The impact of Internet use on mental wellbeing and health behaviours among persons with disability
Abstract Background Disability is frequently related to the digital divide. However, the Internet may be also an opportunity for many people with disabilities, especially for those who suffer from difficulties in involving in social activities. For some of them, it is also a tool for undertaking professional tasks. The aim of the study was the assessment of the impact of the Internet on selected aspects of psychological wellbeing and undertaking health behaviours in persons with disabilities. Methods From the data set of the biannual Social Diagnosis survey, data of respondents confirming the status of disability were extracted. They were used for the development of multivariate logistic regression models for self-assessment of life, the prevalence of suicidal thoughts, feeling lonely, the use of psychological support and health behaviours. The impact of Internet usage was adjusted for sociodemographic variables. Weights provided by the study team were used in the analysis. Results The responses from 3231 respondents were used in the analysis. There were 33.1% of Internet users in the study group. Respondents with a mild disability made 25.3%, with moderate 39.4%, with severe 24.2%, and without an established degree of disability 11.1%. Logistic regression modelling revealed that Internet users more frequently assessed their lives as happy (odds ratio, 95% confidence interval (OR, 95%CI): 1.40, 1.13-1.75) and undertook some form of physical activity (2.32, 1.84-2.91). They also less frequently excessively consumed alcohol (0.51, 0.33-0.80). No relation was found for experiencing loneliness (0.89, 0.71-1.12), suicidal thoughts (0.998, 0.77-1.29), receiving psychological care (0.84, 0.62-1.14) and smoking (0.83, 0.66-1.04). Conclusions Although persons with disabilities suffer from digital divide, Internet use may exert a beneficial impact on their wellbeing and favour more beneficial health behaviours. Key messages Internet access and use among persons with disabilities may be an opportunity for improved wellbeing. Persons with disabilities who are Internet users assess their lives as more happy and demonstrate more favourable health behaviours.