Xu Lidan, Guo Tingting, Chen Fangfang, Ma Ya, Yan Yuying
Reproductive Endocrinology, Women's Hospital, School of Medicine, Zhejiang University, HangZhou, China.
Women's Hospital, School of Medicine, Zhejiang University, HangZhou, China.
Reprod Health. 2025 Aug 29;22(1):153. doi: 10.1186/s12978-025-02113-y.
BACKGROUND: E-health literacy is critical to driving healthy behaviors in in vitro fertilization-embryo transfer (IVF-ET) patients. However, the underlying subgroups of e-health literacy in IVF-ET patients and their influencing factors are unclear. METHODS: From July 2023 to January 2024, 1200 participants were recruited from a women's and children's hospital, using a convenience sampling method. The participants completed the E-health Literacy Scale, the General Self-efficacy Scale and the General Demographic Information Questionnaire. Latent Profile Analysis (LPA) with Mplus 8.0 identified potential e-health literacy categories in IVF-ET patients. Group differences were analyzed using chi-square tests or one-way ANOVA in SPSS 25.0. Multiple logistic regression (SPSS 25.0) explored factors associated with e-health literacy. RESULTS: A total of 1074 valid questionnaires were included. Three potential categories were revealed, namely "low e-health literacy group" (N = 455, 42.4%), "medium e-health literacy group" (N = 505, 47.0%), and "high e-health literacy group" (N = 114, 10.6%). Multivariate logistic regression showed that interest in electronic health information search (β = 1.882, P = 0.005, OR = 6.565, 95% CI: 1.741-24.748), attitude toward electronic health information (β = 3.088, P < 0.001, OR = 21.929, 95% CI: 4.599-104.555), lack of access to electronic health information (β = -3.376, P = 0.002, OR = 0.034, 95% CI: 0.004-0.298), and self-efficacy (β = 0.341, P < 0.001, OR = 1.406, 95% CI: 1.332-1.484) were significant predictors of higher e-health literacy in IVF-ET patients. CONCLUSIONS: The e-health literacy level among IVF-ET patients requires further enhancement. This can be achieved by fostering patients' interest and positive attitudes toward seeking e-health information and strengthening their self-efficacy. Such strategies not only elevate e-health literacy but also enhance patients' capacity to utilize e-health services effectively, ultimately contributing to improved reproductive health outcomes.
背景：电子健康素养对于推动体外受精-胚胎移植（IVF-ET）患者的健康行为至关重要。然而，IVF-ET患者电子健康素养的潜在亚组及其影响因素尚不清楚。 方法：2023年7月至2024年1月，采用便利抽样法从一家妇幼医院招募了1200名参与者。参与者完成了电子健康素养量表、一般自我效能量表和一般人口学信息问卷。使用Mplus 8.0进行潜在剖面分析（LPA），以确定IVF-ET患者中潜在的电子健康素养类别。在SPSS 25.0中使用卡方检验或单因素方差分析分析组间差异。多元逻辑回归（SPSS 25.0）探讨了与电子健康素养相关的因素。 结果：共纳入1074份有效问卷。揭示了三个潜在类别，即“低电子健康素养组”（N = 455，42.4%）、“中等电子健康素养组”（N = 505，47.0%）和“高电子健康素养组”（N = 114，10.6%）。多因素逻辑回归显示，对电子健康信息搜索的兴趣（β = 1.882，P = 0.005，OR = 6.565，95%CI：1.741 - 24.748）、对电子健康信息的态度（β = 3.088，P < 0.001，OR = 21.929，95%CI：4.599 - 104.555）、获取电子健康信息的困难（β = -3.376，P = 0.002，OR = 0.034，95%CI：0.004 - 0.298）和自我效能感（β = 0.341，P < 0.001，OR = 1.406，95%CI：1.332 - 1.484）是IVF-ET患者电子健康素养较高的显著预测因素。 结论：IVF-ET患者的电子健康素养水平需要进一步提高。这可以通过培养患者对寻求电子健康信息的兴趣和积极态度以及增强他们的自我效能感来实现。这些策略不仅可以提高电子健康素养，还可以增强患者有效利用电子健康服务的能力，最终有助于改善生殖健康结果。
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