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Associations between COVID-19-Related Digital Health Literacy and Online Information-Seeking Behavior among Portuguese University Students

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  • Rafaela Rosário

    (School of Nursing, University of Minho, 4710-057 Braga, Portugal
    Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Maria R. O. Martins

    (Global Health and Tropical Medicine, Institute of Hygiene and Tropical Medicine, NOVA University of Lisbon, 1349-008 Lisboa, Portugal)

  • Cláudia Augusto

    (School of Nursing, University of Minho, 4710-057 Braga, Portugal
    Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Maria José Silva

    (School of Nursing, University of Minho, 4710-057 Braga, Portugal)

  • Silvana Martins

    (Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal)

  • Ana Duarte

    (School of Nursing, University of Minho, 4710-057 Braga, Portugal)

  • Inês Fronteira

    (Global Health and Tropical Medicine, Institute of Hygiene and Tropical Medicine, NOVA University of Lisbon, 1349-008 Lisboa, Portugal)

  • Neida Ramos

    (Global Health and Tropical Medicine, Institute of Hygiene and Tropical Medicine, NOVA University of Lisbon, 1349-008 Lisboa, Portugal)

  • Orkan Okan

    (Faculty of Educational Science, Interdisciplinary Centre for Health Literacy Research, Bielefeld University, 33615 Bielefeld, Germany)

  • Kevin Dadaczynski

    (Department of Nursing and Health Science, Fulda University of Applied Sciences, 36037 Fulda, Germany
    Center for Applied Health Science, Leuphana University of Lüneburg, 21335 Lüneburg, Germany)

Abstract

We aim to evaluate the associations between digital health literacy (DHL) related to COVID-19 and online information-seeking behavior among university students. Methods: A total of 3.084 students (75.7% women), with an average age of 24.2 (SD = 7.5) participated in this cross-sectional study, most of whom (36.5%) were from social sciences and pursued a bachelor’s degree (50.7%). Data on COVID-19-related DHL and online information-seeking behavior were collected using an online questionnaire. Logistic regression models were performed. Results: As the pandemic progressed, participants showed a lower chance of achieving a sufficient DHL (OR = 0.7; 95% CI = 0.6; 0.9). Using search engines more often (e.g., Google) (OR = 0.7; 95% CI = 0.5; 0.9), Wikipedia (OR = 0.7; 95% CI = 0.6; 0.9) and social media (e.g., Facebook) (OR = 0.7; 95% CI = 0.6; 0.9) decreased the likelihood of achieving sufficient DHL related to COVID-19. More frequent use of websites of public bodies (OR = 1.7; 95% CI = 1.1; 2.5) increased the odds of reporting sufficient DHL. Conclusion: DHL is associated with university students’ online information-seeking behavior in the time of COVID-19. From a community and public health perspective, programs aiming at improving DHL should be highlighted.

Suggested Citation

  • Rafaela Rosário & Maria R. O. Martins & Cláudia Augusto & Maria José Silva & Silvana Martins & Ana Duarte & Inês Fronteira & Neida Ramos & Orkan Okan & Kevin Dadaczynski, 2020. "Associations between COVID-19-Related Digital Health Literacy and Online Information-Seeking Behavior among Portuguese University Students," IJERPH, MDPI, vol. 17(23), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8987-:d:455238
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    References listed on IDEAS

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    1. Nutbeam, Don, 2008. "The evolving concept of health literacy," Social Science & Medicine, Elsevier, vol. 67(12), pages 2072-2078, December.
    2. Tetine Sentell & Sandra Vamos & Orkan Okan, 2020. "Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    3. Orkan Okan & Torsten Michael Bollweg & Eva-Maria Berens & Klaus Hurrelmann & Ullrich Bauer & Doris Schaeffer, 2020. "Coronavirus-Related Health Literacy: A Cross-Sectional Study in Adults during the COVID-19 Infodemic in Germany," IJERPH, MDPI, vol. 17(15), pages 1-20, July.
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    Cited by:

