Association of eHealth Literacy with Health Promotion Behaviors of Community-Dwelling Older People: The Chain Mediating Role of Self-Efficacy and Self-Care Ability

Yinuo Wang, Yuting Song, Yaru Zhu, Heqian Ji and Aimin Wang
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Yinuo Wang: School of Nursing, Qingdao University, Qingdao 266100, China
Yuting Song: School of Nursing, Qingdao University, Qingdao 266100, China
Yaru Zhu: School of Nursing, Qingdao University, Qingdao 266100, China
Heqian Ji: School of Nursing, Qingdao University, Qingdao 266100, China
Aimin Wang: School of Nursing, Qingdao University, Qingdao 266100, China

IJERPH, 2022, vol. 19, issue 10, 1-12

Abstract: In the digital age, electronic health literacy (eHealth literacy) of community-dwelling older people plays a potentially important role in their health behaviors which are critical for health outcomes. Researchers have documented that self-efficacy and self-care ability are related to this relationship. This study aimed to assess the relationship between eHealth literacy and health promotion behaviors among older people living in communities and explore the chain mediating role of self-efficacy and self-care ability. For this cross-sectional study, we used data from 425 older adults at 3 communities in Qingdao, Shandong Province in Northeastern China, from June to September 2021. Path analysis using the structural equation model was performed. We found that eHealth literacy was significantly associated with health promotion behaviors in older people. Additionally, eHealth literacy indirectly affected health promotion behaviors through self-efficacy and self-care ability, respectively. In addition, the chain mediation effect was identified in the relationship of eHealth literacy and health promotion behaviors: eHealth literacy→ self-efficacy→ self-care ability→ health promotion behaviors. These findings offer promising directions for developing interventions to modify older adults’ health behaviors through enhancing their eHealth literacy. These interventions should integrate components that target improving the self-efficacy and self-care ability of older people.

Keywords: older people; eHealth literacy; self-efficacy; self-care ability; health promotion behaviors (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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