{"title":"E-health literacy and health-promoting behaviors among nursing students in China: the mediating role of self-efficacy.","authors":"Xi Chen, Huang Xiao","doi":"10.1080/13548506.2025.2481193","DOIUrl":null,"url":null,"abstract":"<p><p>Adoption of health-promoting behaviors is crucial for improving people's well-being. As future health promoters, nursing students are encouraged to lead healthy lifestyles. The aim of this study was to investigate the status of health-promoting behaviors among nursing students and determine their associations with e-health literacy. The mediating effect of self-efficacy on the relationship between e-health literacy and health-promoting behaviors was also explored. A cross-sectional design was adopted to enroll 494 nursing students from the Hunan College of Foreign Studies in China. An online survey based on the simplified Chinese version of the e-Health Literacy Scale (SC-eHEALS), the General Self-Efficacy Scale (GSE), and the Chinese version of the Health Promoting Lifestyle Profile-II (HPLP-IICR) were used to collect data. Statistical analysis was conducted using SPSS 27.0 and PROCESS macro. It was observed that self-efficacy mediated the relationship between e-health literacy and health-promoting behaviors among nursing students, and the mediating effect accounted for 35.10%% of the total effect (<i>p</i> < 0.001). Collectively, these findings indicate that nursing students have a moderate level of health-promoting behaviors, and that e-health literacy can improve health-promoting behaviors by enhancing self-efficacy.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1757-1767"},"PeriodicalIF":1.9000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology Health & Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13548506.2025.2481193","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/20 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Adoption of health-promoting behaviors is crucial for improving people's well-being. As future health promoters, nursing students are encouraged to lead healthy lifestyles. The aim of this study was to investigate the status of health-promoting behaviors among nursing students and determine their associations with e-health literacy. The mediating effect of self-efficacy on the relationship between e-health literacy and health-promoting behaviors was also explored. A cross-sectional design was adopted to enroll 494 nursing students from the Hunan College of Foreign Studies in China. An online survey based on the simplified Chinese version of the e-Health Literacy Scale (SC-eHEALS), the General Self-Efficacy Scale (GSE), and the Chinese version of the Health Promoting Lifestyle Profile-II (HPLP-IICR) were used to collect data. Statistical analysis was conducted using SPSS 27.0 and PROCESS macro. It was observed that self-efficacy mediated the relationship between e-health literacy and health-promoting behaviors among nursing students, and the mediating effect accounted for 35.10%% of the total effect (p < 0.001). Collectively, these findings indicate that nursing students have a moderate level of health-promoting behaviors, and that e-health literacy can improve health-promoting behaviors by enhancing self-efficacy.
期刊介绍:
Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management.
For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.