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Health Self-Management Behaviors as a Bridge Between Electronic Health Literacy and Health-Related Quality of Life: Cross-Sectional Study From China

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资源类型：
Pubmed体系：
作者：
Zhang Meihui[1,2] * ; Tao Shunyu[2] * ; Ge Xin[2] * ; Zhang Hongying[3] * ; Xu Zhongqing[4,5] * ; Gong Ruijie[6] ; Liu Yujie[2] ; Xu Chen[2] ; Wang Suping[7,8] ; Cai Yong[2,5] ;
机构： [1]School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China. [2]Public Health Research Center, Tongren Hospital, Shanghai Jiao Tong University, Xianxia Road, No.1111, Shanghai, 200336, China, 86 13611677244. [3]Nursing Department, Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China. [4]Department of General Practice, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. [5]Institute of Community Medicine, China Academy of Hospital Development, Shanghai Jiao Tong University, Shanghai, China. [6]Shanghai Xuhui Center for Disease Prevention and Control, Shanghai, China. [7]Shanghai Jiao Tong University School of Medicine Shanghai, Shanghai, China. [8]Institute of Medical Education, China Academy of Hospital Development, Shanghai Jiao Tong University, Shanghai, China.
出处：
DOI： 10.2196/74056
ISSN：

关键词： electronic health literacy health-related quality of life health self-management behaviors mediating effect general population

摘要：
Electronic health literacy (eHL) has been increasingly associated with health-related quality of life (HRQoL). However, the underlying mechanisms, especially in the general population, remain insufficiently explored.This study aimed to investigate the mediating role of health self-management behaviors (HSMB) in the relationship between eHL and HRQoL.A cross-sectional study was conducted in Shanghai, China, from October to December 2022. Participants were recruited via convenience sampling from 7 community health service centers. Data were collected through an online survey platform Wenjuanxing. Validated scales, including the eHL Scale, the adults' health self-management skill rating scale, and the 12-item short form health survey were used to measure eHL, HSMB, and HRQoL, respectively. The HRQoL was summarized into the physical component summary (PCS) and the mental component summary (MCS). Correlation analysis, multivariate linear regression with stepwise backward selection, and mediation analysis were performed to explore the relationships among eHL, HSMB, PCS, and MCS, with adjustments for sociodemographic and health-related covariates.Among the 2364 participants recruited from urban, periurban, and rural areas, eHL scores varied significantly by demographic characteristics. Positive correlations among eHL, HSMB, PCS, and MCS were observed, with Spearman correlation coefficients ranging from 0.24 to 0.46 (P<.001). Multivariate analysis showed that eHL was significantly positively associated with PCS (R2=0.14, 95% CI 0.09-0.18, P<.001) and MCS (R2=0.23, 95% CI 0.17-0.28, P<.001). Mediation analysis indicated that eHL had a significant direct (PCS: βc=.18, 95% CI 0.13-0.23, P<.001; MCS: βc=.32, 95% CI 0.25-0.38, P<.001) and an indirect effect on HRQoL through HSMB (PCS: βc'=.11, 95% CI 0.09-0.14, P<.001; MCS: βc'=.14, 95% CI 0.10-0.17, P<.001).This study demonstrated a positive association between eHL and HRQoL, with HSMB acting as a partial mediator among the general population in Shanghai. Targeted interventions should be implemented to improve eHL and HSMB.© Meihui Zhang, Shunyu Tao, Ge Xin, Hongying Zhang, Zhongqing Xu, Ruijie Gong, Yujie Liu, Chen Xu, Suping Wang, Yong Cai. Originally published in the Journal of Medical Internet Research (https://www.jmir.org).

基金：
Key discipline projects of Shanghai Three-Year Action Plan for Public Health (grant GWVI-11.1-29), Tongren Hospital Talent Launch Project (TR2023rc11, TR2024RC10), and Key Supporting Disciplines of Shanghai Health System, Shanghai Municipal Health Commission (grant number 2023ZDFC0403), National Key Research and Development Program of China(2020YFC2006400).
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2025]版：
大类 | 2 区 医学
小类 | 2 区 卫生保健与服务 2 区 医学：信息
最新[2025]版：
大类 | 2 区 医学
小类 | 2 区 卫生保健与服务 2 区 医学：信息
第一作者：
第一作者机构： [1]School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China. [2]Public Health Research Center, Tongren Hospital, Shanghai Jiao Tong University, Xianxia Road, No.1111, Shanghai, 200336, China, 86 13611677244.
共同第一作者：
通讯作者：
通讯机构： [2]Public Health Research Center, Tongren Hospital, Shanghai Jiao Tong University, Xianxia Road, No.1111, Shanghai, 200336, China, 86 13611677244. [5]Institute of Community Medicine, China Academy of Hospital Development, Shanghai Jiao Tong University, Shanghai, China.
推荐引用方式(GB/T 7714)：
Zhang Meihui,Tao Shunyu,Ge Xin,et al.Health Self-Management Behaviors as a Bridge Between Electronic Health Literacy and Health-Related Quality of Life: Cross-Sectional Study From China[J].Journal Of Medical Internet Research.2025,27:e74056.doi:10.2196/74056.
APA：
Zhang Meihui,Tao Shunyu,Ge Xin,Zhang Hongying,Xu Zhongqing...&Cai Yong.(2025).Health Self-Management Behaviors as a Bridge Between Electronic Health Literacy and Health-Related Quality of Life: Cross-Sectional Study From China.Journal Of Medical Internet Research,27,
MLA：
Zhang Meihui,et al."Health Self-Management Behaviors as a Bridge Between Electronic Health Literacy and Health-Related Quality of Life: Cross-Sectional Study From China".Journal Of Medical Internet Research 27.(2025):e74056

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