The Associations Among Individual Factors, eHealth Literacy, and Health-Promoting Lifestyles Among College Students.
The Associations Among Individual Factors, eHealth Literacy, and Health-Promoting Lifestyles Among College Students.
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大学生的个人因素，eHealth素养和促进健康的生活方式之间的关联。
DOI：
10.2196/jmir.5964
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发表时间：
2017-01-10
影响因子：
7.4
通讯作者：
Chiang CH
中科院分区：
文献类型：
--
作者：
Yang SC;Luo YF;Chiang CH
电子健康素养对于维持和促进健康变得越来越重要。研究发现，电子健康素养较高的人更有可能采取健康的饮食、锻炼和睡眠行为。此外，之前的研究表明，各种个人因素（例如，寻求健康问题信息的频率、对健康的关注程度、食用有机食品的频率以及学生的大学专业）与电子健康素养和促进健康的生活方式有关。然而，很少有研究探讨大学生个人因素、电子健康素养和促进健康的生活方式之间的关系。此外，缺乏将电子健康素养作为心理健康行为预测指标的研究。研究各种个人因素、电子健康素养和促进健康的生活方式之间的关联。电子健康素养量表是一个包含 12 项的工具，旨在衡量大学生的功能性、互动性和批判性电子健康素养。健康促进生活方式量表是一个包含23个项目的工具，旨在衡量大学生的自我实现、健康责任、人际支持、运动、营养和压力管理。对具有全国代表性的台湾 556 名大学生进行了调查。通过问卷调查收集受访者的背景信息，包括寻求健康问题信息的频率、食用有机食品的频率、健康关注程度以及学生的专业。然后，我们进行了多元回归分析，以检查个体因素、电子健康素养和促进健康的生活方式之间的关联。研究发现，医学专业（t550=2.47-7.55，P<.05）和更加关注健康（t550=2.15-9.01，P<.05）等因素可以预测大学生的4-6个健康促进生活方式维度和电子健康素养3个维度。此外，关键电子健康素养正向预测所有6个促进健康的生活方式维度（t547=2.66-7.28，P<.01），功能素养正向预测2个维度（t547=2.32-2.98，P<.05），而互动素养仅预测自我实现维度（t547=2.81，P<.01）。研究发现，医学专业的参与者更关心自己的健康，经常寻求健康信息，表现出更好的电子健康素养，并拥有积极促进健康的生活方式。此外，这项研究表明，具有较高关键电子健康素养的大学生比具有功能性和互动素养的大学生更好地参与健康促进活动。
eHealth literacy is gaining importance for maintaining and promoting health. Studies have found that individuals with high eHealth literacy are more likely to adopt healthy eating, exercise, and sleep behaviors. In addition, previous studies have shown that various individual factors (eg, frequency of seeking information on health issues, degree of health concern, frequency of eating organic food, and students’ college major) are associated with eHealth literacy and health-promoting lifestyles. Nevertheless, few studies have explored the associations among individual factors, eHealth literacy, and health-promoting lifestyles among college students. Moreover, there is a lack of studies that focus on eHealth literacy as a predictor of psychological health behaviors. To examine the associations among various individual factors, eHealth literacy, and health-promoting lifestyles. The eHealth Literacy Scale is a 12-item instrument designed to measure college students’ functional, interactive, and critical eHealth literacy. The Health-promoting Lifestyle Scale is a 23-item instrument developed to measure college students’ self-actualization, health responsibility, interpersonal support, exercise, nutrition, and stress management. A nationally representative sample of 556 valid college students in Taiwan was surveyed. A questionnaire was administered to gather the respondents’ background information, including the frequency of seeking information on health issues, the frequency of eating organic food, the degree of health concern, and the students’ major. We then conducted a multiple regression analysis to examine the associations among individual factors, eHealth literacy, and health-promoting lifestyles. The study found that factors such as medical majors (t550=2.47-7.55, P<.05) and greater concern with health (t550=2.15-9.01, P<.05) predicted college students’ 4-6 health-promoting lifestyle dimensions and the 3 dimensions of eHealth literacy. Moreover, critical eHealth literacy positively predicted all 6 health-promoting lifestyle dimensions (t547=2.66-7.28, P<.01), functional literacy positively predicted 2 dimensions (t547=2.32-2.98, P<.05), and interactive literacy predicted only the self-actualization dimension (t547=2.81, P<.01). This study found that participants who majored in medical fields had greater concern with their health and frequently sought health information, exhibited better eHealth literacy, and had a positive health-promoting lifestyle. Moreover, this study showed that college students with a higher critical eHealth literacy engaged better in health-promoting activities than those with functional and interactive literacy.