Evidence map›Paper›PMID 42238684›Full record

ReviewDigital health

The association between digital health literacy and healthy lifestyle behaviors among youth: Systematic review of cross-sectional studies.

Ruilin Xu, Jiajun Jiang, Zhihua Yin, Qiying Zhong, Duoer Liu, Mingzhu Sun, Mingliang Xiong

Abstract readReview
In one paragraph

Review in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ruilin XuCollege of Physical Education and Health, East China Normal University, Shanghai, China.ORCID https://orcid.org/0009-0009-0141-2545
Jiajun JiangCollege of Physical Education and Health, East China Normal University, Shanghai, China.ORCID https://orcid.org/0009-0006-5834-0712
Zhihua YinCollege of Physical Education and Health, East China Normal University, Shanghai, China.
Qiying ZhongCollege of Physical Education and Health, East China Normal University, Shanghai, China.
Duoer LiuCollege of Physical Education and Health, East China Normal University, Shanghai, China.
Mingzhu SunCollege of Physical Education and Health, East China Normal University, Shanghai, China.
Mingliang XiongCollege of Physical Education and Health, East China Normal University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To systematically identify and critically evaluate research evidence on the association between digital health literacy (DHL) and healthy lifestyle behaviors (HLB) among youth. Methods: A systematic search was conducted of five English-language databases-Web of Science, Scopus, ProQuest, EBSCO, and PubMed-covering publications from January 2006 to October 2025. This search was supplemented by reference list screening, resulting in the inclusion of 33 studies in the final review. Results: Overall, youth exhibit a relatively high level of DHL, and the eHealth Literacy Scale (eHEALS) is the most frequently employed instrument for its assessment. HLB associated with DHL primarily encompassed domains such as physical activity, sleep, diet and nutrition, as well as mental health and stress management. Higher levels of DHL among youth were associated with more favorable HLB, but the magnitude and consistency of these associations varied across behavioral domains. Conclusion: This study aims to examine variations in the role of DHL across different HLB domains, guided by the COM-B behavior change model, which emphasizes the interaction of capability, opportunity, and motivation. Further research is warranted to clarify the mechanisms linking DHL with specific HLB, particularly through high-quality longitudinal and intervention studies. In addition, DHL measurement instruments should be refined to ensure their validity and applicability within the rapidly evolving digital health environment.

Indexed as

digital health literacyhealthy lifestyle behaviorssystematic reviewyouth

Identifiers

PMID42238684
PMCPMC13226989

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.