Kefeli Col Bahar, Gumusler Basaran Ayse, Genc Kose Burcu
Güneysu School of Physical Therapy and Rehabilitation, Recep Tayyip Erdoğan University, Rize, Türkiye.
Faculty of Health Sciences, Recep Tayyip Erdoğan University, Rize, Türkiye.
J Multidiscip Healthc. 2025 Mar 17;18:1581-1595. doi: 10.2147/JMDH.S513017. eCollection 2025.
While the Internet can be a valuable resource for learning about health issues, for those without adequate e-health literacy skills, it can have adverse effects on unwanted anxiety and cyberchondria risk. Improving e-health literacy is essential to manage health and death anxiety and help reduce the risk of cyberchondria. The aim of this study is to determine the e-health literacy, health anxiety, cyberchondria and death anxiety levels of university students, evaluate them in terms of independent variables and examine the relationship between the scales.
The study was completed with 568 students receiving education in the health department of a university. Data were obtained using the e-Health Literacy Scale, Health Anxiety Inventory, Cyberchondria Severity Scale, and Death Anxiety Scale. The chi-square, Mann-Whitney U, Kruskal-Wallis, Tamhane's T2 post hoc tests, and Spearman correlation were used to analyze the data.
The mean score of e-health literacy was 28.63±4.65; health anxiety was 19.11±8.37, cyberchondria was 86.30±18.28 and death anxiety was 7.34±2.14. Cyberchondria is low in women and those who do not conduct online research on health. E-health literacy was higher in those earning above the minimum wage. Health and death anxiety was low in men and in those who did not conduct online health-related research. Health anxiety was positively correlated with cyberchondria and death anxiety and negatively correlated with e-health literacy. There was a positive relationship between cyberchondria and E-health literacy and death anxiety. This study highlights the complex relationship between eHealth literacy, health anxiety, cyberchondria and death anxiety. It shows that low e-health literacy can increase health anxiety, which in turn can worsen cyberchondria and death anxiety. By emphasising the importance of e-health literacy in health education, the findings may help students manage their anxiety, make informed health decisions, and increase their professional competence.
虽然互联网对于了解健康问题而言可能是一种宝贵资源,但对于那些缺乏足够电子健康素养技能的人来说,它可能会对不必要的焦虑和网络疑病症风险产生不利影响。提高电子健康素养对于管理健康和死亡焦虑以及帮助降低网络疑病症风险至关重要。本研究的目的是确定大学生的电子健康素养、健康焦虑、网络疑病症和死亡焦虑水平,根据自变量对其进行评估,并检验各量表之间的关系。
该研究以一所大学健康系的568名学生为对象完成。使用电子健康素养量表、健康焦虑量表、网络疑病症严重程度量表和死亡焦虑量表获取数据。采用卡方检验、曼-惠特尼U检验、克鲁斯卡尔-沃利斯检验、塔姆哈尼T2事后检验以及斯皮尔曼相关性分析对数据进行分析。
电子健康素养的平均得分为28.63±4.65;健康焦虑为19.11±8.37,网络疑病症为86.30±18.28,死亡焦虑为7.34±2.14。女性以及那些不进行健康方面在线研究的人网络疑病症程度较低。最低工资以上收入者的电子健康素养较高。男性以及那些不进行与健康相关在线研究的人健康和死亡焦虑较低。健康焦虑与网络疑病症和死亡焦虑呈正相关,与电子健康素养呈负相关。网络疑病症与电子健康素养和死亡焦虑之间存在正相关关系。本研究突出了电子健康素养、健康焦虑、网络疑病症和死亡焦虑之间的复杂关系。研究表明,较低的电子健康素养会增加健康焦虑,进而可能加剧网络疑病症和死亡焦虑。通过强调电子健康素养在健康教育中的重要性,这些发现可能有助于学生管理焦虑、做出明智的健康决策并提高其专业能力。