Survey of E-Health Literacy among Employees of State-Owned Banks in Tehran During 2020

Document Type : Original Article


1 Department Library and Information Science, Tehran University, Tehran, Iran

2 Department of Library and Information Science, Payame Noor University, Tehran, Iran


Background & Objective:  Developing new Information and Communication technologies has had a significant effect on all of science and knowledge area, including health science. Due to the large number of Electronic resources that product Health content, having health literacy for all of people in society is necessary and useful. This study aimed to identity E-health literacy among employees of state-owned Banks in Tehran in spring and summer of 2020.

Materials and Methods: This is descriptive-analytical cross-sectional study. Statistical populations include 348 employees of 7 state-owned Banks in Tehran who were selected using sample size formula of Cochran and with a confidence level of 95%. Electronic Health Literacy Questionnaire used to collect data. The reliability and validity of the Persian translation of e-Health Literacy Questionnaire has been reviewed by Bazm et al .We also used Mean, Standard Subdivision, Mann-Whitney U, Kruskal-Wallis test and SPSS software (version 21) to analysis them.

Result: Findings show that E-health literacy of examined employees was more than average level and close to good place (30.61). "Level of Knowledge and cognition to Health resources available on the Internet" by the average of 4.07 was identified as the highest Indicator and "Level of Knowledge and cognition to way of searching and seeking health information resources in the Internet" were identified as the lowest indicator effect to E-health literacy of examined employees. Also findings show that there are significant different between E-health literacy and some Demographic characteristics like "Sex", "Degree", "Level of English Language Knowledge", and also "Level of Computer Knowledge" among examined employees (P <0.05).

Conclusion: Although the E-health literacy level of the examined community is in a good condition; but Since the new health information and communication technologies in the web, internet and social networks increasingly are going to expanding, development of staff training knowledge and science with Learning information retrieval and information behavior skills by them, Caused to upgrade and improve of their E-health literacy knowledge and consequently Increasing their personal and social health will follow.


