IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i10p6092-d817482.html
   My bibliography  Save this article

Association of eHealth Literacy with Health Promotion Behaviors of Community-Dwelling Older People: The Chain Mediating Role of Self-Efficacy and Self-Care Ability

Author

Listed:
  • Yinuo Wang

    (School of Nursing, Qingdao University, Qingdao 266100, China
    These authors contributed equally to this work.)

  • Yuting Song

    (School of Nursing, Qingdao University, Qingdao 266100, China
    These authors contributed equally to this work.)

  • Yaru Zhu

    (School of Nursing, Qingdao University, Qingdao 266100, China)

  • Heqian Ji

    (School of Nursing, Qingdao University, Qingdao 266100, China)

  • Aimin Wang

    (School of Nursing, Qingdao University, Qingdao 266100, China)

Abstract

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.

Suggested Citation

  • 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.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6092-:d:817482
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/10/6092/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/10/6092/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Seyedeh Belin Tavakoly Sany & Hassan Doosti & Mehrsadat Mahdizadeh & Arezoo Orooji & Nooshin Peyman, 2021. "The Health Literacy Status and Its Role in Interventions in Iran: A Systematic and Meta-Analysis," IJERPH, MDPI, vol. 18(8), pages 1-23, April.
    2. Hao Chen & Lei Wang & Yanxia Wei & Bo Ye & Junming Dai & Junling Gao & Fan Wang & Hua Fu, 2019. "The Potential Psychological Mechanism of Subjective Well-Being in Migrant Workers: A Structural Equation Models Analysis," IJERPH, MDPI, vol. 16(12), pages 1-13, June.
    3. 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.
    4. Erpeng Liu & Yan Feng & Zhang Yue & Qilin Zhang & Tiankuo Han, 2019. "Differences in the health behaviors of elderly individuals and influencing factors: Evidence from the Chinese Longitudinal Healthy Longevity Survey," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1520-1532, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Siyu Zhou & Ziling Ni & Atsushi Ogihara & Xiaohe Wang, 2022. "Behavioral Patterns of Supply and Demand Sides of Health Services for the Elderly in Sustainable Digital Transformation: A Mixed Methods Study," IJERPH, MDPI, vol. 19(13), pages 1-24, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. 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.
    2. Chengfu Wang & Lijun Song & Haoqi Lu & Shuxin Zheng & Chengfeng Huang, 2022. "Assessing the Economic Energy Level of the Chengdu–Chongqing Economic Circle: An Integrative Perspective of “Field Source” and “Field”," Sustainability, MDPI, vol. 14(16), pages 1-22, August.
    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. Francisco José Eiroa-Orosa, 2020. "Understanding Psychosocial Wellbeing in the Context of Complex and Multidimensional Problems," IJERPH, MDPI, vol. 17(16), pages 1-8, August.
    5. 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.
    6. Elham Charoghchian Khorasani & Seyedeh Belin Tavakoly Sany & Mehrsadat Mahdizadeh & Hassan Doosti & Hadi Tehrani & Mohammad Moghzi & Alireza Jafari & Nooshin Peyman, 2022. "Attributes of Organizational Health Literacy in Health Care Centers in Iran: A Qualitative Content Analysis Study," IJERPH, MDPI, vol. 19(4), pages 1-19, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6092-:d:817482. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.