The Associations Among Health-Promoting Lifestyle, eHealth Literacy, and Cognitive Health in Older Chinese Adults: A Cross-Sectional Study

Shao-Jie Li, Yong-Tian Yin, Guang-Hui Cui and Hui-Lan Xu
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Shao-Jie Li: Department of Social Medicine and Health Service Management, Xiangya School of Public Health, Central South University, Changsha 410078, China
Yong-Tian Yin: School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan 250355, China
Guang-Hui Cui: School of Acupuncture and Tuina, Shandong University of Traditional Chinese Medicine, Jinan 250355, China
Hui-Lan Xu: Department of Social Medicine and Health Service Management, Xiangya School of Public Health, Central South University, Changsha 410078, China

IJERPH, 2020, vol. 17, issue 7, 1-10

Abstract: Background: Healthy lifestyles and health literacy are strongly associated with cognitive health in older adults, however, it is unclear whether this relationship can be generalized to health-promoting lifestyles and eHealth literacy. To date, no research has examined the interactive effect of health-promoting lifestyles and eHealth literacy on cognitive health. Objective: To examine the associations among health-promoting lifestyles, eHealth literacy, and cognitive health in older adults. Methods: Using a stratified cluster sampling method, we conducted a survey with older adults in four districts and two counties in Jinan (China). Older adults ( n = 1201; age ≥ 60 years) completed our survey. We assessed health-promoting lifestyles, eHealth literacy, and cognitive health, and collected participants’ sociodemographic information. Results: Health-promoting lifestyles and eHealth literacy were significantly and positively associated with cognitive health (both p < 0.01). In addition, eHealth literacy was positively associated with health-promoting lifestyles. Moreover, the interaction of health-promoting lifestyle and eHealth literacy negatively predicted cognitive health ( β = −0.465, p < 0.01). Conclusions: Health-promoting lifestyles and eHealth literacy were associated with the cognitive health of Chinese older adults, both independently and interactively. Further, eHealth literacy was associated with health-promoting lifestyles in older adults. Therefore, interventions regarding healthy lifestyles and eHealth literacy would benefit older adults.

Keywords: health-promoting lifestyles; eHealth literacy; cognitive health; older adults (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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