E-Health Literacy among Healthcare Students: The Effect of Demographic Variables

Document Type : Original Article

Authors

1 Department of Medical Library and Information Science, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Background and Objective: Electronic health (E-Health) literacy, especially among health students, is a significant challenge in promoting health in society. The present study aims to investigate healthcare students’ E-Health literacy level and the factors affecting it. 

Materials and Methods: In this correlational survey, the study population included all students of Shahid Beheshti University of Medical Sciences, Iran in 2019. Sample size was 228 students. Sampling method was convenience sampling and eHEALS questionnaire was used as research tool. The questionnaires were completed from June to July 2019. The level of e-Health literacy was reported using frequency distribution tables and mean, median, and mean percentage indicators. The relationship between demographic variables and e-Health literacy was analyzed using the Pearson correlation coefficient test, one-way ANOVA, and Student's t-test. 

Results: Most respondents (67.5%+13.2%) believed that the Internet is essential and very important in accessing health information. Students' e-Health literacy score was 29.22±5 out of 40 (73%). The highest score (3.82±0.71) is related to the item of “I know how to find helpful health resources on the Internet”. E-Health literacy among age groups, disciplines, and different educational levels were significantly different (p <0.001). With increasing age and educational level, e-Health literacy of students also increased (p-value <0.05). The students of Medical Genetics discipline had a higher average health literacy score than other groups.

Conclusion: the level of e-Health literacy skills of students was at a good level, but it is suggested that educators and programmers, and medical librarians pay attention to formal and informal e-Health literacy training to strengthen students' e-Health literacy and eliminate their weaknesses to reach its ideal level.

Keywords

References

Karamali M, Yaghoubi M, Parandeh A. Scientific Mapping of Papers Related to Health Literacy Using Co-Word Analysis in Medline. Iranian Journal of Health Education and Health Promotion. 2021;9(3):280-95.
https://doi.org/10.52547/ijhehp.9.3.280
 
2. Xesfingi S, Vozikis A. eHealth literacy: In the quest of the contributing factors. Interact J Med Res. 2016;5(2):e16.
https://doi.org/10.2196/ijmr.4749
PMid:27226146 PMCid:PMC4899620
 
3. Olyani S, Tehrani H, Esmaily H, Rezaii MM, Vahedian-Shahroodi M. Assessment of health literacy with the Newest Vital Sign and its correlation with body mass index in female adolescent students. International journal of adolescent medicine and health. 2020;32(2).
 
4. Norgaard O, Furstrand D, Klokker L, Karnoe A, Batterham R, Kayser L, et al. The e-health literacy framework: a conceptual framework for characterizing e-health users and their interaction with e-health systems. Knowledge Management & E-Learning: An International Journal. 2015;7(4):522-40.
 
5. Sillence E, Briggs P, Harris P, Fishwick L. Going online for health advice: Changes in usage and trust practices over the last five years. Interact Comput. 2007;19(3):397-406.
https://doi.org/10.1016/j.intcom.2006.10.002
 
6. Valizadeh-Haghi S, Rahmatizadeh S. eHealth literacy and general interest in using online health information: A survey among patients with dental diseases. Online J Public Health Inform. 2018;10(3):e219.
https://doi.org/10.5210/ojphi.v10i3.9487
 
7. 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. Electron Physician. 2017;9(3):3966-73.
https://doi.org/10.19082/3966
PMid:28461871 PMCid:PMC5407229
 
8. Chan C V., Kaufman DR. A framework for characterizing ehealth literacy demands and barriers. J Med Internet Res. 2011;13(4).
https://doi.org/10.2196/jmir.1750
PMid:22094891 PMCid:PMC3222196
 
9. Norman CD, Skinner HA. eHealth literacy: Essential skills for consumer health in a networked world. J Med Internet Res. 2006;8(2):e9.
https://doi.org/10.2196/jmir.8.2.e9
PMid:16867972 PMCid:PMC1550701
 
10. Liu C, Wang D, Liu C, Jiang J, Wang X, Chen H, et al. What is the meaning of health literacy? A systematic review and qualitative synthesis. Family medicine and community health. 2020;8(2).
 
