Journal of Health Literacy

Journal of Health Literacy

Assessment of Digital Health Literacy among University Students: Influence of Course Type and Online Health Information Seeking

Document Type : Original Article

Authors
Sofia Almeida 1
Elisabate Pinto 2
Marta Correia 2
Nélio Veiga 3
Armando Almeida 4
1 Centre for Interdisciplinary Research in Health (CIIS), Faculty of Health Sciences and Nursing, Universidade Católica Portuguesa, 4169-055 Porto, Portugal
2 Centro de Biotecnologia e Química Fina, Escola Superior de Biotecnologia, Universidade Católica Portuguesa, Porto, Portugal
3 Centre for Interdisciplinary Research in Health (CIIS), Faculty of Dental Medicine, Universidade Católica Portuguesa, Viseu, Portugal.
4 CIIS, Faculty of Health Sciences and Nursing, Universidade Católica Portuguesa, Porto, Portugal
10.22038/jhl.2025.91108.1852
Abstract
Background and Objective: E-health literacy involves the ability to search for, find, estimate and evaluate information about health and/or health services. Online sources of health information are now a privileged way of accessing information, especially among students. The aim of this study was to access the level of e- health literacy in a sample of Portuguese university students; and to relate the level of e-health literacy with sociodemographic characteristics; analyze differences between health and non-health students and with the use of online health information. 

Material and Methods: An observational cross-sectional study was conducted on Portuguese university students. All students completed a questionnaire consisting of social-demographic characteristics, and sources of health online information used. The digital health literacy score was assessed by the eHEALS scale validated for the Portuguese population. Descriptive and inferential analysis was applied, as well as multivariate regression models. 

Results: In this study, 534 university students participated; the median age was 21.0. The level of e-health literacy was 28.8 (5.6). Health-sciences students had higher digital health literacy scores than students from other fields. Most students considered the internet to be useful and very useful in making health decisions. Students' use of health online information sources such as official health websites (OR= 2.6; CI 95%= 1.5;4.3) and professional health websites (OR= 2.3; CI95%= 1.4; 3.8) increased their likelihood of having a sufficient level of e-health literacy. While the use of information sources such as social networks (OR= 0.5; 95%CI: 0.3;0.9) decreases the likelihood of having a sufficient level of e-health literacy.

Conclusion: Health students showed higher levels of health literacy, demonstrating the importance of including health education in the curricula of other areas. As a practical implication, there is a need to include health education, health campaigns, and the promotion of healthy lifestyles in curricula in order to increase health literacy in university.
Keywords
literacy, health
digital health literacy
students, university

Acknowledgements: Not applicable.


Availability of Data and Materials: The datasets generated and/or analyzed during the current study are available from the corresponding author on reasonable request.


Conflicts of interest: The authors declare no conflict of interest.


Consent for publication: Not applicable.


Ethics Approval and Consent to Participate: This study was conducted in accordance with the Declaration of Helsinki; this study was approved by Ethical Committee of Universidade Católica Portuguesa (number 207; CES; May 2022). 


Funding: This work was not funded. 


Authors’ Contributions: SA and EP conceptualized and designed the study. SA collected the data, performed the analysis, interpreted the findings, and drafted the manuscript. All authors approved the final version for submission. 

 

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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