The Effects of Health Literacy on Electronic Word of Mouth in Health Information Dissemination: The Moderating Role of Health Communication Competence

Articles in Press

Document Type : Original Article

Authors

1 Faculty of Business and Management, Universiti Teknologi MARA (UiTM) Selangor Branch, 42300 Puncak Alam, Selangor, Malaysia.

2 Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Wilayah Persekutuan Kuala Lumpur.

Abstract

Background and Objectives: The transition to electronic communication from conventional methods has resulted in a natural shift from word-of-mouth to electronic word-of-mouth. The dynamics of electronic platforms has opened a new dimension for the society to ‘responsibly’ involve more in health information sharing to ensure that everyone has equal accessibility to health information. The main objective of this research was to examine the moderating effect of health communication competence on the relationship between health literacy and electronic word of mouth (e-WOM) in health information dissemination among Malaysia internet users. 

Materials and Methods: This descriptive study has applied cross-sectional time horizon as it was intended to identify the relationship between health literacy and electronic word of mouth in health information sharing among Malaysia internet users. 400 samples were approached as the respondents in which each major region of Malaysia has represented by 100 respondents. The instrument was a self-administered questionnaire with 56 items, adapted from New Short-Form Health Literacy Instrument (HLS-SF12), e-WOM questionnaire and CoCo questionnaire for health communication competence items.

Results: The study has indicated Malaysia internet users have higher percentage of sufficient health literacy and its domains, compared to the to Malaysia Health Literacy Survey (MHLS) 2023. The results also found that health literacy and its three domains were significantly, positively and largely related to electronic word of mouth (e-WOM) in disseminating health information. Besides, the study has discovered the moderating effects of health communication competence on the relationship between the independent and dependent variables, with a significant interaction term in between disease prevention and health communication competence. 

Conclusion: Based on the study’s findings, the level of health literacy among internet users was sufficiently favorable and is expected to increase from time to time. Thus, it is advisable for the public health authorities to take advantage of this whole scenario of health literacy significance in influencing e-WOM among the society, especially future has foreseen a great impact of technology advancement in sharing important health information via the convenience of internet. 

Keywords

Acknowledgement: We would like to thank the Malaysia Ministry of Higher Education, Universiti Teknologi MARA (UiTM) and Research Management Centre (RMC) of UiTM for funding this study through internal grant DUCS-F 600-UiTMSEL (Pl. 5/4) (100/2022).


Availability of data and materials: The materials and data supporting this study are available from the corresponding author upon reasonable request.


Conflicts of interest: There is no conflicting interest that the authors would like to declare regarding the publication of this article.


Consent for publication: Not applicable.


Ethics approval and consent to participate: The ethical approval was obtained from the UiTM Research Ethic Committee [REC/02/2023 (ST/MR/45)]. The study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki. Participants were fully informed regarding study objectives and written/ verbal consent was obtained before the initiation of the data collection. The study was done based on voluntary basis where no sort of coercion was applied to participants in the research process. Strictest confidentiality of the data was fully maintained and collected data is used only for the research purpose.  Each author consents to the publication of the manuscript in its current form.


Funding: Special gratitude goes to the Malaysia Ministry of Higher Education, Universiti Teknologi MARA (UiTM) and Research Management Centre (RMC) of UiTM for funding this study through internal grant DUCS-F 600-UiTMSEL (Pl. 5/4) (100/2022).


Authors’ contribution: NAS has contributed in writing all parts of the manuscript while SEWP has contributed in analyzing the collected data and interpreted the findings.

 

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

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Journal of Health Literacy

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Available Online from 04 May 2025

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