Effects of eHealth Literacy on General Practitioner Consultations: A Mediation Analysis

Schulz, Peter; Fitzpatrick, Mary Anne; Hess, Alexandra Claudia; Sudbury-Riley, Lynn; Hartung, Uwe

doi:10.2196/jmir.6317

Cited by 40 publications

(42 citation statements)

References 62 publications

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“…Schulz ve ark. (22) yüksek e-sağlık okuryazarlığı becerisine sahip olanların, düşük e-sağlık okuryazarlık becerisine sahip kişilere oranla önemli sağlık bilgileri için daha fazla internete girdikleri ve dolayısıyla aile hekimine başvurularının da sık olduğu ortaya konmuştur. Ciddi bir sağlık durumunun varlığında yüksek e-sağlık okuryazarlık becerisine sahip kişiler sağlıkları ile ilgili eyleme geçmeleri gerektiğinin farkında olacağını belirtmiştir.…”

Section: Discussionunclassified

E-Health Literacy and Healthy Lifestyle Behaviors in Adolescents: The Case of Balıkesir

Ergün¹,

Sürücüler²,

Işik³

2019

JAREN

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ÖZ Amaç: Bu çalışma, ergenlerin e-sağlık okuryazarlığı ve sağlıklı yaşam biçimi davranışları düzeylerinin belirlenmesi amacıyla yapılmıştır. Yöntem: Tanımlayıcı nitelikteki bu çalışmanın evrenini 2016-2017 yılında Balıkesir ilinde öğrenim gören 17722 ortaöğretim öğrencisi oluşturmuş, araştırmaya katılmayı kabul eden 553 öğrenciye ulaşılmıştır. Veriler Kişisel Bilgi Formu, e-Sağlık Okuryazarlığı Ölçeği ve Sağlıklı Yaşam Biçimi Davranışları Ölçeği aracılığıyla elde edilmiştir. Bulguların değerlendirilmesinde yüzdelik, t testi ve varyans analizi kullanılmıştır. Bulgular: Araştırma kapsamına alınan öğrencilerin %55,5'i 16 yaş ve üstü grubunda olup, %53,5'i erkek öğrencidir. Öğrencilerin %40,1'i günde 3 saatten fazla internet kullandığını, %57,3'ü interneti sohbet ve sosyal iletişim amacıyla kullandığını, %39,4 ve %7,1 olmak üzere toplamda %46,5'i internet sağlık kaynaklarına erişimin önemli/çok önemli bulduğunu belirtmişlerdir. Öğrencilerin e-sağlık okuryazarlığı puan ortalaması 25,98±0,27, sağlıklı yaşam biçimi davranışları puan ortalamaları ise 127,26±0,93'tür. Son bir haftada internette sağlık kaynaklarına erişimi, sağlığı hakkında karar vermede internetin yararlılığı ile internet sağlık kaynaklarına erişimin önemine ilişkin düşüncelerine göre, sağlıklı yaşam biçimi davranışları ve e-sağlık okuryazarlığı puanları arasında istatistiksel olarak anlamlı düzeyde farklılık göstermektedir. E-sağlık okuryazarlığı ve sağlıklı yaşam biçimi davranışları beceri puan ortalamalarının son bir haftada internette sağlık kaynaklarına erişen, sağlığı hakkında karar vermede internetin yararlı/ çok yararlı olduğunu ve internet sağlık kaynaklarına erişimin önemli/çok önemli olduğunu düşünen ergenlerde yüksek olduğu bulunmuştur. Sonuç: Çalışma sonunda ergenlerde e-sağlık okuryazarlığı ve sağlıklı yaşam biçimi davranışları puan ortalamalarının orta düzeyin biraz üzerinde olduğu, ancak yüksek düzeyde olmadığı saptanmıştır. Anahtar kelimeler: e-sağlık okuryazarlığı, sağlıklı yaşam biçimi davranışları, ergen ABSTRACT Objective: This study was conducted to determine the levels of e-health literacy and healthy lifestyle behaviors of adolescents.Method: The study population of this descriptive study consisted of 17722 high school students who were educated in Balıkesir province in 2016-2017 and 553 students who accepted to participate in the research were reached. Data were collected through Personal Information Form, e-Health Literacy Scale and Healthy Life Style Behavior Scale. Percentile, t-test and variance analysis were used in the analysis of the data. Results: More than half (55.5%) of the students included in the survey were in the group of 16 years old and over, and 53.5% of them were male students. While 40.1% of the students indicated that they were using internet more than 3 hours a day, and 57.3% of them stated that they were using internet with the intention to chat, and for social communication The 46.5% of the respondents (39.4, and 7.1%, respectively) said that access to health resources on internet was important/very import...

