ArticleInternational journal of environmental research and public health2022
Association of eHealth Literacy with Health Promotion Behaviors of Community-Dwelling Older People: The Chain Mediating Role of Self-Efficacy and Self-Care Ability.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.
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43 citing papers in PubMed, 60 citations in OpenAlex.
- An Examination of the Impact of Healthy Lifestyle Behaviours and Self-Neglect on e-Health Literacy Among Older Adults Using Path Analysis.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2026Article
- Association Between eHealth Literacy and Online Health Information Seeking Behavior Among Cancer Patients: A Chain Mediating Role of Self-Efficacy and Information Utility.Health care science · 2026Article
- Effectiveness of Self-Efficacy-Based Interventions to Improve eHealth Literacy Among Community-Dwelling Older Adults: Protocol for a Systematic Review.JMIR research protocols · 2026Article
- Structural model of health-promoting behavior in middle-aged Korean women with hypertension based on the Information-Motivation-Behavioral Skills model: a cross sectional study.Women's health nursing (Seoul, Korea) · 2026Article
- Perspectives of older adults with pre-frailty and frailty when engaging with an online nutrition educational resource: a qualitative study.BMC geriatrics · 2026Article
- Integrating health literacy, health promotion, and digital health in tuberculosis prevention: An ecosystemic competency framework and CIMO-based systematic review.Veterinary world · 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
- Intrinsic capacity decline and intervention needs among older adults in a rural northern Chinese village: a qualitative study.BMC geriatrics · 2026Article
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- 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
- Psychological determinants of self-management in migrants with chronic non-communicable diseases: self-efficacy and self-esteem.Frontiers in psychology · 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
- Self-care and associated factors of patients with permanent colostomies: A structural equation model.Asia-Pacific journal of oncology nursing · 2025Article
- The role of moderating variables in the relationship between health literacy and healthy living awareness among health program students: a cross-sectional study.BMC public health · 2025Article
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- Understanding how digital health literacy affects health self-management behaviors: The mediating role of self-efficacy in college students.Scientific reports · 2025Article
- The relationship between eHealth literacy and oral frailty among older adults: the serial mediating effects of self-efficacy and oral health.BMC oral health · 2025Article
- Digital literacy impacts quality of life among older adults through hierarchical mediating mechanisms.Scientific reports · 2025Article
- Digital literacy impacts quality of life among older adults through hierarchical mediating mechanisms.Scientific reports · 2025Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
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.
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