    1. Uday Patil & Uliana Kostareva & Molly Hadley & Jennifer A. Manganello & Orkan Okan & Kevin Dadaczynski & Philip M. Massey & Joy Agner & Tetine Sentell, 2021. "Health Literacy, Digital Health Literacy, and COVID-19 Pandemic Attitudes and Behaviors in U.S. College Students: Implications for Interventions," IJERPH, MDPI, vol. 18(6), pages 1-14, March.
    2. Guglielmo Bonaccorsi & Veronica Gallinoro & Andrea Guida & Chiara Morittu & Valerio Ferro Allodola & Vieri Lastrucci & Patrizio Zanobini & Orkan Okan & Kevin Dadaczynski & Chiara Lorini, 2023. "Digital Health Literacy and Information-Seeking in the Era of COVID-19: Gender Differences Emerged from a Florentine University Experience," IJERPH, MDPI, vol. 20(3), pages 1-12, January.
    3. Pilar Bas-Sarmiento & María José Lamas-Toranzo & Martina Fernández-Gutiérrez & Miriam Poza-Méndez, 2022. "Health Literacy, Misinformation, Self-Perceived Risk and Fear, and Preventive Measures Related to COVID-19 in Spanish University Students," IJERPH, MDPI, vol. 19(22), pages 1-18, November.
    4. Rafaela Rosário & Inês Fronteira & Maria R. O. Martins & Cláudia Augusto & Maria José Silva & Melanie Messer & Silvana Martins & Ana Duarte & Neida Ramos & Katharina Rathmann & Orkan Okan & Kevin Dada, 2022. "Infodemic Preparedness and COVID-19: Searching about Public Health and Social Measures Is Associated with Digital Health Literacy in University Students," IJERPH, MDPI, vol. 19(19), pages 1-9, September.
    5. Mitja Vrdelja & Sanja Vrbovšek & Vito Klopčič & Kevin Dadaczynski & Orkan Okan, 2021. "Facing the Growing COVID-19 Infodemic: Digital Health Literacy and Information-Seeking Behaviour of University Students in Slovenia," IJERPH, MDPI, vol. 18(16), pages 1-16, August.
    6. Chiara Lorini & Veronica Velasco & Guglielmo Bonaccorsi & Kevin Dadaczynski & Orkan Okan & Patrizio Zanobini & Luca P. Vecchio, 2022. "Validation of the COVID-19 Digital Health Literacy Instrument in the Italian Language: A Cross-Sectional Study of Italian University Students," IJERPH, MDPI, vol. 19(10), pages 1-17, May.
    7. Sheng-Chih Chen & Le Duc Huy & Cheng-Yu Lin & Chih-Feng Lai & Nhi Thi Hong Nguyen & Nhi Y. Hoang & Thao T. P. Nguyen & Loan T. Dang & Nguyen L. T. Truong & Tan N. Phan & Tuyen Van Duong, 2022. "Association of Digital Health Literacy with Future Anxiety as Mediated by Information Satisfaction and Fear of COVID-19: A Pathway Analysis among Taiwanese Students," IJERPH, MDPI, vol. 19(23), pages 1-16, November.
    8. Rubeena Zakar & Sarosh Iqbal & Muhammad Zakria Zakar & Florian Fischer, 2021. "COVID-19 and Health Information Seeking Behavior: Digital Health Literacy Survey amongst University Students in Pakistan," IJERPH, MDPI, vol. 18(8), pages 1-20, April.
    9. Sofia Almeida & Elisabete Pinto & Marta Correia & Nélio Veiga & Armando Almeida, 2024. "Evaluating E-Health Literacy, Knowledge, Attitude, and Health Online Information in Portuguese University Students: A Cross-Sectional Study," IJERPH, MDPI, vol. 21(3), pages 1-11, February.
    10. Maria João Silva & Paulo Santos, 2021. "The Impact of Health Literacy on Knowledge and Attitudes towards Preventive Strategies against COVID-19: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(10), pages 1-12, May.
    11. Olga Papadopoulou & Evangelia Kartsounidou & Symeon Papadopoulos, 2022. "COVID-Related Misinformation Migration to BitChute and Odysee," Future Internet, MDPI, vol. 14(12), pages 1-22, November.
    12. Carsten K. Bak & Jeanne Ø. Krammer & Kevin Dadaczynski & Okan Orkan & Jesper von Seelen & Christina Prinds & Lene M. Søbjerg & Heidi Klakk, 2022. "Digital Health Literacy and Information-Seeking Behavior among University College Students during the COVID-19 Pandemic: A Cross-Sectional Study from Denmark," IJERPH, MDPI, vol. 19(6), pages 1-14, March.
    13. María F. Rivadeneira & María J. Miranda-Velasco & Hiram V. Arroyo & José D. Caicedo-Gallardo & Carmen Salvador-Pinos, 2022. "Digital Health Literacy Related to COVID-19: Validation and Implementation of a Questionnaire in Hispanic University Students," IJERPH, MDPI, vol. 19(7), pages 1-14, March.

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