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Digital health literacy and well-being among university students: Mediating roles of fear of COVID-19, information satisfaction, and internet information search

Sheng-Chih Chen1, Nhi Thi Hong Nguyen2, 3, Cheng-Yu Lin4, Le Duc Huy3, Chih-Feng Lai5, Loan T. Dang6, 7, Nguyen L. T. Truong8, 9, Nhi Y. Hoang10, Thao T. P. Nguyen11, Tan N. Phaṇ12, 13, Kevin Dadaczynski14, 15, Orkan Okan16, Tuyen Van Duong10
  1. Graduate Program in Digital Content and Technologies, College of Communication, National Chengchi University, Taipei, Taiwan
  2. School of Health Care Administration, College of Management, Taipei Medical University, Taipei, Taiwan
  3. Health Personnel Training Institute, University of Medicine and Pharmacy, Hue University, Hue, Vietnam
  4. Department of Radio, Television & Film, Shih Hsin University, Taipei, Taiwan
  5. Department of Education, National Taichung University of Education, Taichung, Taiwan
  6. Faculty of Nursing and Midwifery, Hanoi Medical University, Hanoi, Vietnam
  7. School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
  8. Pharmacy Department, School of Medicine, Vietnam National University, Ho Chi Minh City, Binh Duong, Vietnam
  9. Pharmacy Department, Thong Nhat Hospital, Ho Chi Minh City, Vietnam
  10. School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan
  11. Institute for Community Health Research, University of Medicine and Pharmacy, Hue University, Hue, Vietnam
  12. Department of Tropical Diseases, Cho Ray Hospital, Ho Chi Minh City, Vietnam
  13. International Health Program, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
  14. Public Health Centre Fulda, Fulda University of Applied Sciences Fulda, Germany
  15. Center for Applied Health Science, Leuphana University of Lueneburg, Lueneburg, Germany
  16. Department of Sport and Health Sciences, Technical University of Munich, Munich, Germany
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Đã xuất bản: 1 Tháng Một 2023

Tạp chí: SAGE Publications

ISSN: 2055-2076, 2055-2076

Tập: 9

Loại nghiên cứu: Nghiên cứu Quốc tế
DOI: 10.1177/20552076231165970

Tóm Tắt

Background Digital health literacy (DHL) enables healthy decisions, improves protective behaviors and adherence to COVID-19 measures, especially during the era of the “infodemic”, and enhances psychological well-being. Objective We aimed to explore the mediating roles of fear of COVID-19, information satisfaction, and the importance of online information searching on the association between DHL and well-being. Methods A cross-sectional web-based survey was conducted among 1631 Taiwanese university students, aged 18 years and above, from June 2021 to March 2022. The collected data include sociodemographic characteristics (sex, age, social status, and financial satisfaction), the importance of online information searching, information satisfaction, fear of COVID-19, DHL, and well-being. A linear regression model was utilized to investigate factors associated with well-being, followed by a pathway analysis to assess the direct and indirect relationship between DHL and well-being. Results The scores of DHL and overall well-being were 3.1 ± 0.4 and 74.4 ± 19.7, respectively. Social status (B = 2.40, 95% confidence interval (CI) 1.73–3.07, p < 0.001), DHL (B 0.29, 95% CI 0.10–0.49, p < 0.001), importance of online information searching (B = 0.78, 95% CI 0.38–1.17, p < 0.001), and information satisfaction (B = 3.59, 95% CI 2.22–4.94, p < 0.001) were positively associated with well-being, whereas higher fear of COVID-19 scores (B = −0.38, 95% CI −0.55-(−0.21), p < 0.001) and female (B = −2.99, 95% CI −5.02–0.6, p = 0.004) were associated with lower well-being, when compared with lower fear scores and male, respectively. Fear of COVID-19 (B = 0.03, 95% CI 0.016–0.04, p < 0.001), importance of online information searching (B = 0.03, 95% CI 0.01–0.05, p = 0.005), and information satisfaction (B = 0.05, 95% CI 0.023–0.067, p < 0.001) were significantly mediated the relationship between DHL and well-being. Conclusion Higher DHL scores show direct and indirect associations with higher well-being scores. Fear, importance of online information searching, and information satisfaction significantly contributed to the association.

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Tải PDF
Đã xuất bản: 1 Tháng Một 2023
Tạp chí: DIGITAL HEALTH
Nhà xuất bản: SAGE Publications
ISSN: 2055-2076, 2055-2076
Tập: 9
Loại nghiên cứu: Nghiên cứu Quốc tế
DOI: 10.1177/20552076231165970

Trích dẫn bài viết này

Sheng-Chih Chen1, Nhi Thi Hong Nguyen2, 3, Cheng-Yu Lin4, Le Duc Huy3, Chih-Feng Lai5, Loan T. Dang6, 7, Nguyen L. T. Truong8, 9, Nhi Y. Hoang10, Thao T. P. Nguyen11, Tan N. Phaṇ12, 13, Kevin Dadaczynski14, 15, Orkan Okan16, Tuyen Van Duong10. Digital health literacy and well-being among university students: Mediating roles of fear of COVID-19, information satisfaction, and internet information search. DIGITAL HEALTH. 2023. 9 . doi:10.1177/20552076231165970
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