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Section: Discussionunclassified

E-Health Literacy and Healthy Lifestyle Behaviors in Adolescents: The Case of Balıkesir

Ergün¹,

Sürücüler²,

Işik³

2019

JAREN

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“…Moreover, this study found that functional eHealth literacy was related only to the time interval aspect of health services utilization. Other mediating or confounding variables may exist that should be taken into consideration such as health information seeking and increased empowerment through information seeking [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, studies have shown that individuals with higher eHealth literacy are more likely to have knowledge of and a screening history for colorectal cancer [ 33 ] and more effective interactions with their physicians [ 34 ]. Moreover, some studies have found a set of indirect effect paths, via health information seeking and empowerment, showing a positive relationship between eHealth literacy and health care utilization [ 35 ]. However, these studies did not examine the effect of the three levels of eHealth literacy on the four aspects of medical services usage.…”

Section: Introductionmentioning

confidence: 99%

Associations of eHealth Literacy With Health Services Utilization Among College Students: Cross-Sectional Study

Luo¹,

Yang²,

Chen³

et al. 2018

J Med Internet Res

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BackgroundElectronic health (eHealth) literacy has become an important topic in health fields. Studies have found that individuals with higher eHealth literacy are more likely to use preventive care services and to have effective interactions with their physicians. In addition, previous studies have revealed a gender difference in the utilization of physician access and outpatient services. Nevertheless, few studies have explored the effect of the three levels of eHealth literacy (functional, interactive, and critical levels) on the four aspects of health services utilization (type, site, purpose, and time interval). It is unclear whether the associations between these three levels of eHealth literacy and the four aspects of health services utilization among college students are positive or negative.ObjectiveThe objective of this study was to investigate the associations among gender, eHealth literacy, and health services utilization.MethodsWe used the eHealth Literacy Scale, a 12-item instrument designed to measure college students’ functional, interactive, and critical eHealth literacy, and the Health Services Utilization Scale, which is a 10-item instrument developed to measure the four aspects of health services utilization by college students. A nationally representative sample of 489 college students in Taiwan was surveyed. We conducted multiple regression analysis to examine the associations among gender, eHealth literacy, and health services utilization.ResultsThe study found that being female was negatively related to the purpose aspect of health services utilization (t487=−2.85, P<.01). However, the R2 value of gender on the purpose aspect was low enough to be ignored. Critical (t484=2.98-4.23, P<.01) and interactive eHealth literacy (t484=2.43-2.89, P<.05) were related to three aspects of the health services utilization, and functional eHealth literacy was related to the purpose aspect (t484=−4.99, P<.001).ConclusionsThis study showed that Taiwanese college students with interactive eHealth literacy were more likely to have a higher rate of outpatient care use. Moreover, Taiwanese college students with critical eHealth literacy were more likely to make full use of health services than those with functional eHealth literacy. Finally, the educated and age-restricted sample may attenuate gender disparities in health services utilization among Taiwanese college students.

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“…Interestingly, perceived health was not a significant factor that affected eHealth literacy in that there was no significant difference between the high and low eHealth literacy groups in terms of perceived health [6]. There was an indirect effect path between eHealth literacy and the frequency of hospital visits that went via health-information-seeking behavior [16]. However, these studies targeted adult populations and there has been limited research on the factors affecting eHealth literacy among adolescents.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing eHealth Literacy of Middle School Students in Korea: A Descriptive Cross-Sectional Study

Park

2019

Healthc Inform Res

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Objectives The aim of this study is to identify eHealth literacy level and to analyze the factors influencing eHealth literacy among middle school students in Korea. Methods This descriptive cross-sectional study involved the administration of a self-report questionnaire. The participants were 799 middle school students. Descriptive statistics were analyzed via an independent t -test, Mann-Whitney U -test, and one-way ANOVA. Pearson correlation coefficients were used to test the correlations among variables. Multiple linear regression analysis was conducted to identify the factors influencing eHealth literacy. Results eHealth literacy was substantially lower in students in their first year than in students in their third year of middle school. Participants with asthma, herniated disc, and atopic dermatitis had significantly lower eHealth literacy than those without the diseases. The major finding was that eHealth literacy of middle school students was influenced by their grade and number of diseases diagnosed. eHealth literacy was higher among students in their second and third years of middle school and among those who had fewer diagnosed diseases. Conclusions eHealth literacy among adolescents is important for better health outcomes; however, middle school students with diseases had lower eHealth literacy than healthy students. Therefore, efforts to enhance eHealth literacy should focus on adolescents with diseases; moreover, health education in schools and healthcare settings for adolescents should include critical analytical skill development for better eHealth literacy.

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Effects of eHealth Literacy on General Practitioner Consultations: A Mediation Analysis

Cited by 40 publications

References 62 publications

E-Health Literacy and Healthy Lifestyle Behaviors in Adolescents: The Case of Balıkesir

E-Health Literacy and Healthy Lifestyle Behaviors in Adolescents: The Case of Balıkesir

Associations of eHealth Literacy With Health Services Utilization Among College Students: Cross-Sectional Study

Factors Influencing eHealth Literacy of Middle School Students in Korea: A Descriptive Cross-Sectional Study

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