scholarly journals Associations between Health Literacy, eHealth Literacy, and COVID-19-related health behaviors among Chinese College Students: A Cross-Sectional Study (Preprint)

Author(s):  
Shaojie Li ◽  
Guanghui Cui ◽  
Atipatsa Chiwanda Kaminga ◽  
Sixiang Cheng ◽  
Huilan Xu
2021 ◽  
Author(s):  
Zhongyu Ren ◽  
Jianhua Cao ◽  
Bing Cao ◽  
Shuang E ◽  
Jujiao Kuang

Abstract Background The association between health literacy and depressive symptoms has been examined among Chinese middle school students, however there is no evidence are available from college students. Aims This study aimed to examined the association between health literacy and depressive symptoms among Chinese college students. Methods This cross-sectional study recruited 2771 college students in Southwest University. Depressive symptoms was assessed using Zung self-rating depression scale and a score of ≥ 50 represented having depressive symptoms. We used Chinese adolescent interactive health literacy questionnaire to assess health literacy. Multivariate logistic regressions analysis was applied to assess the association between health literacy and depressive symptoms. Results The prevalence of depressive symptoms was 34.9% (967/2771). Multivariate logistic regressions analysis showed an inverse association between health literacy and depressive symptoms after adjusting for potential confounders. The multivariate adjusted ORs (95%CIs) for depressive symptoms across quartiles of health literacy level were 1.000 (reference), 0.48 (0.39, 0.60), 0.25 (0.19, 0.32), and 0.16 (0.12, 0.21) (P for trend: <0.001). Similar associations were also found when all 6 health literacy dimensions were analyzed separately. Conclusion The results of this cross-sectional study indicated that higher health literacy level was associated with lower risks of depressive symptoms. Further prospective studies or randomized controlled trials should be conducted to prove the causal association between health literacy and risk of depressive symptoms.


Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 990
Author(s):  
Cuiting Yong ◽  
Hanmei Liu ◽  
Qiping Yang ◽  
Jing Luo ◽  
Yufeng Ouyang ◽  
...  

This study aims to explore the association between restrained eating, body image, and dietary intake among Chinese college students. This cross-sectional study included 1301 college students at two universities in Hunan Province. Electronic questionnaires were used to collect information including students’ demographic characteristics, restrained eating, perception of body weight, body satisfaction, and dietary intake. Anthropometric measurements were collected to calculate body mass index (BMI). The prevalence of high restrained eating was 52.8%. Students who were dissatisfied with their bodies or overestimated their body weight showed a higher tendency toward high restrained eating (p < 0.05). Students with high restrained eating tended to eat fruits and eggs more frequently, while the frequency of eating domestic animals and poultry, sugar-sweetened beverages, and fast food were the opposite. Moreover, high restrained eating was a risk factor for low dietary diversity (odds ratio (OR) = 1.384, 95% confidence interval: 1.002~1.912). The high incidence of restrained eating among Chinese college students and its energy-restricted diets that may lead to possible health implications require attention. Further studies are needed to investigate the characteristics of college students’ restrained eating to tailor appropriate interventions for forming positive body images and promoting healthy eating behaviors, thus, improving dietary quality.


2021 ◽  
Author(s):  
Dame Elysabeth Tarihoran ◽  
Dian Anggraini ◽  
Enni Juliani ◽  
Ressa Ressa ◽  
Ihlus Fardan

Background: Nurses should have a good level of e-health literacy to help patients utilize e-health information. Objective: To measure e-health literacy skills and contribute factors. Methods: A cross-sectional study of 2209 nursing student in Indonesia (October–November 2019) using eHeals. Result: The overall eHealth literacy was 4 (Scale 1–5). There were statistically significant differences between e-Heals score with contribute factors (<0.001). Conclusion: Indonesian nursing students already have basic necessary skills of e-health.


