Journal of the Korean Society of School Health (한국학교보건학회지)

The Korean Society of School Health (한국학교보건학회)
권호 표지
DOI QR코드

DOI QR Code

Influence of eHealth Literacy on Health Promoting Behaviors among University Students

대학생의 e헬스 리터러시가 건강증진행위에 미치는 영향

  • Received : 2019.09.02
  • Accepted : 2019.11.20
  • Published : 2019.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to identify the influence of eHealth literacy on health promoting behaviors, thereby providing basic data for the development of interventions for health promoting behaviors among university students. Methods: Data were collected from 242 university students aged 19 and over in a university located in K province in South Korea. Participants responded to structured questionnaires in September 2018. eHealth literacy and health promoting behaviors were measured by eHealth Litaracy (EHL) and a translated version of the Health Promoting Lifestyle Profile (HPLP-II), respectively. The correlation between eHealth literacy and health promoting behaviors were analyzed using Pearson's correlation, and multiple regression analysis was carried out to examine the influence of eHealth literacy on health promoting behaviors. Results: The participants had a moderate level of eHealth literacy with the greatest score recorded in the sub-domain of functional eHealth literacy and the lowest in the sub-domain of critical eHealth literacy. Female students and students who majored in healthcare had higher levels of eHealth literacy than male students and those with non-healthcare majors. The degree of health promoting behaviors was moderate or lower with the highest score being in the sub-domain of interpersonal support and the lowest in the sub-domain of health responsibility. Health promoting behaviors had significant relationships with eHealth literacy, exercise hours, subjective health status, and health concerns. Multiple regression analyses revealed that the participants engaged more in health promoting behaviors when they had greater eHealth literacy (β=.18, p<.001), interest in their own health (β=.33, p<.001), exercise hours (β=.18~.23, p<.001), and subjective health status (β=.17~.18, p=.007~.031). Conclusion: In order to facilitate health promoting behaviors of university students, interventions for health promoting behaviors need to be developed including strategies to improve competencies relevant to critical eHealth literacy and to increase exercise hours.

