ArticleJournal of medical Internet research2021
Associations Between Health Literacy, eHealth Literacy, and COVID-19-Related Health Behaviors Among Chinese College Students: Cross-sectional Online Study.
Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 5 of them syntheses that pooled it.
What it found
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Who cites it
73 citing papers in PubMed, 5 syntheses or guidelines pooled it, 115 citations in OpenAlex.
- The Association Between eHealth Literacy and Health Behaviors During and Since the COVID-19 Pandemic: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2026Pooled it
- Examining the relationship between health literacy and eHealth literacy in adult populations: a systematic review and meta-analysis.Health promotion international · 2025Pooled it
- eHealth Literacy and Its Outcomes Among Postsecondary Students: Systematic Review.Journal of medical Internet research · 2025Pooled it
- Depression in nursing students during the COVID-19 pandemic: Systematic review and meta-analysis.PloS one · 2024Pooled it
- Determinants and outcomes of eHealth literacy in healthy adults: A systematic review.PloS one · 2023Pooled it
- The Role of eHealth Literacy in Internet Gaming Disorder and Help-Seeking Among College Students.Western journal of nursing research · 2026Article
- Understanding communication challenges in nursing care of patients with limited health literacy: a qualitative study.BMC nursing · 2026Article
- The eHealth literacy and its sociodemographic determinants among adult inpatients in Web 3.0 context: a cross-sectional study.BMC public health · 2026Article
- eHealth Literacy Mediating Social Support and Technology Acceptance Among Patients With Chronic Illnesses: A Cross-Sectional Study.Journal of advanced nursing · 2026Article
- Association between COVID-related health literacy and vaccine acceptance: results of a nationwide cross-sectional study in Hungary.BMC public health · 2026Article
- Reliability and Validity of the Korean Version of the Digital Health Literacy Instrument.Journal of Korean medical science · 2026Article
- Gender disparities in eHealth literacy among Chinese university students and their decomposition.Frontiers in public health · 2026Article
- Initial insights into the relationship between symptomatic COVID-19 disease and specific clinical and blood parameters in patients with alcohol use disorder.Frontiers in public health · 2026Article
- Health literacy and health behaviors among college students in underdeveloped regions of China: a cross-sectional study in Yunnan Province.Frontiers in public health · 2026Article
- The relationship between the level of e-health literacy with health promotion behaviors and stress coping behaviors on rehabilitation sciences students.Journal of education and health promotion · 2026Article
- The Adult Inpatient eHealth Literacy Scale (AIPeHLS): Development and Validation Study.Journal of medical Internet research · 2025Article
- Internet literacy and health related quality of life in urban Korean adults mediated by medication adherence and ego-resiliency.Scientific reports · 2025Article
- Health-Promoting Behaviors and their Associations with Frailty, Depression, and Social Support in Thai Community-Dwelling Older Adults: A Cross-Sectional Analysis.Annals of geriatric medicine and 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
- Decomposition and Comparative Analysis of Urban-Rural Disparities in eHealth Literacy Among Chinese University Students: Cross-Sectional Study.Journal of medical Internet research · 2025Article
13 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDuring the COVID-19 pandemic, the internet has significantly spread information, providing people with knowledge and advice about health protection regarding COVID-19. While a previous study demonstrated that health and eHealth literacy are related to COVID-19 prevention behaviors, few studies have focused on the relationship between health literacy, eHealth literacy, and COVID-19-related health behaviors. The latter includes not only preventative behaviors but also conventional health behaviors.
objectiveThe objective of this study was to develop and verify a COVID-19-related health behavior questionnaire, explore its status and structure, and examine the associations between these behaviors and participants' health literacy and eHealth literacy.
methodsA snowball sampling method was adopted to recruit participants to complete anonymous cross-sectional questionnaire surveys online that assessed sociodemographic information, self-reported coronavirus knowledge, health literacy, eHealth literacy, and COVID-19-related health behaviors.
resultsOf 1873 college students who were recruited, 781 (41.7%) had adequate health literacy; the mean eHealth literacy score was 30.16 (SD 6.31). The COVID-19-related health behavior questionnaire presented a two-factor structure-COVID-19-specific precautionary behaviors and conventional health behaviors-with satisfactory fit indices and internal consistency (Cronbach α=.79). The mean score of COVID-19-related health behaviors was 53.77 (SD 8.03), and scores differed significantly (P<.05) with respect to residence, college year, academic major, family economic level, self-reported health status, having a family member or friend infected with coronavirus, and health literacy level. Linear regression analysis showed that health literacy and eHealth literacy were positively associated with COVID-19-specific precautionary behaviors (β
conclusionsThe COVID-19-related health behavior questionnaire was a valid and reliable measure for assessing health behaviors during the pandemic. College students with higher health literacy and eHealth literacy can more actively adopt COVID-19-related health behaviors. Additionally, compared to health literacy, eHealth literacy is more closely related to COVID-19-related health behaviors. Public intervention measures based on health and eHealth literacy are required to promote COVID-19-related health behaviors during the pandemic, which may be helpful to reduce the risk of COVID-19 infection among college students.
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