Akarsu Mehmet, Güllü Mehmet, Polat Günata Gül, Kızılkaya Aysel, Aydın Savaş, Özcan Ecesu, Norman Göktuğ, Kurhan Cihad Onur
Sports Science Faculty, İnönü University, Malatya 44050, Türkiye.
Health Science Faculty, Malatya Turgut Özal University, Malatya 44050, Türkiye.
Healthcare (Basel). 2025 Jul 31;13(15):1870. doi: 10.3390/healthcare13151870.
It is well-established that, for adolescents to adopt sustainable healthy lifestyle behaviors, not only access to information but also the skills required to translate that information into action are critical. In this field, research that examines the relationship between e-health literacy and sustainable healthy lifestyle behaviors within the context of physical literacy is notably scarce. In this context, the aim of this study is to examine the effect of e-health literacy on a sustainable healthy lifestyle and to evaluate the mediating role of physical literacy in this relationship. A total of 835 adolescents from high schools across Türkiye voluntarily participated in this study. During the data collection process, the e-Health Literacy Scale, the Perceived Physical Literacy Scale, and the Healthy and Sustainable Lifestyle Scale were utilized. Data were analyzed using the JASP (version 0.18.3.0) software. Correlation analysis and structural equation modeling were conducted, and the bootstrap method (n = 5000) was employed for mediation analysis. The effect of e-health literacy on a sustainable healthy lifestyle was found to be positive and statistically significant (β = 0.452, < 0.001). Similarly, e-health literacy significantly predicted physical literacy (β = 0.755, < 0.001), and physical literacy significantly predicted a sustainable healthy lifestyle (β = 0.310, < 0.001). The mediating effect was also statistically significant (β = 0.234, < 0.001). The model explained 32% of the variance in healthy lifestyle behaviors. The findings indicate that evaluating e-health literacy and physical literacy together provides a holistic approach to fostering sustainable healthy lifestyle habits among adolescents. It is recommended that intervention programs be structured to encompass both areas of competence.
众所周知，对于青少年而言，要养成可持续的健康生活方式行为，不仅需要获取信息，还需要将这些信息转化为行动所需的技能，这一点至关重要。在这一领域，在身体素养背景下研究电子健康素养与可持续健康生活方式行为之间关系的研究明显匮乏。在此背景下，本研究旨在探讨电子健康素养对可持续健康生活方式的影响，并评估身体素养在这种关系中的中介作用。来自土耳其各地高中的835名青少年自愿参与了本研究。在数据收集过程中，使用了电子健康素养量表、感知身体素养量表和健康与可持续生活方式量表。数据使用JASP（版本0.18.3.0）软件进行分析。进行了相关分析和结构方程建模，并采用自抽样法（n = 5000）进行中介分析。结果发现，电子健康素养对可持续健康生活方式的影响是积极的且具有统计学意义（β = 0.452，< 0.001）。同样，电子健康素养显著预测身体素养（β = 0.755，< 0.001），身体素养显著预测可持续健康生活方式（β = 0.310，< 0.001）。中介效应也具有统计学意义（β = 0.234，< 0.001）。该模型解释了健康生活方式行为中32%的方差。研究结果表明，综合评估电子健康素养和身体素养为培养青少年可持续的健康生活习惯提供了一种整体方法。建议构建干预项目以涵盖这两个能力领域。
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