Associations between health anxiety, eHealth literacy and self-reported health: A cross-sectional study.

Revista da Escola de Enfermagem da U S P Pub Date : 2024-11-29 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-REEUSP-2024-0160en
Jie Chen, Hua Tian
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Abstract

Objective: To explore the associations and gender differences between health anxiety, eHealth literacy and self-reported health in Chinese university students.

Methods: 1,205 university students aged 18-22 years were voluntarily recruited to respond to an online self-report questionnaire.

Results: The severity level of health anxiety among university students was ranked as lifestyle anxiety, psychological anxiety, appearance anxiety, physical anxiety. There were significant gender differences in appearance anxiety, and yet no in eHealth literacy of university students. eHealth literacy was positively associated with self-reported health; health anxiety was negatively associated with self-reported health. Female's eHealth literacy, lifestyle, psychological and physical anxiety, and male's eHealth literacy, appearance anxiety significantly impacted on their self-reported health.

Conclusion: The lower eHealth literacy or the more health anxiety, the worse their self-reported health. The findings underscored the importance for university students to improve eHealth literacy and reduce health anxiety. Appropriate interventions with gender differences were urgently needed.

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健康焦虑、电子健康素养和自我报告健康之间的关系:一项横断面研究
目的:探讨中国大学生健康焦虑、电子健康素养与自我报告健康的关系及性别差异。方法:自愿招募1205名年龄在18-22岁之间的大学生填写在线自我报告问卷。结果:大学生健康焦虑的严重程度依次为生活方式焦虑、心理焦虑、外表焦虑、身体焦虑。大学生在外貌焦虑方面存在显著的性别差异,但在电子健康素养方面没有显著的性别差异。电子健康素养与自我报告的健康状况呈正相关;健康焦虑与自我报告的健康呈负相关。女性的电子健康素养、生活方式、心理和身体焦虑,以及男性的电子健康素养、外表焦虑对其自我报告的健康有显著影响。结论:电子健康素养越低或健康焦虑越严重,自述健康状况越差。研究结果强调了大学生提高电子健康素养和减少健康焦虑的重要性。迫切需要有性别差异的适当干预措施。
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