1. Tehrani H. Media Health Literacy. Journal of Health Literacy. 2016;1(3):141-6.
2. Mackert M, Champlin SE, Holton A, Muñoz II, Damásio MJ. eHealth and health literacy: a research methodology review. Journal of Computer-Mediated Communication. 2014;19(3):516-28.  
3. Stellefson M, Hanik B, Chaney B, Chaney D, Tennant B, Chavarria EA. eHealth literacy among college students: a systematic review with implications for eHealth education. Journal of medical Internet research. 2011;13(4):e102.
PMid:22155629 PMCid:PMC3278088  
4. Price-Haywood EG, Harden-Barrios J, Ulep R, Luo Q. eHealth literacy: patient engagement in identifying strategies to encourage use of patient portals among older adults. Population health management. 2017;20(6):486-94.
5. Jacobs RJ, Lou JQ, Ownby RL, Caballero J. A systematic review of eHealth interventions to improve health literacy. Health informatics journal. 2016 Jun;22(2):81-98.
6. Xesfingi S, Vozikis A. eHealth literacy: in the quest of the contributing factors. Interactive journal of medical research. 2016;5(2):e16.
PMid:27226146 PMCid:PMC4899620  
7. Riahi A, Hariri N, Nooshinfard F. Study of health Information needs and barriers to access among afghan and iraqi immigrants in Iran. Journal of North Khorasan University of Medical Sciences. 2016;7(3):597-610.  
8. Mousavi Chalac A, Riahi A. Information needs of pregnant women referred to health centers in Behshahr city during 2016-17. Journal of Community Health Research. 2017;6(3):165-74.  
9. Brian RM, Ben-Zeev D. Mobile health (mHealth) for mental health in Asia: objectives, strategies, and limitations. Asian journal of psychiatry. 2014;10:96-100.
10. Gazimirsaeed SJ, Ghaemizade M. E-Health Literacy among Postgraduate Students in Tehran University of Medical Sciences, Iran, during 2015-2016. Health Information Management. 2018;14(6):243-248.  
11. Tadayon H, Abbasi M, Rasouli HR. Evaluation of e-health literacy and its predictor factors among patients referred to a military hospital in Tehran, Iran, 2017. Journal of Military Medicine. 2018;20(1):83-92.  
12. Isazadeh M, Asadi ZS, Tahmasebi Gharajehmalek M, Soleimanifar M. Evaluation of Electronic Health Literacy Level of Patients Referring to a Selected Military Hospital in Tehran. Journal of Payavard Salamat. 2020;14(1):79-85.  
13. Seçkin G, Yeatts D, Hughes S, Hudson C, Bell V. 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. 2016;18(7):e161.
PMid:27400726 PMCid:PMC4960406  
14. Paige SR, Miller MD, Krieger JL, Stellefson M, Cheong J. Electronic health literacy across the lifespan: measurement invariance study. Journal of medical Internet research. 2018;20(7):e10434.
PMid:29986848 PMCid:PMC6056742  
15. Samadbeik M, Saremian M, Sohrabizadeh M, Birjandi M, Garavand S. Evaluation of E-health literacy in Paramedicine and Health Nutrition students of Lorestan University of Medical Sciences. Journal of Health Literacy. 2020;5(1):12-22.
16. Dastani M, Mokhtarzadeh M, Eydi M, Delshad A. Evaluating The Internet-Based Electronic Health Literacy Among Students of Gonabad University of Medical Sciences. Journal of Medical Education and Development. 2019;14(1):36-45.  
17. Levy H, Janke AT, Langa KM. Health literacy and the digital divide among older Americans. Journal of general internal medicine. 2015;30(3):284-9.
PMid:25387437 PMCid:PMC4351282  
18. Bazm S, Mirzaei M, Fallahzadeh H, Bazm R. Validity and reliability of the Iranian version of eHealth literacy scale. Journal of Community Health Research. 2016;5(2):121-30.  
19. Riahi A, Hariri N, Nooshinfard F. Health information needs of immigrant patients with cancer in Iran. Journal of Modern Medical Information Sciences. 2016;2(1):21-30.  
20. Riahi A, Hariri N, Nooshinfard F. Immigrants and Information Needs: Health Information Needs of Immigrants admitted to Health care Centers of Medical Sciences Universities in Iran. Journal of Health. 2016;7(4):435-45.  
21. Isazadeh M, Asadi Z, Jamshidian A, Khademi GR. The Relationship Between Students' E-Health Literacy and General Health in a Military University of Medical Sciences. Military Caring Sciences. 2019;6(3):234-243.  
22. Falahi M, Miri M. The Effects of E-Learning Based on the Dimensions of Health Literacy in Patients with Ischemic Heart Disease. nursing development in health. 2017;8(1):29-36.  
23. Tennant B, Stellefson M, Dodd V, Chaney B, Chaney D, Paige S, Alber J. eHealth literacy and Web 2.0 health information seeking behaviors among baby boomers and older adults. Journal of medical Internet research. 2015;17(3):e70.
PMid:25783036 PMCid:PMC4381816  
24. Blackstock OJ, Cunningham CO, Haughton LJ, Garner RY, Norwood C, Horvath KJ. Higher eHealth literacy is associated with HIV risk behaviors among HIV-infected women who use the internet. The Journal of the Association of Nurses in AIDS Care. 2016;27(1):102.
PMid:26456347 PMCid:PMC4695307  
25. Park H, Cormier E, Gordon G, Baeg JH. Identifying health consumers' eHealth literacy to decrease disparities in accessing eHealth information. CIN: Computers, Informatics, Nursing. 2016 Feb 1;34(2):71-6.
26. Mitsutake S, Shibata A, Ishii K, Oka K. Associations of eHealth literacy with health behavior among adult internet users. Journal of medical Internet research. 2016;18(7):e192.
PMid:27432783 PMCid:PMC4969548  
27. Villadsen SF, Hadi H, Ismail I, Osborne RH, Ekstrøm CT, Kayser L. ehealth literacy and health literacy among immigrants and their descendants compared with women of Danish origin: a cross-sectional study using a multidimensional approach among pregnant women. BMJ open. 2020;10(5):e037076.
PMid:32385065 PMCid:PMC7228522  
28. Norman CD, Skinner HA. eHealth literacy: essential skills for consumer health in a networked world. Journal of medical Internet research. 2006;8(2):e9.
PMid:16867972 PMCid:PMC1550701  
29. Chalak AM, Riahi A. Study on the rate of using, awareness and satisfaction of scientific database by Mazandaran University of Medical Science student's and related factors to it. Researcher Bulletin of Medical Sciences. 2019;1(24):e10-.  
30. Mousavi Chalak A, Riahi A. Evaluation of health literacy and resources to achieve them among librarians of Mazandaran public library. The Journal of Qazvin University of Medical Sciences. 2018;21(6):73-64.  
31. Bazm S, Mirzaei M, Fallahzadeh H, Bazm R. Validity and reliability of the Iranian version of eHealth literacy scale. Journal of Community Health Research. 2016 Jun 10;5(2):121-30. Dashti S, Peyman N, Tajfard M, Esmaeeli H. E-Health literacy of medical and health sciences university students in Mashhad, Iran in 2016: a pilot study. Electronic physician. 2017;9(3):3966.
PMid:28461871 PMCid:PMC5407229  
32. Reisi M, Javadzade SH, Mostafavi F, Sharifirad G, Radjati F, Hasanzade A. Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran. Journal of education and health promotion. 2012;1(1):31.
PMid:23555134 PMCid:PMC3577376  
33. Dashti S, Peyman N, Tajfard M, Esmaeeli H. E-Health literacy of medical and health sciences university students in Mashhad, Iran in 2016: a pilot study. Electronic physician. 2017;9(3):3966.
PMid:28461871 PMCid:PMC5407229  
34. Riahi A. Information behaviors and information seeking of nursing students of Mazandaran University of Medical Science. The Journal of Medical Education and Development. 2017;12(3):195-211.  
35. Karnoe A, Furstrand D, Christensen KB, Norgaard O, Kayser L. Assessing competencies needed to engage with digital health services: development of the eHealth literacy assessment toolkit. Journal of medical Internet research. 2018;20(5):e178.
PMid:29748163 PMCid:PMC5968212  
36. Stellefson ML, Shuster JJ, Chaney BH, Paige SR, Alber JM, Chaney JD, Sriram PS. Web-based health information seeking and eHealth literacy among patients living with chronic obstructive pulmonary disease (COPD). Health communication. 2018;33(12):1410-24.
PMid:28872905 PMCid:PMC6097958  
37. Halwas N, Griebel L, Huebner J. eHealth literacy, Internet and eHealth service usage: a survey among cancer patients and their relatives. Journal of cancer research and clinical oncology. 2017;143(11):2291-9.