1,280
Views
18
CrossRef citations to date
0
Altmetric
Original Article

Determinants of eHealth Literacy among Adults in China

, , , , & ORCID Icon

References

  • Basu, A., & Dutta, M. J. (2008). The relationship between health information seeking and community participation: The roles of health information orientation and efficacy. Health Communication, 23(1), 70–79. doi:10.1080/10410230701807121
  • Benotsch, E. G., Kalichman, S., & Weinhardt, L. S. (2004). HIV-AIDS patients’ evaluation of health information on the internet: The digital divide and vulnerability to fraudulent claims. Journal of Consulting and Clinical Psychology, 72(6), 1004. doi:10.1037/0022-006X.72.6.1004
  • Bidmon, S., & Terlutter, R. (2015). Gender differences in searching for health information on the internet and the virtual patient-physician relationship in Germany: Exploratory results on how men and women differ and why. Journal of Medical Internet Research, 17(6), e156. doi:10.2196/jmir.4127
  • Bodie, G. D., & Dutta, M. J. (2008). Understanding health literacy for strategic health marketing: EHealth literacy, health disparities, and the digital divide. Health Marketing Quarterly, 25(1–2), 175–203. doi:10.1080/07359680802126301
  • Chang, A., & Schulz, P. J. (2018). The measurements and an elaborated understanding of Chinese eHealth literacy (C-eHEALS) in chronic patients in China. International Journal of Environmental Research and Public Health, 15(7), 1553. doi:10.3390/ijerph15071553
  • Chang, F. C, Chiu, C.-H., Chen, P.-H., Miao, N.-F., Lee, C.-M., … Chiang, J.-T. (2015). Relationship between parental and adolescent eHealth literacy and online health information seeking in Taiwan. Cyberpsychology, Behavior and Social Networking, 18(10), 618–624. doi:10.1089/cyber.2015.0110
  • Cho, J., Park, D., & Lee, H. E. (2014). Cognitive factors of using health apps: Systematic analysis of relationships among health consciousness, health information orientation, eHealth literacy, and health app use efficacy. Journal of Medical Internet Research, 16(5), e125. doi:10.2196/jmir.3283
  • Choi, N. G., & DiNitto, D. M. (2013). The digital divide among low-income homebound older adults: Internet use patterns, ehealth literacy, and attitudes toward computer/Internet use. Journal of Medical Internet Research, 15(5), e93. doi:10.2196/jmir.2645
  • Chung, S., Park, B. K., & Nahm, E. S. (2018). The Korean eHealth literacy scale (K-eHEALS): Reliability and validity testing in younger adults recruited online. Journal of Medical Internet Research, 20(4), e138. doi:10.2196/jmir.8759
  • Culbertson, H. M., & Somerick, N. (1977). Variables affect how persons view unnamed news sources. Journalism Quarterly, 54(1), 58–69. doi:10.1177/107769907705400109
  • Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319–340. doi:10.2307/249008
  • Diviani, N., van den Putte, B., Giani, S., & van Weert, J. C. (2015). Low health literacy and evaluation of online health information: A systematic review of the literature. Journal of Medical Internet Research, 17(5), e112. doi:10.2196/jmir.4018
  • Dutta-Bergman, M. (2003). Trusted online sources of health information: Differences in demographics, health beliefs, and health-information orientation. Journal of Medical Internet Research, 5(3), e21. doi:10.2196/jmir.5.3.e21
  • Dutta-Bergman, M. (2004). Primary sources of health information: Comparisons in the domain of health attitudes, health cognitions, and health behaviors. Health Communication, 16(3), 273–288. doi:10.1207/S15327027HC1603_1
  • Estacio, E. V., Whittle, R., & Protheroe, J. (2017). The digital divide: Examining socio-demographic factors associated with health literacy, access and use of internet to seek health information. Journal of Health Psychology, 24(12), 1668–1675. doi: 10.1177/1359105317695429.
