Association between the e-healthy literacy and cancer prevention consciousness in rural China: cancer cognition acting as a mediator.

IF 4 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Global Health Research and Policy Pub Date : 2025-07-09 DOI:10.1186/s41256-025-00421-1

Huifang Zhang, Xindan Zhang, Xingli Ma, Boyang Fan, Yingjie Wang, Ao Zhang, Wenning Sun, Haining Yu, Haipeng Wang

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引用次数: 0

Abstract

Background: Cancer prevention is a critical public health challenge in China, especially among rural residents. This study aimed to examine the mediating role of cancer cognition in the relationship between e-health literacy and cancer prevention consciousness.

Methods: A multi-stage stratified random sampling method was used to recruit 486 rural residents from Shandong Province for a questionnaire survey. Data from 453 valid responses were analyzed using descriptive statistics, univariate and multiple linear regression. Path analysis was used to examine the mediating role of cancer cognition in the relationship between e-health literacy and cancer prevention consciousness.

Results: The mean score of cancer prevention consciousness among rural residents in this study was 7.46 out of a maximum of 10. Regression analysis showed that e-health literacy (β = 0.146, P < 0.001) and cancer cognition (β = 0.150, P < 0.001) influenced cancer prevention consciousness. Gender and the perceived necessity of cancer-related knowledge were also influencing factors (P < 0.001). The direct effect value of e-health literacy on cancer prevention consciousness was 0.155, which accounted for 84.87% of the total effect. The indirect effect value through cancer cognition level is 0.028, accounting for 15.13% of the total effect.

Conclusions: We found an above-average level of cancer prevention consciousness among the rural residents. E-health literacy can enhance the consciousness among individuals by increasing their cancer cognition. Policymakers should leverage e-health technologies to strengthen residents' capacity to understand cancer-related information, with culturally tailored interventions further supporting effective prevention and global health efforts.

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中国农村电子健康素养与癌症预防意识的关系：癌症认知的中介作用

背景：在中国，癌症预防是一项重要的公共卫生挑战，尤其是在农村居民中。本研究旨在探讨癌症认知在电子健康素养与癌症预防意识之间的中介作用。方法：采用多阶段分层随机抽样方法，对山东省486名农村居民进行问卷调查。采用描述性统计、单变量和多元线性回归对453份有效回复的数据进行分析。通过通径分析，探讨癌症认知在电子健康素养与癌症预防意识之间的中介作用。结果：本研究农村居民防癌意识平均得分为7.46分（满分为10分）。回归分析显示，农村居民的电子健康素养（β = 0.146， P）高于平均水平。电子健康素养可以通过提高个人对癌症的认知来增强个人的癌症意识。政策制定者应利用电子卫生技术，加强居民了解癌症相关信息的能力，并采用适合不同文化的干预措施，进一步支持有效的预防和全球卫生工作。

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

Global Health Research and Policy Social Sciences-Health (social science)

CiteScore

12.00

自引率

1.10%

发文量

审稿时长

5 weeks

期刊介绍： Global Health Research and Policy, an open-access, multidisciplinary journal, publishes research on various aspects of global health, addressing topics like health equity, health systems and policy, social determinants of health, disease burden, population health, and other urgent global health issues. It serves as a forum for high-quality research focused on regional and global health improvement, emphasizing solutions for health equity.