Determinants of eHealth Literacy among Adults in China

Lwin, May O.; Panchapakesan, Chitra; Sheldenkar, Anita; Calvert, Gemma A.; Lim, Lewis K S; Lu, Jiahui

doi:10.1080/10810730.2020.1776422

Cited by 29 publications

(43 citation statements)

References 57 publications

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“…This is consistent with the mixed findings of the relationship between individuals’ socioeconomic determinants and their level of eHealth literacy, as reported in previous studies. For example, Lwin et al [ 51 ] found that women and men did not differ in their reported frequencies of evaluating eHealth information; however, no older adult respondents (>55 years) were involved in their study. Conversely, a study in China found that female respondents showed a higher level of eHealth literacy than male respondents; however, they used a revised version of the eHEALS, and all the respondents were older than 45 years [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

The Association Between Patients' eHealth Literacy and Satisfaction With Shared Decision-making and Well-being: Multicenter Cross-sectional Study

Zhou¹,

Wong²,

Wang³

2021

J Med Internet Res

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Background Although previous studies have shown that a high level of health literacy can improve patients’ ability to engage in health-related shared decision-making (SDM) and improve their quality of life, few studies have investigated the role of eHealth literacy in improving patient satisfaction with SDM (SSDM) and well-being. Objective This study aims to assess the relationship between patients’ eHealth literacy and their socioeconomic determinants and to investigate the association between patients’ eHealth literacy and their SSDM and well-being. Methods The data used in this study were obtained from a multicenter cross-sectional survey in China. The eHealth Literacy Scale (eHEALS) and Investigating Choice Experiments Capability Measure for Adults were used to measure patients’ eHealth literacy and capability well-being, respectively. The SSDM was assessed by using a self-administered questionnaire. The Kruskal-Wallis one-way analysis of variance and Wilcoxon signed-rank test were used to compare the differences in the eHEALS, SSDM, and Investigating Choice Experiments Capability Measure for Adults scores of patients with varying background characteristics. Ordinary least square regression models were used to assess the relationship among eHealth literacy, SSDM, and well-being adjusted by patients’ background characteristics. Results A total of 569 patients completed the questionnaire. Patients who were male, were highly educated, were childless, were fully employed, were without chronic conditions, and indicated no depressive disorder reported a higher mean score on the eHEALS. Younger patients (SSDM≥61 years=88.6 vs SSDM16-30 years=84.2) tended to show higher SSDM. Patients who were rural residents and were well paid were more likely to report good capability well-being. Patients who had a higher SSDM and better capability well-being reported a significantly higher level of eHealth literacy than those who had lower SSDM and poorer capability well-being. The regression models showed a positive relationship between eHealth literacy and both SSDM (β=.22; P<.001) and well-being (β=.26; P<.001) after adjusting for patients’ demographic, socioeconomic status, lifestyle, and health status variables. Conclusions This study showed that patients with a high level of eHealth literacy are more likely to experience optimal SDM and improved capability well-being. However, patients’ depressive status may alter the relationship between eHealth literacy and SSDM.

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Section: Discussionmentioning

confidence: 99%

The Association Between Patients' eHealth Literacy and Satisfaction With Shared Decision-making and Well-being: Multicenter Cross-sectional Study

Zhou¹,

Wong²,

Wang³

2021

J Med Internet Res

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“…Health-oriented people are more eager to search for health information from different resources, nowadays especially from online sources. Previous studies inform that health information orientation is positively associated with e-health literacy (Cho et al 2014;Dutta-Bergman 2004;Lwin et al 2020). This is meaningful because if a person feels that he/she can find, understand and utilize online health information without difficulty, inevitably apply for online health information when he/she needs as the online health information is readily available and easily accessible for everyone.…”

Section: Health Information Orientationmentioning

confidence: 99%

“…It is related to finding and evaluating health information from online sources (Norgaard et al 2015). Today, online health information is easily accessible, but unfortunately most of the online health information is criticized to be inaccurate, misleading and difficult to understand (Lwin et al 2020;Holmberg et al 2019;Huhta et al 2018). People with high e-health literacy may benefit from online health information more, but if they are not literate in evaluating e-health sources that could result with harmful health decisions.…”

Section: E-health Literacymentioning

confidence: 99%

“…The eHEALS scale measures consumers' combined knowledge, comfort and perceived skills at finding, evaluating and applying electronic health sources to health problems. The eHEALS is the most cited scale in the measurement of e-health literacy, and its validity has been checked across different populations (Lwin et al 2020;Chang and Schulz 2018;Chung et al 2018;Paige et al 2018;Van der Vaart et al 2011).…”

Section: E-health Literacymentioning

confidence: 99%

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A Pathway to Sustainable Health During COVID-19 Pandemic: Digital Health Services

Özen

Yaşin

2021

Accounting, Finance, Sustainability, Governance &Amp; Fraud: Theory and Application

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In this paper, we aim to examine the effect of health information orientation on attitudes toward using digital health services and explore the mediating role of e-health literacy in this relationship. We also tested the impact of attitudes toward using digital health services on digital health service use intention. We collected data through an online survey method. A total of 520 respondents participated, and data were analyzed using structural equation modeling. The results showed that people who are health information oriented and capable of finding and utilizing e-health information have positive attitudes and intention toward using digital health service. Variables in the model explain 60% of the variance in digital health service use intention. This study confirmed the partial mediating role of e-health literacy on the relationship between health information orientation and attitudes toward using digital health services. Future research is needed to explore whether these relationships are confirmed in a specific health context. Furthermore, comparing the digital health service usage attitudes and intentions of people who have and do not have chronic illnesses can also be insightful. Cross-cultural comparisons may also add to the knowledge related to the adoption of digital health services. We conducted this study during the early phase of COVID-19 pandemic in Turkey and explored the digital health service use intention partly within the Theory of Reasoned Action framework. We have also tried to contribute to Sustainable Development Goals with our research results.

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“…Nowadays, digital literacy is becoming increasingly important to the point where it can be regarded as a fundamental prerequisite for meaningfully participating in modern society ( Sieck et al, 2021 ; Scheerder et al, 2017 ). Health literacy – the ability to obtain, read, understand, and use health-care information to make appropriate/informed health decisions ( Sørensen et al, 2012 ; Sørensen et al, 2015 ) – is increasingly becoming a core skill for health-related information on the Internet ( Lwin et al, 2020 ). Digital health literacy, at first glance, can be regarded as the convergence of digital literacy and health literacy ( Honeyman et al, 2020 ).…”

mentioning

confidence: 99%

Digital health literacy as a super determinant of health: More than simply the sum of its parts

Kessel

Wong

Clemens

et al. 2022

Internet Interventions

134

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Determinants of eHealth Literacy among Adults in China

Cited by 29 publications

References 57 publications

The Association Between Patients' eHealth Literacy and Satisfaction With Shared Decision-making and Well-being: Multicenter Cross-sectional Study

The Association Between Patients' eHealth Literacy and Satisfaction With Shared Decision-making and Well-being: Multicenter Cross-sectional Study

A Pathway to Sustainable Health During COVID-19 Pandemic: Digital Health Services

Digital health literacy as a super determinant of health: More than simply the sum of its parts

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