Research on the Avoidance Behavior of the Elderly in Online Health Information Services from the Perspective of Stigma Power
With the widespread adoption of online health information services,identifying the avoidance factors for the elderly demo-graphic is essential for improving the coverage of these services and addressing the issue of insufficient utilization among the elderly.Drawing on stigma power theory and incorporating protection motivation theory,this study investigates the internal mechanisms under-lying the avoidance behavior of the elderly in online health information services and explains how structural stigma,discrimination,self-stigma awareness,and stereotype threat of the elderly affect avoidance behavior.Structural Equation Modeling (SEM) and fuzzy-set Qualitative Comparative Analysis (fsQCA) are used to analyze the influencing factors and their configurations.The findings indicate that stigma ultimately leads to the avoidance behavior of the elderly in online health information services.Discrimination has a signifi-cantly positive effect on stereotype threat and self-stigma awareness of the elderly.Both stereotype threat and self-stigma awareness di-rectly and indirectly,through protection motivation,positively and significantly influence the avoidance behavior of the elderly in online health information services.Four conditional combinations of the five variables—structural stigma,discrimination,stereotype threat,self-stigma awareness,and protection motivation—can result in avoidance behavior towards online health information services among the elderly.
ElderlyOnline health information servicesAvoidance behaviorStigma power theoryQualitative comparative analysis