11. Tubaishat A, Habiballah L. eHealth literacy among undergraduate nursing students. Nurse Educ Today. 2016;42:47-52.
https://doi.org/10.1016/j.nedt.2016.04.003
PMid:27237352
 
12. Rathnayake S, Senevirathna A. Self-reported eHealth literacy skills among nursing students in Sri Lanka: A cross-sectional study. Nurse Educ Today. 2019 [cited 2021 Sep 20];78:50-6.
https://doi.org/10.1016/j.nedt.2019.04.006
PMid:31082746
 
13. Hong KJ, Park NL, Heo SY, Jung SH, Lee YB, Hwang JH. Effect of E-health literacy on COVID-19 infection-preventive behaviors of undergraduate students majoring in healthcare. Healthc. 2021 May 1;9(5):573.
https://doi.org/10.3390/healthcare9050573
PMid:34066120 PMCid:PMC8151528
 
14. Kim S, Oh J. The relationship between e-health literacy and health-promoting behaviors in nursing students: A multiple mediation model. Int J Environ Res Public Health. 2021 Jun 1;18(11):5804.
https://doi.org/10.3390/ijerph18115804
PMid:34071469 PMCid:PMC8199246
 
15. Park JY, Min J. Exploring Canadian pharmacy students' e-health literacy: a mixed method study. Pharm Pract [Internet]. 2020 [cited 2022 Apr 3];18(1):1747.
https://doi.org/10.18549/PharmPract.2020.1.1747
PMid:32256899 PMCid:PMC7104795
 
16. Park H, Park H. eHealth literacy skills among undergraduate nursing students in the U.S. and South Korea. Nurs Informatics. 2016;2-3.
https://doi.org/10.1016/j.nedt.2014.10.022
PMid:25466791
 
17. Park H, Lee E. Self-reported eHealth literacy among undergraduate nursing students in South Korea: A pilot study. Nurse Educ Today. 2015;35(2):408-13.
https://doi.org/10.1016/j.nedt.2014.10.022
PMid:25466791
 
18. Robb M, Shellenbarger T. Influential factors and perceptions of eHealth literacy among undergraduate college students. On-Line J Nurs Informatics. 2014;18(3).
 
19. Tsukahara S, Yamaguchi S, Igarashi F, Uruma R, Ikuina N, Iwakura K, et al. Association of eHealth literacy with lifestyle behaviors in university students: Questionnaire-based cross-sectional study. J Med Internet Res. 2020;22(6).
https://doi.org/10.2196/18155
PMid:32579126 PMCid:PMC7381004
 
20. Hanik B, Stellefson M. E-Health literacy competencies among undergraduate health education students : A preliminary study. Int Electron J Health Educ. 2011;14:46-58.
https://doi.org/10.2196/jmir.1969
PMid:22543437 PMCid:PMC3376519
 
21. Brown C, Dickson R. Healthcare students' e-literacy skills. J Allied Health. 2010;39(3):179-84.
 
22. Shiferaw KB, Tilahun BC, Endehabtu BF, Gullslett MK, Mengiste SA. E-health literacy and associated factors among chronic patients in a low-income country: A cross-sectional survey. BMC Med Inform Decis Mak. 2020;20(1):181.
https://doi.org/10.1186/s12911-020-01202-1
PMid:32762745 PMCid:PMC7407428
 
23. Ghazi-Mirsaeed S, Ghaemizade M. E-Health Literacy among Postgraduate Students in Tehran University of Medical Sciences, Iran, during 2015-2016. Heal Inf Manag. 2018;14(6):243-248.
 
24. Norman CD, Skinner HA. eHEALS: The eHealth literacy scale. J Med Internet Res. 2006;8(4):e27.
https://doi.org/10.2196/jmir.8.4.e27
PMid:17213046 PMCid:PMC1794004
 
25. Neter E, Brainin E. Perceived and Performed eHealth Literacy: Survey and Simulated Performance Test. JMIR Hum Factors. 2017 Jan 17;4(1):e2.
https://doi.org/10.2196/humanfactors.6523
PMid:28096068 PMCid:PMC5285606
 
26. Aponte J, Nokes KM. Electronic health literacy of older Hispanics with diabetes. Health Promot Int. 2017 Jun;32(3):482-9.
https://doi.org/10.1093/heapro/dav112
PMid:26681770
 
27. Bazm S, Mirzaei M, Fallahzadeh H, Bazm R, Services H, Services H. Validity and reliability of Iranian version of eHealth literacy scale. J Community Heal Res. 2016;5(2):121-30. Available at: https://jhr.ssu.ac.ir/article-1-312-en.pdf
 
28. Chan JLY, Leung A, Wong EM. A pilot project to build e-health literacy among university students in Hong Kong. In: Positioning the Profession: the Tenth International Congress on Medical Librarianship. Brisbane, Australia; 2009. p. 1-15.
 
29. Neter E, Brainin E. eHealth Literacy: Extending the digital divide to the realm of health information. J Med Internet Res. 2012 Jan 27;14(1):e19.
https://doi.org/10.2196/jmir.1619
PMid:22357448 PMCid:PMC3374546
 
30. Xie B. Effects of an eHealth Literacy Intervention for Older Adults. J Med Internet Res. 2011 Nov 3;13(4):e90.
https://doi.org/10.2196/jmir.1880
PMid:22052161 PMCid:PMC3222191

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