Keywords

References

  1. Statistics Korea. 2018 report of society survey [Internet]. Seoul: KOSIS; 2018 [cited 2018 November 6]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1SSHE020R&conn_path=I2.
  2. Bandura A. Social cognitive theory: an agentic perspective. Annual Review of Psychology. 2001;52(1):1-26. https://doi.org/10.1146/annurev.psych.52.1.1
  3. Jennison KM. The short term effects and unintended long term consequences of binge drinking in college: a 10 year follow up study. The American Journal of Drug and Alcohol Abuse. 2004;30(3):659-684. https://doi.org/10.1081/ada-200032331
  4. Cho BY, Lee JY, Yong JH. Behavioral factors associated with health, obesity, and subjective health status among college students. Journal of Korean Health & Fundamental Medical Science. 2012;5(2):58-63.
  5. Hsu W, Chiang C, Yang S. The effect of individual factors on health behaviors among college students: the mediating effects of eHealth literacy. Journal of Medical Internet Research. 2014;16(12):e287. https://doi.org/10.2196/jmir.3542
  6. Park YS, Lee HK. The correlational study of health promotion lifestyle and body composition in a university students. Journal of the Korean Society of School Health. 2006;19(1):67-78.
  7. Noh M, Huh H, Choi Y, Lee H. Current status of internet usage year 2018. Sejong: Survey report. Sejong: Korea Internet and Security Agency & Ministry of Science and ICT; 2019 May. Report No.:120005.
  8. Norman CD, Skinner HA. eHealth Literacy: essential skills for consume health in a networked world. Journal of Medical Internet Research. 2006;8(2):e9. https://doi.org/10.2196/jmir.8.2.e9
  9. Stellefson M, Hanik B, Chaney B, Chaney D, Tennant B, Chavarria EA. eHealth literacy among college students: a systematic review with implications for eHealth education. Journal of Medical Internet Research. 2011;13(4):e102. https://doi.org/10.2196/jmir.1703
  10. Longo DR. Understanding health information, communication, and information seeking of patients and consumers: a comprehensive and integrated model. Health Expectations. 2005;8(3):189-194. https://doi.org/10.1111/j.1369-7625.2005.00339.x
  11. Baker L, Wagner TH, Singer S, Bundorf MK. Use of the internet and e-mail for healthcare information: results from a national survey. Journal of the American Medical Association. 2003;289(18):2400-2406. https://doi.org/10.1001/jama.289.18.2400
  12. Mitsutake S, Shibata A, Ishii K, Oka K. Association of eHealth literacy with colorectal cancer knowledge and screening practice among internet users in Japan. Journal of Medical Internet Research. 2012;14(6):e153. https://doi.org/10.2196/jmir.1927
  13. Yang SC, Luo YF, Chiang CH. The associations among individual factors, eHealth literacy, and health-promoting lifestyles among college students. Journal of Medical Internet Research. 2017;19(1):e15. https://doi.org/10.2196/jmir.5964
  14. Park H, Lee E. Self-reported eHealth literacy among undergraduate nursing students in South Korea: a pilot study. Nurse Education Today. 2015;35(2):408-413. https://doi.org/10.1016/j.nedt.2014.10.022
  15. Park JW, Kim M. A Comparison study of e-health literacy and self-care agency between nursing students and non-health department women college students. Journal of Korean Academy of Nursing Administration. 2017;23(4):439. https://doi.org/10.11111/jkana.2017.23.4.439
  16. Kim SH, Son YJ. Relationships between eHealth literacy and health behaviors in Korean adults. Computers, Informatics, Nursing. 2017;35(2):84-90. https://doi.org/10.1097/cin.0000000000000255
  17. Walker S, Sechrist K, Pender N. The health-promoting lifestyle profile II. Unpublished manuscript. Omaha: University of Nebraska Medical Center; 1995.
  18. Seo HM. Construction of health promoting behaviors model in elderly [dissertation]. Seoul: Seoul National University; 2001. p. 1-133.
  19. Lee SR. A study for developing eHealth literacy scale [dissertation]. Seoul: Hanyang University; 2018. p. 1-137.
  20. Park DJ, Kwon MS, Choi J. The influence of health information orientation, attitude of internet health information, and e-Health literacy on personal health behaviors. Journal of Public Relations. 2013;17(3):379-413. https://doi.org/10.15814/jpr.2013.17.3.379
  21. Nsuangani NM, Perez MA. Accessing web-based health related information by college students. Californian Journal of Health Promotion. 2006;4(1):64-74. https://doi.org/10.32398/cjhp.v4i1.734
  22. Tubaishat A, Habiballah L. eHealth literacy among undergraduate nursing students. Nurse Education Today. 2016;42:47-52. https://doi.org/10.1016/j.nedt.2016.04.003
  23. Mawditt C, Sacker A, Britton A, Kelly Y, Cable N. The clustering of health-related behaviours in a British population sample: testing for cohort differences. Preventive Medicine. 2016;88:95-107. https://doi.org/10.1016/j.ypmed.2016.03.003
  24. KCDC. Community health survey: 2008-2015 regional health statistics at a glance. Survey report. Cheongju: KCDC; 2016. Report No.:11-1352159-000033-10.
  25. Byeon YS, Oak J. The relation between perceived health status and health-promoting behavior in female college students. Journal of Korean Academy of Community Health Nursing. 2008;19(4):715-723.
  26. Mitsutake S, Shibata A, Ishii K, Oka K. Associations of eHealth literacy with health behavior among adult internet users. Journal of Medical Internet Research. 2016;18(7):e192. https://doi.org/10.2196/jmir.5413
  27. Britt RK, Collins WB, Wilson K, Linnemeier G, Englebert AM. eHealth literacy and health behaviors affecting modern college students: a pilot study of issues identified by the American College Health Association. Journal of Medical Internet Research. 2017;19(12):e392. https://doi.org/10.2196/jmir.3100
  28. Jung SH, Kim D-H. Health perception, health status and health promotion behaviors of elementary school teacher. Journal of the Korean Society of School Health. 2017;30(3):355-364. https://doi.org/10.15434/kssh.2017.30.3.355
  29. Jacobs RJ, Lou JQ, Ownby RL, Caballero J. A systematic review of eHealth interventions to improve health literacy. Health Informatics Journal. 2016;22:81-98. https://doi.org/10.1177/1460458214534092
  30. Schnittker J, Bacak V. The increasing predictive validity of selfrated health. Plos One. 2014;9(1):e84933. https://doi.org/10.1371/journal.pone.0084933

Cited by

  1. Effect of e-Health Literacy on COVID-19 Infection-Preventive Behaviors of Undergraduate Students Majoring in Healthcare vol.9, pp.5, 2021, https://doi.org/10.3390/healthcare9050573
  2. The Relationship between E-Health Literacy and Health-Promoting Behaviors in Nursing Students: A Multiple Mediation Model vol.18, pp.11, 2019, https://doi.org/10.3390/ijerph18115804
  3. eHealth Literacy, Awareness of Pandemic Infectious Diseases, and Healthy Lifestyle in Middle School Students vol.8, pp.8, 2019, https://doi.org/10.3390/children8080699