ArticleHealth expectations : an international journal of public participation in health care and health policy2023
Sleep hygiene behaviours mediate the association between health/e-health literacy and mental wellbeing.
Article in Health expectations : an international journal of public participation in health care and health policy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Examining the relationship between health literacy and eHealth literacy in adult populations: a systematic review and meta-analysis.Health promotion international · 2025Pooled it
- The impact of a digital self-care intervention based on mHealth on reducing sleep disorders during pregnancy: a quasi-experimental controlled study.Reproductive health · 2025Trial
- Beyond Age: Exploring Health Literacy, Well-Being, and Stress Management Among the Elderly.Western journal of nursing research · 2026Article
- Age-Specific Associations Between eHealth Literacy and Sleep Quality Among Adults: Cross-Sectional Study.Journal of medical Internet research · 2025Article
- Psychosocial pathways linking family support to sleep disorders in maintenance hemodialysis: the chain mediating role of depression and fatigue.Renal failure · 2025Article
- Association between occupational health literacy and occupational stress among workers in metal mining, metallurgy and non-metallic manufacturing in Gansu, China.BMC public health · 2025Article
- Gaming disorder and psychological distress among Iranian adolescents: the mediating role of sleep hygiene.BMC public health · 2025Article
- The Complex Interaction Between Sleep-Related Information, Misinformation, and Sleep Health: Call for Comprehensive Research on Sleep Infodemiology and Infoveillance.JMIR infodemiology · 2024Article
- Analysis of the mediating effect between ehealth literacy and health self-management of undergraduate nursing students' mental health literacy.BMC nursing · 2024Article
- Exploring health literacy categories among an Iranian adult sample: a latent class analysis.Scientific reports · 2024Article
- Sleep hygiene behaviours mediate the association between health/e-health literacy and mental wellbeing.Health expectations : an international journal of public participation in health care and health policy · 2023Article
Corrections and comments
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Authors and funding
19 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth literacy and e-health literacy are important factors helping people shape awareness of health behaviours in different aspects, including sleep hygiene behaviours. Good sleep hygiene behaviours promote sleep quality and are beneficial to overall mental wellbeing.
objectiveWe aimed to examine if sleep hygiene behaviours may mediate the association between health literacy/e-health literacy and mental wellbeing.
methodsAdult Iranian subjects (n = 9775; mean [SD] age = 36.44 [11.97] years; 67.3% females) completed the Health Literacy Instrument for Adults, eHealth Literacy Scale, three items on sleep hygiene behaviour that have been used in prior research and the Short Warwick Edinburgh Mental Wellbeing Scale. Data were then subjected to structural equation modelling (SEM) including 500 bootstrapping resampling to examine whether sleep hygiene is a mediator in the relationship between health literacy/e-health literacy and mental wellbeing.
findingsBoth health literacy and e-health literacy were significantly associated with mental wellbeing (r = .63 for health literacy and .39 for e-health literacy; p < .001) and sleep hygiene behaviours (r = .58 for health literacy and .36 for e-health literacy; p < .001). Sleep hygiene behaviours were significantly associated with mental wellbeing (r = .42; p < .001). Moreover, SEM that incorporated bootstrapping approaches indicated that sleep hygiene behaviours were significant mediators in the association between health literacy/e-health literacy and mental wellbeing.
conclusionsWe conclude that health literacy and e-health literacy are associated with mental health wellbeing in the Iranian population. Additionally, the association could be mediated via sleep hygiene behaviours. PATIENT OR PUBLIC CONTRIBUTION: The study was co-designed with healthcare providers from the vice-Chancellor's Office for Health Affairs of Qazvin University of Medical Sciences as equal partners. Moreover, the women's health volunteers were involved in the design of the study.
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