{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T22:03:10Z","timestamp":1767650590599,"version":"3.37.3"},"reference-count":33,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T00:00:00Z","timestamp":1720656000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72004098"],"award-info":[{"award-number":["72004098"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007289","name":"Nanjing Medical University","doi-asserted-by":"publisher","award":["NMUR2020006"],"award-info":[{"award-number":["NMUR2020006"]}],"id":[{"id":"10.13039\/501100007289","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012246","name":"Priority Academic Program Development of Jiangsu Higher Education Institutions","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012246","id-type":"DOI","asserted-by":"publisher"}]},{"name":"General Project of Philosophy and Social Science Research in Jiangsu Universities in 2020","award":["2020SJA0302"],"award-info":[{"award-number":["2020SJA0302"]}]},{"DOI":"10.13039\/501100007289","name":"Nanjing Medical University","doi-asserted-by":"publisher","award":["2021ZC021"],"award-info":[{"award-number":["2021ZC021"]}],"id":[{"id":"10.13039\/501100007289","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To describe the prevalence and trends in the use of social media over time and explore whether social media use is related to better self-care efficacy and thus related to better mental health among United States older adults with multimorbidity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>Respondents aged 65 years+ and having 2 or more chronic conditions from the 2017-2020 Health Information National Trends Survey were analyzed (N\u2009=\u20093341) using weighted descriptive and logistic regression analyses.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Overall, 48% (n\u2009=\u20091674) of older adults with multimorbidity used social media and there was a linear trend in use over time, increasing from 41.1% in 2017 to 46.5% in 2018, and then further up to 51.7% in 2019, and 54.0% in 2020. Users were often younger, married\/partnered, and non-Hispanic White with high education and income. Social media use was associated with better self-care efficacy that was further related to better mental health, indicating a significant mediation effect of self-care efficacy in the relationship between social media use and mental health.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Although older adults with multimorbidity are a fast-growing population using social media for health, significant demographic disparities exist. While social media use is promising in improving self-care efficacy and thus mental health, relying on social media for the management of multimorbidity might be potentially harmful to those who are not only affected by multimorbidity but also socially disadvantaged (eg, non-White with lower education).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Great effort is needed to address the demographic disparity and ensure health equity when using social media for patient care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocae179","type":"journal-article","created":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T19:21:34Z","timestamp":1720725694000},"page":"2210-2216","source":"Crossref","is-referenced-by-count":6,"title":["Social media use and mental health among older adults with multimorbidity: the role of self-care efficacy"],"prefix":"10.1093","volume":"31","author":[{"given":"Zuoting","family":"Nie","sequence":"first","affiliation":[{"name":"School of Nursing, Nanjing Medical University , Nanjing, Jiangsu 211166, China"}]},{"given":"Shiying","family":"Gao","sequence":"additional","affiliation":[{"name":"School of Nursing, Nanjing Medical University , Nanjing, Jiangsu 211166, China"}]},{"given":"Long","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, Nanjing Medical University , Nanjing, Jiangsu 211166, China"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9971-2507","authenticated-orcid":false,"given":"Rumei","family":"Yang","sequence":"additional","affiliation":[{"name":"School of Nursing, Nanjing Medical University , Nanjing, Jiangsu 211166, China"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8903-0083","authenticated-orcid":false,"given":"Linda S","family":"Edelman","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Utah , Salt Lake City, UT 84112, United States"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6568-4031","authenticated-orcid":false,"given":"Katherine A","family":"Sward","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Utah , Salt Lake City, UT 84112, United States"}]},{"given":"Yun","family":"Jiang","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Michigan , Ann Arbor, MI 48109, United States"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6318-5829","authenticated-orcid":false,"given":"George","family":"Demiris","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Pennsylvania , Philadelphia, PA 19104, United States"}]}],"member":"286","published-online":{"date-parts":[[2024,7,11]]},"reference":[{"issue":"9836","key":"2024092007525509400_ocae179-B1","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/S0140-6736(12)60240-2","article-title":"Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study","volume":"380","author":"Barnett","year":"2012","journal-title":"Lancet"},{"issue":"2","key":"2024092007525509400_ocae179-B2","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1370\/afm.1337","article-title":"A