大学生的数字健康素养与幸福感：对新冠病毒的恐惧、信息满意度和网络信息搜索的中介作用
Digital health literacy and well-being among university students: Mediating roles of fear of COVID-19, information satisfaction, and internet information search.
作者信息
Chen Sheng-Chih, Hong Nguyen Nhi Thi, Lin Cheng-Yu, Huy Le Duc, Lai Chih-Feng, Dang Loan T, Truong Nguyen L T, Hoang Nhi Y, Nguyen Thao T P, Phaṇ Tan N, Dadaczynski Kevin, Okan Orkan, Duong Tuyen Van
机构信息
Graduate Program in Digital Content and Technologies, College of Communication, National Chengchi University, Taipei, Taiwan.
School of Health Care Administration, College of Management, Taipei Medical University, Taipei, Taiwan.
出版信息
Digit Health. 2023 Mar 27;9:20552076231165970. doi: 10.1177/20552076231165970. eCollection 2023 Jan-Dec.
BACKGROUND
Digital health literacy (DHL) enables healthy decisions, improves protective behaviors and adherence to COVID-19 measures, especially during the era of the "infodemic", and enhances psychological well-being.
OBJECTIVE
We aimed to explore the mediating roles of fear of COVID-19, information satisfaction, and the importance of online information searching on the association between DHL and well-being.
METHODS
A cross-sectional web-based survey was conducted among 1631 Taiwanese university students, aged 18 years and above, from June 2021 to March 2022. The collected data include sociodemographic characteristics (sex, age, social status, and financial satisfaction), the importance of online information searching, information satisfaction, fear of COVID-19, DHL, and well-being. A linear regression model was utilized to investigate factors associated with well-being, followed by a pathway analysis to assess the direct and indirect relationship between DHL and well-being.
RESULTS
The scores of DHL and overall well-being were 3.1 ±0.4 and 74.4 ± 19.7, respectively. Social status (B = 2.40, 95% confidence interval (CI) 1.73-3.07, < 0.001), DHL (B 0.29, 95% CI 0.10-0.49, < 0.001), importance of online information searching (B = 0.78, 95% CI 0.38-1.17, < 0.001), and information satisfaction (B = 3.59, 95% CI 2.22-4.94, < 0.001) were positively associated with well-being, whereas higher fear of COVID-19 scores (B = -0.38, 95% CI -0.55-(-0.21), < 0.001) and female (B = -2.99, 95% CI -5.02-0.6, = 0.004) were associated with lower well-being, when compared with lower fear scores and male, respectively. Fear of COVID-19 (B = 0.03, 95% CI 0.016-0.04, < 0.001), importance of online information searching (B = 0.03, 95% CI 0.01-0.05, = 0.005), and information satisfaction (B = 0.05, 95% CI 0.023-0.067, < 0.001) were significantly mediated the relationship between DHL and well-being.
CONCLUSION
Higher DHL scores show direct and indirect associations with higher well-being scores. Fear, importance of online information searching, and information satisfaction significantly contributed to the association.
背景
数字健康素养（DHL）有助于做出健康决策，改善防护行为并提高对新冠疫情防控措施的依从性，尤其是在“信息疫情”时代，还能提升心理健康水平。
目的
我们旨在探讨对新冠疫情的恐惧、信息满意度以及在线信息搜索的重要性在DHL与幸福感之间的关联中所起的中介作用。
方法
于2021年6月至2022年3月对1631名年龄在18岁及以上的台湾大学生开展了一项基于网络的横断面调查。收集的数据包括社会人口学特征（性别、年龄、社会地位和财务满意度）、在线信息搜索的重要性、信息满意度、对新冠疫情的恐惧、DHL和幸福感。采用线性回归模型研究与幸福感相关的因素，随后进行路径分析以评估DHL与幸福感之间的直接和间接关系。
结果
DHL得分和总体幸福感得分分别为3.1±0.4和74.4±19.7。与较低的恐惧得分和男性相比，社会地位（B = 2.40，95%置信区间（CI）1.73 - 3.07，P < 0.001）、DHL（B = 0.29，95% CI 0.10 - 0.49，P < 0.001）、在线信息搜索的重要性（B = 0.78，95% CI 0.38 - 1.17，P < 0.001）和信息满意度（B = 3.59，95% CI 2.22 - 4.94，P < 0.001）与幸福感呈正相关，而较高的对新冠疫情的恐惧得分（B = -0.38，95% CI -0.55 -（-0.21），P < 0.001）和女性（B = -2.99，95% CI -5.02 - 0.6，P = 0.004）与较低的幸福感相关。对新冠疫情的恐惧（B = 0.03，95% CI 0.016 - 0.04，P < 0.001）、在线信息搜索的重要性（B = 0.03，95% CI 0.01 - 0.05，P = 0.005）和信息满意度（B = 0.05，95% CI 0.023 - 0.067，P < 0.001）显著介导了DHL与幸福感之间的关系。
结论
较高的DHL得分与较高的幸福感得分存在直接和间接关联。恐惧、在线信息搜索的重要性和信息满意度对这种关联有显著贡献。
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