Analysis of the Impact of E-Health Literacy on Health Behavior Among the Elderly in Jiangsu: Structural Equation Model.

IF 1.7 4区医学 Q2 NURSING

Public Health Nursing Pub Date : 2025-04-23 DOI:10.1111/phn.13565

Aojie Chen, Xiquan Wang, Anying Xu, Qingyu Liu, Biying Tong

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引用次数: 0

Abstract

Objective: This study aims to determine the correlation between e-health literacy, physiology, and health behaviors of older adults in Jiangsu to assess the factors influencing digital health in older adults.

Methods: Data were collected through a 1:1 face-to-face survey conducted in hospitals and elderly communities from May 1 to June 14, 2024, using a structured questionnaire. In this study, the electronic health literacy questionnaire, the quality-of-life questionnaire, and the Anderson health behavior model were used. According to the collected data, the structural relationship between electronics and health literacy, physiological function, and health behavior of the elderly aged 60 years and above was confirmed, and the structural equation modeling (SEM) analysis was carried out.

Results: E-health literacy significantly positively impacted physiological function (β = 0.916, p < 0.001), while physiological function showed a positive but non-significant association with health behaviors (β = 0.343, p = 0.091). The mediating role of physiological function between e-health literacy and health behaviors was confirmed (*indirect effect = 0.005, 95% CI: -0.010 to 0.125*). Pearson correlations revealed significant relationships: e-health literacy with physiological function (γ = 0.331, p < 0.001) and physiological function with health behaviors (γ = 0.146, p < 0.01).

Conclusion: In the era of big data and the aging society, it is necessary to strengthen publicity and guidance to improve the e-health literacy of older adults, especially those with poor physiological function. Explain the potential threats of some health information and ensure healthy digital aging through multi-stakeholder societal participation.

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江苏省老年人电子健康素养对健康行为的影响分析：结构方程模型

目的：研究江苏省老年人电子健康素养、生理和健康行为之间的相关性，探讨影响老年人数字健康的因素。方法：采用结构化问卷，于2024年5月1日至6月14日在医院和老年社区进行一对一面对面调查。本研究采用电子健康素养问卷、生活品质问卷和安德森健康行为模型。根据收集到的数据，确认电子产品与60岁及以上老年人健康素养、生理功能、健康行为之间的结构关系，并进行结构方程建模（SEM）分析。结果：电子健康素养对生理功能有显著正向影响（β = 0.916, p < 0.001），生理功能与健康行为有显著正相关（β = 0.343, p = 0.091）。生理功能在电子健康素养与健康行为之间的中介作用得到证实（*间接效应= 0.005,95% CI: -0.010 ~ 0.125*）。Pearson相关分析显示，电子健康素养与生理功能（γ = 0.331, p < 0.001）、生理功能与健康行为（γ = 0.146, p < 0.01）之间存在显著相关。结论：在大数据时代和老龄化社会，有必要加强宣传引导，提高老年人特别是生理功能较差老年人的电子健康素养。解释一些健康信息的潜在威胁，并通过多方利益相关者的社会参与确保健康的数字老龄化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health Nursing 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.50

自引率

4.80%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.