systematic review of prevalence studies on multimorbidity: toward a more uniform methodology","volume":"10","author":"Fortin","year":"2012","journal-title":"Ann Fam Med"},{"issue":"1","key":"2024092007525509400_ocae179-B3","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1038\/s41572-022-00376-4","article-title":"Multimorbidity","volume":"8","author":"Skou","year":"2022","journal-title":"Nat Rev Dis Primers"},{"issue":"3","key":"2024092007525509400_ocae179-B4","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph15030431","article-title":"An empirical study of chronic diseases in the United States: a visual analytics approach","volume":"15","author":"Raghupathi","year":"2018","journal-title":"Int J Environ Res Public Health"},{"issue":"19","key":"2024092007525509400_ocae179-B5","doi-asserted-by":"crossref","first-page":"2469","DOI":"10.1001\/jama.288.19.2469","article-title":"Patient self-management of chronic disease in primary care","volume":"288","author":"Bodenheimer","year":"2002","journal-title":"JAMA"},{"issue":"1","key":"2024092007525509400_ocae179-B6","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1097\/NNR.0b013e31827337b3","article-title":"Multiple comorbid conditions challenge heart failure self-care by decreasing self-efficacy","volume":"62","author":"Dickson","year":"2013","journal-title":"Nurs Res"},{"key":"2024092007525509400_ocae179-B7","doi-asserted-by":"crossref","first-page":"103402","DOI":"10.1016\/j.ijnurstu.2019.103402","article-title":"Self-care research: where are we now? Where are we going?","volume":"116","author":"Riegel","year":"2021","journal-title":"Int J Nurs Stud"},{"issue":"1","key":"2024092007525509400_ocae179-B8","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1186\/s12875-021-01391-2","article-title":"The association between self-efficacy and self-care in essential hypertension: a systematic review","volume":"22","author":"Tan","year":"2021","journal-title":"BMC Fam Pract"},{"issue":"6","key":"2024092007525509400_ocae179-B9","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1093\/geront\/gnz191","article-title":"Does self-efficacy and team leader equity matter for older workers\u2019 mental health?","volume":"60","author":"Choi","year":"2020","journal-title":"Gerontologist"},{"issue":"10","key":"2024092007525509400_ocae179-B10","doi-asserted-by":"crossref","first-page":"e2235856","DOI":"10.1001\/jamanetworkopen.2022.35856","article-title":"Association of multimorbidity and excess mortality after fractures among Danish adults","volume":"5","author":"Tran","year":"2022","journal-title":"JAMA Netw Open"},{"issue":"4","key":"2024092007525509400_ocae179-B11","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1159\/000346818","article-title":"Social media use of older adults: a mini-review","volume":"59","author":"Leist","year":"2013","journal-title":"Gerontology"},{"key":"2024092007525509400_ocae179-B12","doi-asserted-by":"crossref","first-page":"101293","DOI":"10.1016\/j.copsyc.2021.12.005","article-title":"Social media use and well-being among older adults","volume":"45","author":"Cotten","year":"2022","journal-title":"Curr Opin Psychol"},{"issue":"5","key":"2024092007525509400_ocae179-B13","doi-asserted-by":"crossref","first-page":"e17917","DOI":"10.2196\/17917","article-title":"Social media use for health purposes: systematic review","volume":"23","author":"Chen","year":"2021","journal-title":"J Med Internet Res"},{"issue":"4","key":"2024092007525509400_ocae179-B14","doi-asserted-by":"crossref","first-page":"e85","DOI":"10.2196\/jmir.1933","article-title":"A new dimension of health care: systematic review of the uses, benefits, and limitations of social media for health communication","volume":"15","author":"Moorhead","year":"2013","journal-title":"J Med Internet Res"},{"issue":"3","key":"2024092007525509400_ocae179-B15","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1080\/10810730.2021.1903627","article-title":"Using social media for health: National Data from HINTS 2019","volume":"26","author":"Chou","year":"2021","journal-title":"J Health Commun"},{"issue":"4","key":"2024092007525509400_ocae179-B16","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1057\/s41285-019-00106-z","article-title":"Seeking, sharing and co-creating: a systematic review of the relation between social support theory, social media use and chronic diseases","volume":"18","author":"Sendra","year":"2020","journal-title":"Soc Theor Health"},{"issue":"3","key":"2024092007525509400_ocae179-B17","doi-asserted-by":"crossref","first-page":"e70","DOI":"10.2196\/jmir.3992","article-title":"eHealth literacy and Web 2.0 health information seeking behaviors among baby boomers and older adults","volume":"17","author":"Tennant","year":"2015","journal-title":"J Med Internet Res"},{"issue":"8","key":"2024092007525509400_ocae179-B18","doi-asserted-by":"crossref","first-page":"e558","DOI":"10.1016\/S2666-7568(22)00121-0","article-title":"Digital interventions for depression and anxiety in older adults: a systematic review of randomised controlled trials","volume":"3","author":"Riadi","year":"2022","journal-title":"Lancet Healthy Longev"},{"issue":"1","key":"2024092007525509400_ocae179-B19","doi-asserted-by":"crossref","first-page":"69","DOI":"10.3233\/WEB-150310","article-title":"Social