2020 ◽  
Author(s):  
Shaojie Li ◽  
Guanghui Cui ◽  
Atipatsa Chiwanda Kaminga ◽  
Sixiang Cheng ◽  
Huilan Xu

BACKGROUND During the COVID-19 pandemic, Internet has spread a lot of information and provided people with knowledge and advice on health protection for COVID-19. However, few studies have focused on the relationship between health literacy, eHealth literacy and COVID-19 coping behaviors. OBJECTIVE This study aimed to examine the association between health literacy, eHealth literacy and COVID-19 coping behaviors in Chinese college students. METHODS The snowball sampling method was adopted to conduct an anonymous online cross-sectional questionnaire survey. Participants completed surveys on health literacy, eHealth literacy, and COVID-19 coping behaviors. Linear regression was used to explore the association between health literacy, eHealth literacy and COVID-19 coping behaviors, whereas factor analysis was used to analyze the factor structure of the COVID19 coping behaviors. RESULTS A total of 1,873 college students aged 18-25 were recruited. 781 (41.7%) had adequate health literacy. The mean eHealth literacy score was 30.2 ±6.3. The results of factor analysis showed that COVID-19 coping behaviors had two dimensions, namely health protection behaviors and adapting behaviors. COVID-19 coping behaviors score differed significantly (P<.05) with respect to residence, grade, major, family economic level, self-reported health status, family member or friend infected with coronavirus, self-reported coronavirus knowledge level and health literacy level. Further, according to linear regression analysis, health literacy (Beta=.19, P<.001) and eHealth literacy (Beta=.39, P<.001) were positively associated with COVID-19 coping behaviors. CONCLUSIONS College students with higher health literacy and eHealth literacy had better COVID-19 coping behaviors. Nevertheless, COVID-19 coping behaviors varied with respect to place of residence, grade, major, family economic level, self-reported health status, family member or friend infected with coronavirus, self-reported coronavirus knowledge level and health literacy level. Therefore, enhancing health literacy and eHealth literacy has, to some extent, helped in reducing the risk of COVID-19 infection among college students in China. Prospective cohort studies at a larger scale are therefore needed to ascertain these findings.


2021 ◽  
Vol 9 ◽  
Author(s):  
Tianhao Wu ◽  
Xianggui Wang ◽  
Shuang Zhao ◽  
Yi Xiao ◽  
Minxue Shen ◽  
...  

Objectives: To investigate the association of gender, ethnicity, living region, and socioeconomic status (SES) with health literacy and attitudes toward nevi and melanoma in Chinese adolescents and to examine whether health literacy mediates the association of SES with attitudes.Study Design: A multicenter cross-sectional study was conducted among newly enrolled college students. First-year students were recruited from five universities in different regions of China in 2018 using the cluster sampling method. The observers were blinded to the participants.Methods: Health literacy and attitudes were measured using a previously validated tool (Nevus and Melanoma Health Literacy and attitudes Test). SES was measured by annual family income and parental highest educational level. Nonparametric test was used to examine the association of participants' characteristics with health literacy and attitudes. Two-level generalized linear model with logarithm link function and Gamma distribution was used individually for SES. The mediation effect model was used to examine the mediation effect of health literacy.Results: A total of 21,086 questionnaires were completed by college students with a mean age of 18.0 ± 0.8 years. The mean scores of health literacy and attitudes were 9.83 ± 7.46 (maximum score: 28) and 16.98 ± 2.92 (maximum score: 20), respectively. Female, Han nationality, annual family income, and parental educational levels were positively associated with health literacy and attitudes. Regional differences showed different effects on health literacy and attitudes. A mediation model showed that literacy mediated the association of SES with attitudes toward nevi and melanoma. Health literacy mediated ~30–50% of the association of SES with attitudes.Conclusions: Melanoma-related health literacy among Chinese college students is generally insufficient and needs to be improved. Targeted and personalized health education for improving health literacy related to nevi and melanoma may improve the general population's attitudes and further promote health-related behavior to prevent and identify early-stage melanoma.


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