从接入到能力：当代中国的数字素养与健康不平等
From access to capability: digital literacy and health inequality in contemporary China.
摘要(中文译文)
随着数字环境成为日常生活的一部分，数字不平等可能与健康差异日益相关。本研究利用2023年中国社会状况综合调查（CSS2023）的数据，考察数字素养是否与自评身体健康和自评心理健康相关，这些关联是否超越传统社会经济地位而持续存在，以及互联网使用者的数字素养如何与全样本中更广泛的接入差异一同与健康相关。普通最小二乘法（OLS）模型表明，在调整年龄、性别、婚姻状况、户口、教育、收入和主观社会地位后，数字素养与两项结果均呈正相关。这种关联在自评心理健康方面比自评身体健康方面更为明显。补充模型显示，互联网接入在全样本中也与健康相关，而数字素养则反映了已经上网的受访者之间的能力差异。由于这些分析基于不同的样本和不同测量的变量，接入与素养的比较仅作描述性解读，而非作为相对重要性的正式检验。异质性分析表明，与自评心理健康的关联在年龄较大的受访者和教育程度较低的受访者中更强。这些发现与以下观点一致：与健康相关的数字不平等不仅限于接入，还涉及互联网使用者之间的能力差异。因此，数字素养可被理解为一种基于能力的健康相关资源，以及当代健康不平等的一个维度，尽管横断面设计无法进行因果推断。
Abstract
As digital environments become part of everyday life, digital inequality may be increasingly associated with health differences. Using data from the Chinese Social Survey 2023 (CSS2023), this study examines whether digital literacy is associated with self-rated physical health and self-rated psychological health, whether these associations persist beyond traditional socioeconomic status, and how digital literacy among internet users relates to health alongside the broader access divide in the full sample. Ordinary least squares (OLS) models indicate that digital literacy is positively associated with both outcomes after adjustment for age, gender, marriage, hukou (household registration), education, income, and subjective social status. The association is more pronounced for self-rated psychological health than for self-rated physical health. Supplementary models show that internet access is also associated with health in the full sample, while digital literacy captures capability differences among respondents already online. Because these analyses are based on different samples and differently measured variables, the access-literacy comparison is interpreted descriptively rather than as a formal test of relative importance. Heterogeneity analyses suggest that the association with self-rated psychological health is stronger among older respondents and those with lower educational attainment. These findings are consistent with the view that health-related digital inequality extends beyond access and also involves capability differences among internet users. Digital literacy may therefore be understood as a capability-based health-related resource and a dimension of contemporary health inequality, although the cross-sectional design precludes causal inference.
如何引用
AMA
Guangyu Chen, Jinyuan He. From access to capability: digital literacy and health inequality in contemporary China.. Frontiers in public health. 2026; doi:10.3389/fpubh.2026.1843334.
APA
Guangyu Chen, Jinyuan He (2026). From access to capability: digital literacy and health inequality in contemporary China.. Frontiers in public health. https://doi.org/10.3389/fpubh.2026.1843334
GB/T 7714
Guangyu Chen, Jinyuan He. From access to capability: digital literacy and health inequality in contemporary China.[J]. Frontiers in public health, 2026 doi:10.3389/fpubh.2026.1843334.
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