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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

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  • 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
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    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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.
    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.
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    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.

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