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               第4期 总第123期                           南京医科大学学报(社会科学版)京医科大学学报(社会科学版)
                 2024年8月                      Journal of Nanjing Medical University(Social Sciences)of Nanjing Medical University(Social Sciences)  · 351  ·
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                The digital dilemma and breakthrough of the left-behind older adults in

                             rural Nanjing under the background of digital health
                                   JIANG Yunjie,SHAO Yuzhao,ZHANG Huijuan,ZHOU Chenyu
                            School of Health Policy and Management,Nanjing Medical University,Nanjing 211166,China
                   Abstract:Based on the grounded theory,this study conducted in⁃depth interviews with 30 rural left⁃behind
               older adults from Nanjing,Jiangsu Province,and conducted three levels of coding of the interview text to
               explore the causes and bridging path of the digital dilemma of the rural left⁃behind older adults in Nanjing. The
               text analysis showed that the digital divide among rural left⁃behind older adults results from the interaction of
               multiple factors,in which environmental stimuli play an essential role,with cognitive and ability factors playing
               a transmissive effect. If the status quo remains unchanged,the digital divide will further aggravate the health
               inequality among older adults. A variety of measures including integrating individual,family,and social forces,
               actively helping older adults change attitudes,strengthening family feedback,relying on social supports,etc.
               should be taken to break through digital dilemma and promote digital health construction,so that the digital
               dividend benefits the vast number of elderly populations.
                   Key words:digital health;rural left behind elderly;digital integration;grounded theory
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