  • Eysenbach, G. (2001). What is e-health? Journal of Medical Internet Research, 3(2), E20. doi:10.2196/jmir.3.2.e20
  • Feufel, M. A., & Stahl, S. F. (2012). What do web-use skill differences imply for online health information searches? Journal of Medical Internet Research, 14(3), e87. doi:10.2196/jmir.2051
  • Flanagin, A. J., & Metzger, M. J. (2000). Perceptions of Internet information credibility. Journalism & Mass Communication Quarterly, 77(3), 515–540. doi:10.1177/107769900007700304
  • Hargittai, E. (2010). Digital na (t) ives? Variation in internet skills and uses among members of the “net generation”. Sociological Inquiry, 80(1), 92–113. doi:10.1111/j.1475-682X.2009.00317.x
  • Hocevar, K. P., Flanagin, A. J., & Metzger, M. J. (2014). Social media self-efficacy and information evaluation online. Computers in Human Behavior, 39, 254–262. doi:10.1016/j.chb.2014.07.020
  • Holmberg, C., Berg, C., Dahlgren, J., Ler, L., & Chaplin, J. E. (2018). Health literacy in a complex digital media landscape: Pediatric obesity patients’ experiences with online weight, food, and health information. Health Informatics Journal, 1460458218759699. doi:10.1177/1460458218759699
  • Hong, Y. A., & Zhou, Z. (2018). A profile of ehealth behaviors in china: results from a national survey show a low of usage and significant digital divide. Frontiers in Public Health, 6, 274. doi:10.3389/fpubh.2018.00274
  • Hsu, W., Chiang, C., & Yang, S. (2014). The effect of individual factors on health behaviors among college students: The mediating effects of eHealth literacy. Journal of Medical Internet Research, 16(12), e287. doi:10.2196/jmir.3542
  • Huhta, A. M., Hirvonen, N., & Huotari, M. L. (2018). Health literacy in web-based health information environments: Systematic review of concepts, definitions, and operationalization for measurement. Journal of Medical Internet Research, 20(12), e10273. doi:10.2196/10273
  • Ivanitskaya, L., Boyle, I. O., & Casey, A. M. (2006). Health information literacy and competencies of information age students: Results from the interactive online research readiness self-assessment (RRSA). Journal of Medical Internet Research, 8(2), e6. doi:10.2196/jmir.8.2.e6
  • Johnson, J. D., & Meischke, H. (1991). Women's preferences for cancer information from specific communication channels. American Behavioral Scientist, 34(6),742–755. doi:10.1177/0002764291034006010
  • Kalichman, S. C., Cherry, C., Cain, D., Weinhardt, L. S., Benotsch, E., Pope, H., & Kalichman, M. (2006). Health information on the internet and people living with HIV/AIDS: Information evaluation and coping styles. Health Psychology, 25(2), 205. doi:10.1037/0278-6133.25.2.205
  • Karnoe, A., & Kayser, L. (2015). How is eHealth literacy measured and what do the measurements tell us? A systematic review. Knowledge Management & E-Learning: An International Journal, 7(4), 576–600.
  • King, P. M., Wood, P. K., & Mines, R. A. (1990). Critical thinking among college and graduate students. The Review of Higher Education, 13(2), 167–186. doi:10.1353/rhe.1990.0026
  • Knapp, C., Madden, V., Wang, H., Sloyer, P., & Shenkman, E. (2011). Internet use and eHealth literacy of low-income parents whose children have special health care needs. Journal of Medical Internet Research, 13(3), e75. doi:10.2196/jmir.1697
  • Kontos, E., Blake, K. D., Chou, W.-Y. S., & Prestin, A. (2014). Predictors of eHealth usage: Insights on the digital divide from the health information national trends survey 2012. Journal of Medical Internet Research, 16(7), e172. doi:10.2196/jmir.3117
  • Koo, M., Norman, C. D., & Hsiao-Mei, C. (2012). Psychometric evaluation of a Chinese version of the eHealth literacy scale (eHEALS) in school age children. Global Journal of Health Education and Promotion, 15(1), 29–36.
