Assessment of E-health literacy amongst the Saudi community (Preprint)
BACKGROUND According to a Health Information National Trends Survey, people tend to go to the Internet rather than a physician as their first source of health information; although a vast amount of health information is available to empower and educate people, very few master the ability to use this information for their own benefit. OBJECTIVE The aim of this study was to investigate the levels and demographic determinants of e-health literacy among Saudi adults and to explore their behavior related to health information obtained through the Internet. METHODS A cross-sectional study was conducted in Saudi Arabia between (November 2017- July 2018) using an electronic questionnaire and including Arabic-speaking Saudi residents aged 18 years and above. The questionnaire included questions about socio-demographic characteristics, Internet and smartphone usage to obtain health information, participants’ behavior toward the obtained information, and eHEALS scores. RESULTS A total of 705 participants agreed to take the survey in different regions of Saudi Arabia; 59.4% (410/705) of them were 29 years old or younger, and 60.71% (428/705) of them were female. Majority of the participants 70.22% (441/705) trusted health information obtained from the Internet. Overall, mean e-health literacy was 28.9 ± 6.34, maximum and minimum scores found were 40 and 8, 44.4% (313/705) were found to have high e-health literacy levels. Older participants were more likely to have low e-health literacy levels (P = 0.001), while participants with higher education levels were more likely to have higher e-health literacy levels (P = 0.001). Over half of participants 52.2% (368/705) of the participants had downloaded a health application on their smartphone; sports and physical activity applications were the most-downloaded health applications 73.37% (270/368). CONCLUSIONS Considerably high e-health literacy levels were found among the Saudi population. We also found high trust levels in the health information obtained from the Internet. Younger adults and participants with higher education levels were more likely to have higher e-health literacy levels.