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The Association between Self-Rated Health and Health Self-Management Ability of Healthcare Undergraduates: The Chain Mediating Roles of eHealth Literacy and Resistance to Peer Influence

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  • Guangyi Xu

    (School of Nursing, Qingdao University, Qingdao 266071, China)

  • Yanhong Xu

    (School of Nursing, Qingdao University, Qingdao 266071, China)

  • Xiaomin Tu

    (School of Nursing, Qingdao University, Qingdao 266071, China)

  • Shuaijia Hao

    (School of Nursing, Qingdao University, Qingdao 266071, China)

  • Ting Liu

    (School of Nursing, Qingdao University, Qingdao 266071, China)

Abstract

Health self-management is important for healthcare undergraduates who are at the late adolescent or early adulthood stage, and will play an important part in health promotion for the general population. Previous research has shown that perceived health status affects health self-management. However, few studies have uncovered the mechanism between self-rated health and health self-management among healthcare undergraduates. Based on social ecology theory and Pender’s health promotion model, this study aimed to explore the associations between health self-management ability, self-rated health, eHealth literacy and resistance to peer influence of healthcare undergraduates, with a focus on identifying the mediating effects of eHealth literacy and resistance to peer influence. A cross-sectional study was conducted among 515 healthcare undergraduates in Eastern China between July and September 2021. Serial mediation analysis was performed using Haye’s Model 6 PROCESS macro to examine the mediating effects. The study found that health self-management ability was significantly and positively correlated with eHealth literacy, resistance to peer influence and self-rated health. Self-rated health had a direct and positive predictive effect on health self-management, with a direct effect value of 0.654. eHealth literacy and resistance to peer influence played both an independent mediating and a chain-mediating role in the mechanism of self-rated health affecting health self-management among healthcare undergraduates, with indirect effect values of 0.085, 0.101, and 0.013, respectively. The results suggest that eHealth literacy and resistance to peer influence could be intervention targets in programs for improving these students’ health self-management ability.

Suggested Citation

  • Guangyi Xu & Yanhong Xu & Xiaomin Tu & Shuaijia Hao & Ting Liu, 2022. "The Association between Self-Rated Health and Health Self-Management Ability of Healthcare Undergraduates: The Chain Mediating Roles of eHealth Literacy and Resistance to Peer Influence," IJERPH, MDPI, vol. 19(21), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14501-:d:963756
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    References listed on IDEAS

    as
    1. MoonKi Choi, 2020. "Association of eHealth Use, Literacy, Informational Social Support, and Health-Promoting Behaviors: Mediation of Health Self-Efficacy," IJERPH, MDPI, vol. 17(21), pages 1-12, October.
    2. Yun Geng & Shannon P. Cheung & Chien-Chung Huang & Jinyu Liao, 2022. "Volunteering among Chinese College Students during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(9), pages 1-15, April.
    3. Karl Peltzer & Supa Pengpid & Tony K. C. Yung & Hajer Aounallah‐Skhiri & Rehana Rehman, 2016. "Comparison of health risk behavior, awareness, and health benefit beliefs of health science and non‐health science students: An international study," Nursing & Health Sciences, John Wiley & Sons, vol. 18(2), pages 180-187, June.
    4. 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.
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