Health, out-of-home activities and digital inclusion in later life: Implications for emerging mobility services

Health, out-of-home activities and digital inclusion in later life: Implications for emerging mobility services
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DOI:
10.1016/j.jth.2021.101311
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发表时间:
2022-03-01
影响因子:
3.6
通讯作者:
Kandt, Jens
Kandt, Jens
中科院分区:
医学3区
文献类型:
--
作者:
Carney, Ffion;Kandt, Jens

文献摘要

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本文重点讨论数字技术如何差异化地嵌入日常实践以及与老年人的流动性和健康相关的问题。其动机是寻找证据,帮助我们预测数字技术和创新交通服务在增强老龄化社会的独立生活、社会包容、健康和福祉方面的机遇和障碍。利用英国老龄化纵向研究 (ELSA),我们确定了具有不同日常休闲习惯的六个群体,并发现数字技术的使用(互联网使用、智能手机)与较高频率的户外活动相关。与参与度较低相关的障碍包括与健康相关的限制,同样的障碍也阻碍了公共交通的乘客。尽管在新冠肺炎 (COVID-19) 大流行期间数字技术的使用有所增加,但技能缺乏、设备获取和健康问题导致数字鸿沟持续存在。我们的结论是,公共和交通服务的数字化本身不太可能支持所有人的独立生活,而且确实可能​​加剧现有的不平等。相反,要解决不太活跃、行动受限的群体中的排斥问题,需要有针对性的服务设计,以应对使用数字技术时不同的健康和技能相关障碍。
This paper focuses on the question of how digital technologies are differentially embedded in day-to-day practices and associated with mobility and health of older citizens. The motivation is to look for evidence that helps us anticipate opportunities and barriers of digital technologies and innovative transport services in enhancing independent living, social inclusion, health and well-being in ageing societies. Using the English Longitudinal Study of Ageing (ELSA), we identify six groups with different day-to-day leisure practices and find that the use of digital technology (Internet use, smart phones) is associated with higher frequencies of out-of-home activities. Barriers associated with lower levels of engagement include health-related restrictions, the same barriers that also prevent patronage of public transport. Although digital technology use has increased during the COVID-19 pandemic, lack of skills, access to equipment and health problems contribute to a continued Digital Divide. We conclude that the digitalisation of both public and transport services is unlikely to support independent living for all by itself and could indeed exacerbate existing inequalities. Instead, addressing issues of exclusion among less active, mobility-restricted groups require targeted service designs that respond to differential health and skills-related barriers in using digital technologies.