Health literacy and the internet: An exploratory study on the 2013 HINTS survey |
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| Affiliation: | 1. School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan, 430030, China;2. School of Management, Xi''an Jiaotong University, Xi’an, 710049, China;1. Center for Modern Information Management, School of Management, Huazhong University of Science and Technology, Wuhan, PR China;2. Department of Management Information Systems, University of Dhaka, Dhaka, Bangladesh;3. Department of Management Sciences, City University of Hong Kong, Kowloon, Hong Kong;1. Institute of Medical Sociology, Health Services Research, and Rehabilitation Science (IMVR), University of Cologne, Cologne, Germany;2. German Cancer Society e.V. (DKG), Berlin, Germany;1. Public Health Department, Tel-Aviv Yafo Municipality, Israel;2. School of Public Health, Faculty of Welfare and Health Studies, Haifa University, Israel;3. Ministry of Health, Hifa District, Israel;1. Department of Public Health and Environmental Medicine, The Jikei University School of Medicine, Tokyo, Japan;2. Japanese Red Cross Kanto-Koshinetsu Block Blood Center, Tokyo, Japan;3. Department of Applied Biological Chemistry, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan;4. Department of Pain and Palliative Medicine, The University of Tokyo Hospital, Tokyo, Japan;5. Department of Drug Policy and Management, Graduate School of Pharmaceutical Sciences, The University of Tokyo, Tokyo, Japan;6. Department of Health Communication, School of Public Health, The University of Tokyo, Tokyo, Japan;7. Laboratory of Pharmaceutical Regulatory Science, Graduate School of Pharmaceutical Sciences, The University of Tokyo, Tokyo, Japan;8. Education Center for Clinical Pharmacy Practice, Showa Pharmaceutical University, Tokyo, Japan;9. Department of Health Informatics, Kyoto University School of Public Health, Kyoto, Japan;10. Department of Preventive Medicine, Graduate School of Sports and Health Sciences, Daito Bunka University, Saitama, Japan |
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| Abstract: | Health literacy rates among American and European adults remain low, with almost half of adults having only basic levels in 2012. In this digital era, the Internet has been recognized as an important medium for improving health literacy. However, little is known about the mechanisms that underlie its impact on health literacy. With a general basis in the Cognitive Mediation Model, this study empirically tested a model that included motivation for health-related Internet use, health-related Internet use, perceived health information overload, and health literacy. Structural equation modeling was used to analyze the US-based Health Information National Trends Survey (HINTS) 2013 dataset. The results support for all the paths in our posited model. The effects of motivation for health-related Internet use on health literacy were completely mediated by health-related Internet use and perceived health information overload. The findings extend the Cognitive Mediation Model to the context of health literacy and provide significant implications for the design and dissemination of online health information. Recommendations are made for future research, including further validation of the five-item scale of health literacy. |
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| Keywords: | Motivation Internet use Information overload Health literacy Cognitive mediation model |
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