Xu Richard Huan, Shi Lu-Shao-Bo, Xia Yi, Wang Dong
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China.
Digit Health. 2022 Mar 25;8:20552076221089789. doi: 10.1177/20552076221089789. eCollection 2022 Jan-Dec.
This study aimed to investigate eHealth literacy among primary care providers (PCPs) and explore its association with social support, individual resilience, anxiety, and depression during an outbreak of the SARS-CoV-2 Delta variant in Guangzhou, China.
A cross-sectional web-based survey was conducted in 18 community healthcare centers in Guangzhou, China. The responses of 600 PCPs were tagged as valid responses. Information pertaining to their background, eHealth literacy, anxiety, depression levels, social support, and individual resilience was also collected. Multilevel analysis was used to determine the association among the measures to account for the nested random effect of community health centers in different districts.
Participants showed a moderate self-perceived level of eHealth literacy ( = 30, = 5.8). Participants who reported higher levels of eHealth literacy were more likely to exhibit lower levels of anxiety and depression, higher social support, and greater resilience. After adjusting for background characteristics, the results of the multilevel logistic analysis showed that eHealth literacy was significantly associated with anxiety and depression, social support, and individual resilience. Younger participants and those who were highly educated reported enhanced eHealth literacy.
This study presents a baseline reference for eHealth literacy among Chinese PCPs. Improving their ability to search for and use reliable web-based information was beneficial for facilitating perceived social support and raising resilience during the pandemic. Strategies to provide high-quality web-based information to PCPs to self-assess and identify psychological distress at an early stage should be encouraged.
本研究旨在调查基层医疗服务提供者(PCP)的电子健康素养,并探讨在中国广州出现严重急性呼吸综合征冠状病毒2(SARS-CoV-2)Delta变异株疫情期间,其与社会支持、个人复原力、焦虑和抑郁之间的关联。
在中国广州的18个社区医疗中心进行了一项基于网络的横断面调查。600名基层医疗服务提供者的回复被标记为有效回复。还收集了有关他们的背景、电子健康素养、焦虑、抑郁水平、社会支持和个人复原力的信息。采用多水平分析来确定各项指标之间的关联,以考虑不同地区社区卫生中心的嵌套随机效应。
参与者自我感知的电子健康素养水平中等(=30,=5.8)。报告电子健康素养水平较高的参与者更有可能表现出较低的焦虑和抑郁水平、较高的社会支持和更强的复原力。在调整背景特征后,多水平逻辑分析结果显示,电子健康素养与焦虑和抑郁、社会支持以及个人复原力显著相关。较年轻的参与者和受过高等教育的参与者报告的电子健康素养更高。
本研究为中国基层医疗服务提供者的电子健康素养提供了一个基线参考。提高他们搜索和使用可靠网络信息的能力,有利于在疫情期间促进感知到的社会支持并提高复原力。应鼓励采取策略,向基层医疗服务提供者提供高质量的网络信息,以便他们在早期阶段自我评估和识别心理困扰。