Document Type
Article
Publication Date
2025
Publication Title
Journal of Community Health Nursing
Abstract
Purpose
This study examines the relationship between selected socio-demographics and digital health literacy on diabetes knowledge among older adults in the United States.
Design
Cross-sectional study
Methods
The eHealth Literacy Scale and the Short Diabetes Knowledge Instrument were used. Descriptive statistics, Pearson’s r, point-biserial correlation coefficient, Kendall’s tau, ANOVA, and Poisson regression were used for data analysis.
Findings
The mean age was 71. The mean sum score for digital health literacy was 28.32 (SD = 7.95; range, 8–40), and the mean score for diabetes knowledge was 8.8 (SD = 2.3; range, 2–13). The education level, annual income, number of digital devices, and digital health literacy have a significant relationship with diabetes knowledge. Ethnicity, marital status, living arrangement, and health insurance status significantly correlated with diabetes knowledge.
Conclusions
The findings can be used as preliminary evidence in developing diabetes education and age-friendly interventions for marginalized older adults, allowing better access to digitally formatted health knowledge.
Clinical relevance
Nurses should be knowledgeable about the impact of digital health literacy on diabetes knowledge for older adults. Nurses and healthcare providers should assess patients’ digital literacy levels as part of routine diabetes care and guide the older adults to gain the ability to utilize digital health information resources. Given that diabetes is a chronic illness, older adults should be able to manage it independently, and nurses play a pivotal role in supporting their effective self-care and providing age-tailored health education and interventions.
Funding Source
This work was supported by the Sigma Theta Tau-Xi Pi. This article was published Open Access thanks to a transformative agreement between Milner Library and Taylor & Francis.
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
DOI
10.1080/07370016.2025.2593395
Recommended Citation
Kim, J. E., Calderon, S. J., & Kim, M. (2025). Digital Health Literacy on Diabetes Knowledge Among Older Adults in the United States. Journal of Community Health Nursing, 1–15. https://doi.org/10.1080/07370016.2025.2593395
Comments
First published in Journal of Community Health Nursing (2025): https://doi.org/10.1080/07370016.2025.2593395