School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
The Chinese University of Hong Kong Shenzhen Research Institute, Shenzhen, China.
Health Promot Int. 2022 Dec 1;37(6). doi: 10.1093/heapro/daac143.
The internet is a critical source of health information. It is important to understand online health information seeking related factors among college students, as modifications in this have the potentials to enhance their health-promoting behaviors in their transition into early adulthood. This study assessed the associations among cognitive social factors, eHealth literacy, online health information seeking and health-promoting behaviors; and examined the potential mediation effect of online health information seeking and eHealth literacy on the association between cognitive social factors and health-promoting behaviors. A cross-sectional, Internet-based survey was conducted in a sample of Chinese college students (n = 289) during April to June 2018. The structural model fitted the data well: X2/df = 2.27; CFI = 0.95; TLI = 0.94; RMSEA = 0.07 (95% CI: 0.06, 0.08); SRMR = 0.07 and the results showed that performance expectancy and health motivation were significantly and positively associated with health-promoting behaviors indirectly through eHealth literacy, adjusting for other cognitive social factors, frequency of online health information seeking and background factors. eHealth literacy is a strong mediator of the association between cognitive social factors (performance expectancy and health motivation) and health-promoting behaviors. Implications and potential interventions to promote eHealth literacy and health-promoting behaviors are discussed.
互联网是获取健康信息的重要渠道。了解大学生的网络健康信息搜索相关因素非常重要，因为这些因素的变化可能会促进他们在向成年早期过渡时期的健康促进行为。本研究评估了认知社会因素、电子健康素养、在线健康信息搜索与健康促进行为之间的关联，并检验了在线健康信息搜索和电子健康素养在认知社会因素与健康促进行为之间的关联中的潜在中介作用。2018 年 4 月至 6 月期间，采用基于互联网的横断面调查方法对中国大学生样本（n=289）进行了调查。结构模型很好地拟合了数据：X2/df = 2.27；CFI = 0.95；TLI = 0.94；RMSEA = 0.07（95% CI：0.06，0.08）；SRMR = 0.07，结果表明，绩效期望和健康动机通过电子健康素养与健康促进行为呈显著正相关，在调整了其他认知社会因素、在线健康信息搜索频率和背景因素后，间接影响健康促进行为。电子健康素养是认知社会因素（绩效期望和健康动机）与健康促进行为之间关联的重要中介因素。讨论了促进电子健康素养和健康促进行为的意义和潜在干预措施。
