ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2021
Health-promoting behaviors mediate the relationship between eHealth literacy and health-related quality of life among Chinese older adults: a cross-sectional study.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.
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Who cites it
53 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Factors Influencing eHealth Literacy Worldwide: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2025Pooled it
- The Relation Between eHealth Literacy and Health-Related Behaviors: Systematic Review and Meta-analysis.Journal of medical Internet research · 2023Pooled it
- Mobile-Health based physical activities co-production policies towards cardiovascular diseases prevention: findings from a mixed-method systematic review.BMC health services research · 2022Pooled it
- Article
- Digital engagement and online health information seeking behaviour among older adults: findings from Türkiye.BMC geriatrics · 2026Article
- Beyond Age: Exploring Health Literacy, Well-Being, and Stress Management Among the Elderly.Western journal of nursing research · 2026Article
- Association Between Loneliness, eHealth Literacy, and Quality of Life Among Chinese Older Adults: Cross-Sectional Study.JMIR aging · 2026Article
- Daily Digital Device Use and eHealth Literacy Among Hospitalized Older Adults With Heart Failure: A Multicenter Cohort Study.Circulation reports · 2026Article
- Pain-responsive to digital self-management in lumbar disc herniation: the mediating role of patient activation and the moderating effect of pain intensity.BMC health services research · 2026Article
- The Relationship Between Electronic Health Literacy and Health-Related Quality of Life Among Chinese Older Adults: Cross-Sectional Study.Journal of medical Internet research · 2026Article
- Explainable Machine Learning for Assessing Digital Health Literacy in Older Adults: Validation and Development of a Two-Stage Model Integrating Performance-Based and Self-Assessed Indicators.JMIR medical informatics · 2026Article
- Association of Electronic Health Literacy With Self-Care and Health Outcomes Among Patients With Type 2 Diabetes Mellitus: Cross-Sectional Study.Journal of medical Internet research · 2026Article
- eHealth literacy and health responsibility among older adults: the serial indirect roles of self-efficacy and social support based on the health promotion model.Frontiers in public health · 2026Article
- Associations between digital health literacy and health inequalities among middle-aged and older adults: an urban-rural disparity perspective.Frontiers in public health · 2026Article
- Exploration of subgroups and predictors of health-promoting lifestyle among older adults in the community: a latent profile analysis.Frontiers in public health · 2026Article
- Barriers and facilitators of patient activation among older adults with cancer in China: a descriptive qualitative study based on ecological systems theory.Frontiers in public health · 2026Article
- Digital Health Literacy and Its Role in Awareness of and Access to Sexual Health Products and Services Among Displaced Youth in Uganda's Informal Urban Settlements: Community-Based Cross-Sectional Study.Journal of medical Internet research · 2025Article
- Health Self-Management Behaviors as a Bridge Between Electronic Health Literacy and Health-Related Quality of Life: Cross-Sectional Study From China.Journal of medical Internet research · 2025Article
- Relationship Between Stroke Knowledge, Health Information Literacy, and Health Self- Management Among Patients with Stroke: Multicenter Cross-Sectional Study.JMIR medical informatics · 2025Article
- Digital literacy impacts quality of life among older adults through hierarchical mediating mechanisms.Scientific reports · 2025Article
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6 authors.
Funding
Abstract
purposeThe aim of this study was to examine the association between eHealth literacy and health-related quality of life (HRQoL) and explore whether health-promoting behaviors mediate the association between eHealth literacy and HRQoL among Chinese older adults.
methodsAn anonymous cross-sectional survey was conducted among 2300 adults aged 60 or older from Jinan, China. The eHealth Literacy Scale, Short-Form Health-Promoting Lifestyle Profile, and Short-Form Health Survey (SF-12) were used to measure eHealth literacy, health-promoting behaviors, and HRQoL. Multivariate linear regression analyses were conducted to test the association between eHealth literacy, health-promoting behaviors, and HRQoL. The mediation analyses, composed of PROCESS analysis and bootstrapping method, were preformed to test both total (c), direct (c'), and indirect effects (a*b) of eHealth literacy on HRQOL through health-promoting behaviors.
resultsRegression analyses indicated that eHealth literacy (B = 0.487, p < 0.001) was significantly positively associated with health-promoting behaviors, and health-promoting behaviors (B = 0.257, p < 0.001) were associated with HRQoL. The mediation analyses indicated that eHealth literacy had a significant direct (c' = 0.183, p < 0.001) and indirect effect on older adults' HRQoL through health-promoting behaviors (a*b = 0.125, bootstrapped 95% confidence interval (CI) = 0.094-0.157). The indirect effect accounted for 40.6% of the total effect (c = 0.308, bootstrapped 95% CI 0.241-0.376) of eHealth literacy on HRQoL.
conclusionsHealth-promoting behaviors mediated the association between eHealth literacy and HRQoL in Chinese older adults. The establishment of interventions focused on health-promoting behavior may be an effective way to help older adults with low eHealth literacy improve their HRQoL.
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