The influencing factors of cyberchondria in residents in China during the COVID-19 epidemic: health anxiety and online information seeking behavior. Cross-sectional study. (Preprint)

Abstract

BACKGROUND Cyberchondria is considered “the anxiety-amplifying effects of online health-related searches”, and associated with health anxiety and online health-related information seeking behavior. However, data on the prevalence and influencing variables of cyberchondria are still scarce. Until now, there have been few studies on cyberchondria in residents in China, especially in the context of COVID-19 outbreaks in China. OBJECTIVE To investigate the prevalence and influencing factors of cyberchondria in residents in China during the epidemic period of coronavirus disease 2019. METHODS The participants were 674 community residents of a Chinese city surveyed from February 1 to 15, 2020. We administered online measures, including the Chinese Short Form of the Cyberchondria Severity Scale (CSCS), Short Health Anxiety Inventory (SHAI), eHealth Literacy Scale (eHEALS), Patient Health Questionnaire-15 (PHQ-15), and COVID-19-related online information seeking behavior questionnaire. RESULTS In our study, the average CSCS total score of residents was 30.65±11.53 during the virus epidemic; 79.4% of participants had a moderate level of cyberchondria, while 11.1% experienced a higher level of cyberchondria. Gender, age, monthly income, education level, personal illness with Helicobacter pylori infection, relatives’ illness with chronic bronchitis, COVID-19-related online information seeking frequency and duration were all significantly associated with the CSCS total score (p<.05), SHAI total score (β=0.598>0, P<.05), and eHEALS score (β=0.162>0, P<.05). Searching for information on diagnosing COVID-19 (β=2.28>0, P<.05) and the use of general search engines (β=1.867>0, P<.05) were independent risk factors for cyberchondria, while searching lasting less than 10 minutes each (β=-2.992<0, P<.05), the use of traditional media digital platforms (β=-1.650<0,P<.05), and the use of professional medical communication platforms (β=-4.189<0,P<.05) were independent protective factors for cyberchondria. CONCLUSIONS Most Chinese residents have a moderate level of cyberchondria, and cyberchondria has a strong positive association with health anxiety in residents in China during the virus epidemic. Searching online for less than 10 minutes for COVID-19-related information is an adoptable suggestion, and choosing a traditional media digital platform and a professional medical communication platform are recommended and helpful for alleviating cyberchondria.