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The Associations Among Health-Promoting Lifestyle, eHealth Literacy, and Cognitive Health in Older Chinese Adults: A Cross-Sectional Study

Author

Listed:
  • Shao-Jie Li

    (Department of Social Medicine and Health Service Management, Xiangya School of Public Health, Central South University, Changsha 410078, China)

  • Yong-Tian Yin

    (School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan 250355, China)

  • Guang-Hui Cui

    (School of Acupuncture and Tuina, Shandong University of Traditional Chinese Medicine, Jinan 250355, China)

  • Hui-Lan Xu

    (Department of Social Medicine and Health Service Management, Xiangya School of Public Health, Central South University, Changsha 410078, China)

Abstract

Background: Healthy lifestyles and health literacy are strongly associated with cognitive health in older adults, however, it is unclear whether this relationship can be generalized to health-promoting lifestyles and eHealth literacy. To date, no research has examined the interactive effect of health-promoting lifestyles and eHealth literacy on cognitive health. Objective: To examine the associations among health-promoting lifestyles, eHealth literacy, and cognitive health in older adults. Methods: Using a stratified cluster sampling method, we conducted a survey with older adults in four districts and two counties in Jinan (China). Older adults ( n = 1201; age ≥ 60 years) completed our survey. We assessed health-promoting lifestyles, eHealth literacy, and cognitive health, and collected participants’ sociodemographic information. Results: Health-promoting lifestyles and eHealth literacy were significantly and positively associated with cognitive health (both p < 0.01). In addition, eHealth literacy was positively associated with health-promoting lifestyles. Moreover, the interaction of health-promoting lifestyle and eHealth literacy negatively predicted cognitive health ( β = −0.465, p < 0.01). Conclusions: Health-promoting lifestyles and eHealth literacy were associated with the cognitive health of Chinese older adults, both independently and interactively. Further, eHealth literacy was associated with health-promoting lifestyles in older adults. Therefore, interventions regarding healthy lifestyles and eHealth literacy would benefit older adults.

Suggested Citation

  • Shao-Jie Li & Yong-Tian Yin & Guang-Hui Cui & Hui-Lan Xu, 2020. "The Associations Among Health-Promoting Lifestyle, eHealth Literacy, and Cognitive Health in Older Chinese Adults: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(7), pages 1-10, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2263-:d:337959
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    Citations

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    Cited by:

    1. Yinuo Wang & Yuting Song & Yaru Zhu & Heqian Ji & Aimin Wang, 2022. "Association of eHealth Literacy with Health Promotion Behaviors of Community-Dwelling Older People: The Chain Mediating Role of Self-Efficacy and Self-Care Ability," IJERPH, MDPI, vol. 19(10), pages 1-12, May.
    2. Liyue Gong & Hao Jiang & Xusheng Wu & Yi Kong & Yunyun Gao & Hao Liu & Yi Guo & Dehua Hu, 2022. "Exploring Users’ Health Behavior Changes in Online Health Communities: Heuristic-Systematic Perspective Study," IJERPH, MDPI, vol. 19(18), pages 1-14, September.
    3. Sunghee Kim & Jihyun Oh, 2021. "The Relationship between E-Health Literacy and Health-Promoting Behaviors in Nursing Students: A Multiple Mediation Model," IJERPH, MDPI, vol. 18(11), pages 1-12, May.
    4. Lanzhi Wei & Jianou Xu & Caifeng Luo & Rongzhu Lu & Hui Shi, 2022. "Latent Profile Analysis of Self-Supporting Ability among Rural Empty-Nesters in Northwestern China," IJERPH, MDPI, vol. 20(1), pages 1-21, December.

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