  • Leung, L., & Lee, P. S. (2012). Impact of internet literacy, internet addiction symptoms, and internet activities on academic performance. Social Science Computer Review, 30(4), 403–418. doi:10.1177/0894439311435217
  • Levy, H., Janke, A. T., & Langa, K. M. (2015). Health literacy and the digital divide among older Americans. Journal of General Internal Medicine, 30(3), 284–289. doi:10.1007/s11606-014-3069-5
  • Livingstone, S., & Helsper, E. (2010). Balancing opportunities and risks in teenagers’ use of the internet: The role of online skills and internet self-efficacy. New Media & Society, 12(2), 309–329. doi:10.1177/1461444809342697
  • Lustria, M. L. A., Smith, S. A., & Hinnant, C. C. (2011). Exploring digital divides: An examination of eHealth technology use in health information seeking, communication and personal health information management in the USA. Health Informatics Journal, 17(3), 224–243. doi:10.1177/1460458211414843
  • Mackert, M., Mabry-Flynn, A., Champlin, S., Donovan, E. E., & Pounders, K. (2016). Health literacy and health information technology adoption: The potential for a new digital divide. Journal of Medical Internet Research, 18(10), e264. doi:10.2196/jmir.6349
  • McGeady, D., Kujala, J., & Ilvonen, K. (2008). The impact of patient–physician web messaging on healthcare service provision. International Journal of Medical Informatics, 77(1), 17–23. doi:10.1016/j.ijmedinf.2006.11.004
  • Metzger, M. J. (2007). Making sense of credibility on the Web: Models for evaluating online information and recommendations for future research. Journal of the American Society for Information Science and Technology, 58(13), 2078–2091. doi:10.1002/asi.20672
  • Metzger, M. J., Flanagin, A. J., & Zwarun, L. (2003). College student Web use, perceptions of information credibility, and verification behavior. Computers & Education, 41(3), 271–290. doi:10.1016/S0360-1315(03)00049-6
  • Mitsutake, S., Shibata, A., Ishii, K., & Oka, K. (2012). Association of eHealth literacy with colorectal cancer knowledge and screening practice among internet users in Japan. Journal of Medical Internet Research, 14(6), e153. doi:10.2196/jmir.1927
  • Morahan-Martin, J., & Anderson, C. D. (2000). Information and misinformation online: Recommendations for facilitating accurate mental health information retrieval and evaluation. Cyberpsychology & Behavior, 3(5), 731–746. doi:10.1089/10949310050191737
  • Neter, E., & Brainin, E. (2012). eHealth literacy: Extending the digital divide to the realm of health information. Journal of Medical Internet Research, 14(1), e19. doi:10.2196/jmir.1619
  • Norman, C. D., & Skinner, H. A. (2006). eHEALS: The eHealth literacy scale. Journal of Medical Internet Research, 8(4), e27. doi:10.2196/jmir.8.4.e27
  • Oh, H., Rizo, C., Enkin, M., & Jadad, A. (2005). What is eHealth (3): A systematic review of published definitions. Journal of Medical Internet Research, 7, 1. doi:10.2196/jmir.7.1.e1
  • Paige, S. R., Miller, M. D., Krieger, J. L., Stellefson, M., & Cheong, J. (2018). Electronic health literacy across the lifespan: Measurement invariance study. Journal of Medical Internet Research, 20(7), e10434. doi:10.2196/10434
  • R Core Team. 2013. R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing. Retrieved from http://www.R-project.org/
  • Rosen, P., & Kwoh, C. K. (2007). Patient-physician e-mail: An opportunity to transform pediatric health care delivery. Pediatrics, 120(4), 701–706. doi:10.1542/peds.2007-1094
  • Rosseel, Y. (2012). Lavaan: An R package for structural equation modeling and more. Version 0.5–12 (BETA). Journal of Statistical Software, 48(2), 1–36. doi:10.18637/jss.v048.i02
