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中国中小学生的电子健康素养与自我效能感:一项有调节的中介分析

Electronic Health Literacy and Self-Efficacy Among Primary and Middle School Students in China: A Moderated Mediated Analysis.

作者信息

Tian Lin, Xie Tao, Liu Jinnan, Mao Ying

机构信息

School of Humanities and Social Science, Xi'an Jiaotong University, Xi'an 710049, China.

School of Public Policy Administration, Xi'an Jiaotong University, Xi'an 710049, China.

出版信息

Children (Basel). 2024 Nov 30;11(12):1470. doi: 10.3390/children11121470.

DOI:10.3390/children11121470
PMID:39767900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11674169/
Abstract

BACKGROUND

The Internet has become a crucial tool for learning, socializing, and entertainment for contemporary minors, and plays an increasingly prominent role in their growth. However, it has been observed that students are often unable to make good judgments about online health information and barely use the Internet to help tackle their health problems. The purpose of this study was to determine the relationship between electronic health literacy (EHL) and general self-efficacy among Chinese primary and middle school students.

METHODS

A total of 1200 questionnaires were sent out, and 1085 effective questionnaires were received with effective recovery of 90.42%. First, we conducted a confirmatory factor analysis. Second, structural equation modeling (SEM) was used to explore the mechanisms underlying the relationship between EHL and general self-efficacy.

RESULTS

The results revealed a significant positive correlation between EHL and self-efficacy. The results of the CFA showed a good fit for the data. The results of SEM showed that the relationship between self-efficacy and health information applications was partially mediated by health information acquisition (β = 0.47, [Bias-Corrected 95%CI: 0.39, 0.59], [Percentile 95%CI: 0.37, 0.58]). Household factors moderated this mediating relationship (β = 0.4, [Bias-Corrected 95%CI: 0.19, 0.61], [Percentile 95%CI: 0.19, 0.61]).

CONCLUSIONS

Information acquisition was found to play a mediating role between self-efficacy and information application. Household factors moderated the indirect relationship between self-efficacy and information applications through information acquisition.

摘要

背景

互联网已成为当代未成年人学习、社交和娱乐的重要工具,在他们的成长过程中发挥着越来越重要的作用。然而,据观察,学生往往无法对在线健康信息做出良好判断,几乎不利用互联网来帮助解决他们的健康问题。本研究的目的是确定中国中小学生的电子健康素养(EHL)与一般自我效能感之间的关系。

方法

共发放问卷1200份,回收有效问卷1085份,有效回收率为90.42%。首先,我们进行了验证性因素分析。其次,采用结构方程模型(SEM)探讨EHL与一般自我效能感之间关系的潜在机制。

结果

结果显示EHL与自我效能感之间存在显著正相关。验证性因素分析结果表明数据拟合良好。结构方程模型结果显示,自我效能感与健康信息应用之间的关系部分由健康信息获取介导(β = 0.47,[偏差校正95%置信区间:0.39,0.59],[百分位数95%置信区间:0.37,0.58])。家庭因素调节了这种中介关系(β = 0.4,[偏差校正95%置信区间:0.19,0.61],[百分位数95%置信区间:0.19,0.61])。

结论

发现信息获取在自我效能感与信息应用之间起中介作用。家庭因素通过信息获取调节了自我效能感与信息应用之间的间接关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a68/11674169/5cc56fdd1a23/children-11-01470-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a68/11674169/5cc56fdd1a23/children-11-01470-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a68/11674169/5cc56fdd1a23/children-11-01470-g001.jpg

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电子健康使用、素养、信息性社会支持与健康促进行为的关联:健康自我效能的中介作用
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