Electronic Health Literacy and Self-Efficacy Among Primary and Middle School Students in China: A Moderated Mediated Analysis

Background: The Internet has become a crucial tool for learning, socializing, and entertainment for contemporary minors, and plays an increasingly prominent role in their growth. However, it has been observed that students are often unable to make good judgments about online health information and b...

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Main Authors: Lin Tian, Tao Xie, Jinnan Liu, Ying Mao
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Children
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Online Access:https://www.mdpi.com/2227-9067/11/12/1470
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author Lin Tian
Tao Xie
Jinnan Liu
Ying Mao
author_facet Lin Tian
Tao Xie
Jinnan Liu
Ying Mao
author_sort Lin Tian
collection DOAJ
description Background: The Internet has become a crucial tool for learning, socializing, and entertainment for contemporary minors, and plays an increasingly prominent role in their growth. However, it has been observed that students are often unable to make good judgments about online health information and barely use the Internet to help tackle their health problems. The purpose of this study was to determine the relationship between electronic health literacy (EHL) and general self-efficacy among Chinese primary and middle school students. Methods: A total of 1200 questionnaires were sent out, and 1085 effective questionnaires were received with effective recovery of 90.42%. First, we conducted a confirmatory factor analysis. Second, structural equation modeling (SEM) was used to explore the mechanisms underlying the relationship between EHL and general self-efficacy. Results: The results revealed a significant positive correlation between EHL and self-efficacy. The results of the CFA showed a good fit for the data. The results of SEM showed that the relationship between self-efficacy and health information applications was partially mediated by health information acquisition (β = 0.47, [Bias-Corrected 95%CI: 0.39, 0.59], [Percentile 95%CI: 0.37, 0.58]). Household factors moderated this mediating relationship (β = 0.4, [Bias-Corrected 95%CI: 0.19, 0.61], [Percentile 95%CI: 0.19, 0.61]). Conclusions: Information acquisition was found to play a mediating role between self-efficacy and information application. Household factors moderated the indirect relationship between self-efficacy and information applications through information acquisition.
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spelling doaj-art-b38603c83c054cff80dc9af9f5891aa02024-12-27T14:17:48ZengMDPI AGChildren2227-90672024-11-011112147010.3390/children11121470Electronic Health Literacy and Self-Efficacy Among Primary and Middle School Students in China: A Moderated Mediated AnalysisLin Tian0Tao Xie1Jinnan Liu2Ying Mao3School of Humanities and Social Science, Xi’an Jiaotong University, Xi’an 710049, ChinaSchool of Public Policy Administration, Xi’an Jiaotong University, Xi’an 710049, ChinaSchool of Public Policy Administration, Xi’an Jiaotong University, Xi’an 710049, ChinaSchool of Public Policy Administration, Xi’an Jiaotong University, Xi’an 710049, ChinaBackground: The Internet has become a crucial tool for learning, socializing, and entertainment for contemporary minors, and plays an increasingly prominent role in their growth. However, it has been observed that students are often unable to make good judgments about online health information and barely use the Internet to help tackle their health problems. The purpose of this study was to determine the relationship between electronic health literacy (EHL) and general self-efficacy among Chinese primary and middle school students. Methods: A total of 1200 questionnaires were sent out, and 1085 effective questionnaires were received with effective recovery of 90.42%. First, we conducted a confirmatory factor analysis. Second, structural equation modeling (SEM) was used to explore the mechanisms underlying the relationship between EHL and general self-efficacy. Results: The results revealed a significant positive correlation between EHL and self-efficacy. The results of the CFA showed a good fit for the data. The results of SEM showed that the relationship between self-efficacy and health information applications was partially mediated by health information acquisition (β = 0.47, [Bias-Corrected 95%CI: 0.39, 0.59], [Percentile 95%CI: 0.37, 0.58]). Household factors moderated this mediating relationship (β = 0.4, [Bias-Corrected 95%CI: 0.19, 0.61], [Percentile 95%CI: 0.19, 0.61]). Conclusions: Information acquisition was found to play a mediating role between self-efficacy and information application. Household factors moderated the indirect relationship between self-efficacy and information applications through information acquisition.https://www.mdpi.com/2227-9067/11/12/1470eHealth Literacygeneral self-efficacyChinese primary and middle school studentsstructural equation modelingmediating and moderated analysis
spellingShingle Lin Tian
Tao Xie
Jinnan Liu
Ying Mao
Electronic Health Literacy and Self-Efficacy Among Primary and Middle School Students in China: A Moderated Mediated Analysis
Children
eHealth Literacy
general self-efficacy
Chinese primary and middle school students
structural equation modeling
mediating and moderated analysis
title Electronic Health Literacy and Self-Efficacy Among Primary and Middle School Students in China: A Moderated Mediated Analysis
title_full Electronic Health Literacy and Self-Efficacy Among Primary and Middle School Students in China: A Moderated Mediated Analysis
title_fullStr Electronic Health Literacy and Self-Efficacy Among Primary and Middle School Students in China: A Moderated Mediated Analysis
title_full_unstemmed Electronic Health Literacy and Self-Efficacy Among Primary and Middle School Students in China: A Moderated Mediated Analysis
title_short Electronic Health Literacy and Self-Efficacy Among Primary and Middle School Students in China: A Moderated Mediated Analysis
title_sort electronic health literacy and self efficacy among primary and middle school students in china a moderated mediated analysis
topic eHealth Literacy
general self-efficacy
Chinese primary and middle school students
structural equation modeling
mediating and moderated analysis
url https://www.mdpi.com/2227-9067/11/12/1470
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