media gerontology: understanding social media usage among older adults","volume":"13","author":"Hutto","year":"2015","journal-title":"Web Intell"},{"issue":"4","key":"2024092007525509400_ocae179-B20","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1111\/acps.13151","article-title":"Digital depression: a new disease of the millennium?","volume":"141","author":"Ghaemi","year":"2020","journal-title":"Acta Psychiatr Scand"},{"issue":"12","key":"2024092007525509400_ocae179-B21","doi-asserted-by":"crossref","first-page":"1266","DOI":"10.1001\/jamapsychiatry.2019.2325","article-title":"Associations between time spent using social media and internalizing and externalizing problems among US youth","volume":"76","author":"Riehm","year":"2019","journal-title":"JAMA Psychiat"},{"issue":"11","key":"2024092007525509400_ocae179-B22","doi-asserted-by":"crossref","first-page":"e2136113","DOI":"10.1001\/jamanetworkopen.2021.36113","article-title":"Association between social media use and self-reported symptoms of depression in US adults","volume":"4","author":"Perlis","year":"2021","journal-title":"JAMA Netw Open"},{"issue":"5","key":"2024092007525509400_ocae179-B23","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1080\/10810730490504233","article-title":"The health information national trends survey (HINTS): development, design, and dissemination","volume":"9","author":"Nelson","year":"2004","journal-title":"J Health Commun"},{"year":"2021","author":"Pew Research Center","key":"2024092007525509400_ocae179-B24"},{"key":"2024092007525509400_ocae179-B25","article-title":"Old but not out: social media use and older adults\u2019 life satisfaction","volume":"26","author":"Ractham","year":"2022","journal-title":"Australas J Inf Syst"},{"issue":"5","key":"2024092007525509400_ocae179-B26","doi-asserted-by":"crossref","first-page":"e11931","DOI":"10.2196\/11931","article-title":"Profiles of a health information-seeking population and the current digital divide: cross-sectional analysis of the 2015-2016 California health interview survey","volume":"21","author":"Din","year":"2019","journal-title":"J Med Internet Res"},{"key":"2024092007525509400_ocae179-B27","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.ijmedinf.2017.04.008","article-title":"Persistent digital divide in access to and use of the Internet as a resource for health information: results from a California population-based study","volume":"103","author":"Nguyen","year":"2017","journal-title":"Int J Med Inform"},{"issue":"5","key":"2024092007525509400_ocae179-B28","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1001\/jama.2016.9124","article-title":"Trends in seniors\u2019 use of digital health technology in the United States, 2011-2014","volume":"316","author":"Levine","year":"2016","journal-title":"JAMA"},{"issue":"2","key":"2024092007525509400_ocae179-B29","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1159\/000502577","article-title":"Problematic social media use and perceived social isolation in older adults: a cross-sectional study","volume":"66","author":"Meshi","year":"2020","journal-title":"Gerontology"},{"issue":"9","key":"2024092007525509400_ocae179-B30","article-title":"The effects of social media use on the health of older adults: an empirical analysis based on 2017 Chinese general social survey","volume":"9","author":"Fu","year":"2021","journal-title":"Healthcare (Basel)"},{"issue":"7","key":"2024092007525509400_ocae179-B31","doi-asserted-by":"crossref","first-page":"e294","DOI":"10.1161\/CIR.0000000000000691","article-title":"Type 2 diabetes mellitus and heart failure: a scientific statement from the American heart association and the heart failure society of America: this statement does not represent an update of the 2017 ACC\/AHA\/HFSA heart failure guideline update","volume":"140","author":"Dunlay","year":"2019","journal-title":"Circulation"},{"key":"2024092007525509400_ocae179-B32","doi-asserted-by":"crossref","first-page":"333","DOI":"10.2147\/DMSO.S186758","article-title":"The role of concordant and discordant comorbidities on performance of self-care behaviors in adults with type 2 diabetes: a systematic review","volume":"12","author":"Aga","year":"2019","journal-title":"Diabetes Metab Syndr Obes"},{"issue":"19","key":"2024092007525509400_ocae179-B33","doi-asserted-by":"crossref","first-page":"2149","DOI":"10.1016\/j.jacc.2018.03.022","article-title":"Multimorbidity in older adults with cardiovascular disease","volume":"71","author":"Forman","year":"2018","journal-title":"J Am Coll Cardiol"}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jamia\/article-pdf\/31\/10\/2210\/59206339\/ocae179.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jamia\/article-pdf\/31\/10\/2210\/59206339\/ocae179.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T07:53:34Z","timestamp":1726818814000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/31\/10\/2210\/7712337"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,11]]},"references-count":33,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2024,7,11]]},"published-print":{"date-parts":[[2024,10,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocae179","relation":{},"ISSN":["1067-5027","1527-974X"],"issn-type":[{"type":"print","value":"1067-5027"},{"type":"electronic","value":"1527-974X"}],"subject":[],"published-other":{"date-parts":[[2024,10]]},"published":{"date-parts":[[2024,7,11]]}}}