  • Scheerder, A., van Deursen, A., & van Dijk, J. (2017). Determinants of Internet skills, uses and outcomes. A systematic review of the second-and third-level digital divide. Telematics and Informatics, 34(8), 1607–1624. doi:10.1016/j.tele.2017.07.007
  • Seckin, G., Yeatts, D., Hughes, S., Hudson, C., & Bell, V. (2016). Being an informed consumer of health information and assessment of electronic health literacy in a national sample of internet users: Validity and reliability of the e-HLS instrument. Journal of Medical Internet Research, 18(7), e161. doi:10.2196/jmir.5496
  • Stroetmann, K. A., Jones, T., Dobrev, A., & Stroetmann, V. N. (2007). An evaluation of the economic impact of ten European e-health applications. Journal of Telemedicine and Telecare, 13(1_suppl), 62–64. doi:10.1258/135763307781645167
  • Sundar, S. S. (1998). Effect of source attribution on perception of online news stories. Journalism & Mass Communication Quarterly, 75(1), 55–68. doi:10.1177/107769909807500108
  • Tennant, B., Stellefson, M., Dodd, V., Chaney, B., Chaney, D., Paige, S., & Alber, J. (2015). eHealth literacy and Web 2.0 health information seeking behaviors among baby boomers and older adults. Journal of Medical Internet Research, 17(3), e70. doi:10.2196/jmir.3992
  • Torrent-Sellens, J., Díaz-Chao, Á., Soler-Ramos, I., & Saigí-Rubió, F. (2016). Modelling and predicting eHealth usage in Europe: A multidimensional approach from an online survey of 13,000 european union internet users. Journal of Medical Internet Research, 18(7), e188. doi:10.2196/jmir.5605
  • Van der Mispel, C., Poppe, L., Crombez, G., Verloigne, M., & De Bourdeaudhuij, I. (2017). A self-regulation-based eHealth intervention to promote a healthy lifestyle: Investigating user and website characteristics related to attrition. Journal of Medical Internet Research, 19(7), e241. doi:10.2196/jmir.7277
  • van der Vaart, R., & Drossaert, C. (2017). Development of the digital health literacy instrument: Measuring a broad spectrum of health 1.0 and health 2.0 skills. Journal of Medical Internet Research, 19(1), e27. doi:10.2196/jmir.6709
  • van der Vaart, R., Drossaert, C., de Heus, M., Taal, E., & van de Laar, M. A. (2013). Measuring actual eHealth literacy among patients with rheumatic diseases: A qualitative analysis of problems encountered using health 1.0 and health 2.0 applications. Journal of Medical Internet Research, 15(2), e27. doi:10.2196/jmir.2428
  • van der Vaart, R., van Deursen, A. J., Drossaert, C. H., Taal, E., van Dijk, J. A., & van de Laar, M. A. (2011). Does the eHealth literacy scale (eHEALS) measure what it intends to measure? Validation of a Dutch version of the eHEALS in two adult populations. Journal of Medical Internet Research, 13(4), e86. doi:10.2196/jmir.1840
  • Vandelanotte, C., Müller, A. M., Short, C. E., Hingle, M., Nathan, N., Williams, S. L., … Maher, C. A. (2016). Past, present, and future of eHealth and mHealth research to improve physical activity and dietary behaviors. Journal of Nutrition Education and Behavior, 48(3), 219–228. e211. doi:10.1016/j.jneb.2015.12.006
  • Watch, C. I. (2017). Whitepaper: China internet statistics. Retrieved from https://www.chinainternetwatch.com/whitepaper/china-internet-statistics
  • Zhao, J., Zhang, Z., Guo, H., Li, Y., Xue, W., Ren, L., … Zhang, X. (2010). E-health in China: Challenges, initial directions, and experience. Telemedicine and e-Health, 16(3), 344–349. doi:10.1089/tmj.2009.0076

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.