Associated Factors Among Older Adults Living Alone in South Korea: A Cross-Sectional Study
Minhwa HWANG ; Gahye KIM ; Seonghyeon LEE ; Yeon-Hwan PARK
Journal of Korean Academy of Community Health Nursing 2024;35(4):389-400
Purpose:
This study aimed to examine the level of digital health literacy and identify factors associated with digital health literacy among older adults living alone in South Korea.
Methods:
A cross-sectional study was conducted on 140 older adults aged 65 and above who live alone. Descriptive statistics and non-parametric methods were used to explore the relationship between digital health literacy and independent variables. A generalized linear model was used to identify factors associated with digital health literacy.
Results:
Among 140 smartphone-owning older adults living alone, 52.1% were using the Internet via digital devices, and the participants’ average digital health literacy score was 6.64±7.46. Univariate analysis results showed significant differences in digital health literacy according to age, education level, and multimorbidity. The factors associated with digital health literacy were identified as gender (B=−0.36, p=.031), age (B=−0.06, p<.001), education level (B=0.12, p<.001), and sleep problems (B=−0.06, p=.006).
Conclusion
Despite widespread Internet and smartphone use, older adults living alone with chronic diseases showed low levels of digital health literacy, which were significantly associated with gender, age, education level, and sleep problems. Enhancing digital health literacy among vulnerable populations is crucial for the effective implementation of digital health services. Collaborative efforts, including tailored digital health interventions to enhance the digital health literacy of vulnerable populations and supportive policies, are essential to bridge the digital divide and promote health equity.

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