Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Association of eHealth Literacy with Health Promotion Behaviors of Community-Dwelling Older People

The Chain Mediating Role of Self-Efficacy and Self-Care Ability

Bibliographic Data

ID15475582
AuthorsYinuo Wang (0000-0001-5357-361X, Qingdao University), Yuting Song (0009-0001-5392-4325, Qingdao University), Yaru Zhu (0000-0001-6729-7345, Qingdao University), Heqian Ji (0000-0002-2744-5603, Qingdao University), Aimin Wang (0000-0003-2689-0665, Qingdao University, corresponding author)
Year2022
Volume19
Issue10
Pages6092-6092
Publication date2022-05-17
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19106092
PMID35627627
OpenAlexW4280617375
LanguageEN
Citations received8
References cited49

In the digital age, electronic health literacy (eHealth literacy) of community-dwelling older people plays a potentially important role in their health behaviors which are critical for health outcomes. Researchers have documented that self-efficacy and self-care ability are related to this relationship. This study aimed to assess the relationship between eHealth literacy and health promotion behaviors among older people living in communities and explore the chain mediating role of self-efficacy and self-care ability. For this cross-sectional study, we used data from 425 older adults at 3 communities in Qingdao, Shandong Province in Northeastern China, from June to September 2021. Path analysis using the structural equation model was performed. We found that eHealth literacy was significantly associated with health promotion behaviors in older people. Additionally, eHealth literacy indirectly affected health promotion behaviors through self-efficacy and self-care ability, respectively. In addition, the chain mediation effect was identified in the relationship of eHealth literacy and health promotion behaviors: eHealth literacy→ self-efficacy→ self-care ability→ health promotion behaviors. These findings offer promising directions for developing interventions to modify older adults' health behaviors through enhancing their eHealth literacy. These interventions should integrate components that target improving the self-efficacy and self-care ability of older people

eHealth · Health care · Health literacy · Health promotion · Literacy · Mediation · Political science · Promotion (chess · Psychological intervention · Public health · Self-efficacy · Sociology · Health Literacy and Information Accessibility · Medicine · Mobile Health and mHealth Applications · Nursing · Psychology · Social Psychology · Technology Use by Older Adults · Gerontology

  • eHealth literacy and health responsibility among older adults

    Open Access•Yawen Wang, Xiao Long Ma et al.•Frontiers in Public Health•2026

  • The mediating role of self-efficacy in the relationship between eHealth literacy and childbirth readiness among pregnant women

    Open Access•Ningying Zhou, Danni Wu et al.•Frontiers in Public Health•2025

  • Investigating older adults users’ willingness to adopt wearable devices by integrating the technology acceptance model (UTAUT2) and the Technology Readiness Index theory

    Open Access•Chengzhen Wu, Gyoo Gun Lim•Frontiers in Public Health•2024

  • EHealth literacy in the general population

    Open Access•Chao Sun, Eline Meijer et al.•BMC Public Health•2025

  • Investigating e-health literacy and its relationship with self-care behaviors among Iranian Middle-aged type 2 diabetes

    Open Access•Sadeghi, Sahar Sadeghi et al.•BMC Public Health•2025

  • The role of moderating variables in the relationship between health literacy and healthy living awareness among health program students

    Open Access•Muaz Gülşen, Cansel Bozer Uludağ et al.•BMC Public Health•2025

  • Behavioral Patterns of Supply and Demand Sides of Health Services for the Elderly in Sustainable Digital Transformation

    Open Access•Siyu Zhou, Ziling Ni et al.•International Journal of…•2022

  • Prospective relationship between electronic health literacy and health-promoting lifestyle among Chinese older adults

    Open Access•Luyao Xie, Phoenix K H Mo•Social Science & Medicine•2025

  • eHeals

    Open Access•Cameron D Norman, Harvey A Skinner•Journal of Medical Internet…•2006

  • eHealth Literacy

    Open Access•Efrat Neter, Esther Brainin•Journal of Medical Internet…•2012

  • Adolescent health literacy and health behaviors

    Open Access•Sasha A Fleary, Patrece Joseph et al.•Journal of Adolescence•2018

  • Older Adults’ Internet Use for Health Information

    Open Access•Hyunwoo Yoon, Yuri Jang et al.•Journal of Applied Gerontology•2020

  • Health literacy and disparities in Covid-19–related knowledge, attitudes, beliefs and behaviours in Australia

    Open Access•Kirsten J Mccaffery, Kirsten Mccaffery et al.•Public Health Research & Practice•2020

  • The mediating role of health literacy on the relationship between health care system distrust and vaccine hesitancy during Covid-19 pandemic

    Open Access•Zeynep Turhan, Hacer Yalnız Dilcen et al.•Current Psychology•2022

  • EHealth Literacy, Awareness of Pandemic Infectious Diseases, and Healthy Lifestyle in Middle School Students

    Open Access•Sinyoung Choi, Kyung‐Sook Bang et al.•Children•2021

  • The Associations Among Health-Promoting Lifestyle, eHealth Literacy, and Cognitive Health in Older Chinese Adults

    Open Access•Shaojie Li, Shao-Jie Li et al.•International Journal of…•2020

  • The Potential Psychological Mechanism of Subjective Well-Being in Migrant Workers

    Open Access•Hao Chen, Lei Wang et al.•International Journal of…•2019

  • Effectiveness of a universal health-promoting parenting program

    Open Access•Malin Ulfsdotter, Pia Enebrink et al.•BMC Public Health•2014

  • Theories of self-care and self-management of long-term conditions by community-dwelling older adults

    Open Access•Michael T Lawle, Matthew Tieu et al.•Social Science & Medicine•2021

  • Health Self-Empowerment Theory

    Carolyn M Tucker, J Roncoroni et al.•Family & Community Health•2018

Citations per year2
Citation span2022 - 2026 (5)
Highly citedNo

Tools

Open DOIOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae