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Article: Associations of eHealth literacy and knowledge with preventive behaviours and psychological distress during the COVID-19 pandemic: a population-based online survey

TitleAssociations of eHealth literacy and knowledge with preventive behaviours and psychological distress during the COVID-19 pandemic: a population-based online survey
Authors
KeywordsCOVID-19
Depression & mood disorders
eHealth
Health Literacy
PREVENTIVE MEDICINE
Primary Prevention
Issue Date14-Dec-2023
PublisherBMJ Publishing Group
Citation
BMJ Open, 2023, v. 13, n. 12 How to Cite?
Abstract

Objectives To compare the associations of COVID-19 preventive behaviours and depressive and anxiety symptoms with eHealth literacy and COVID-19 knowledge among Korean adults.

Design A cross-sectional online survey was conducted in April 2020.

Setting Seoul metropolitan area in South Korea.

Participants 1057 Korean adults were recruited.

Main outcome measures Associations between eHealth literacy, COVID-19 knowledge, COVID-19 preventive behaviours and psychological distress were computed using Pearson’s correlation and logistic regression analyses. eHealth literacy, COVID-19 knowledge, COVID-19 preventive behaviours and psychological distress were weighted by sex and age distribution of the general population in Seoul Metropolitan area.

Results 68.40% (n=723) perceived high eHealth literacy level (eHEALS ≥26), while 57.43% (n=605) had high levels of COVID-19 knowledge (score ≥25). No significant association between eHealth literacy and COVID-19 knowledge was identified (r=0.05, p=0.09). eHealth literacy and COVID-19 knowledge were significantly associated with COVID-19 preventive behaviours (aOR=1.99, 95% CI 1.51 to 2.62 L; aOR=1.81, 95% CI 1.40 to 2.34, respectively). High eHealth literacy was significantly associated with anxiety symptom (aOR=1.71, 95% CI 1.18 to 2.47) and depressive symptom (aOR=1.69, 95% CI 1.24 to 2.30). COVID-19 knowledge had negative and no associations with the symptoms (aOR=0.62, 95% CI 0.46 to 0.86; aOR=0.79, 95% CI 0.60 to 1.03, respectively). High eHealth literacy with low COVID-19 knowledge was positively and significantly associated with COVID-19 preventive behaviours (aOR=2.30, 95% CI 1.52 to 3.43), and anxiety (aOR=1.81, 95% CI 1.09 to 3.01) and depressive symptoms (aOR=2.24, 95% CI 1.41 to 3.55). High eHealth literacy with high COVID-19 knowledge were significantly associated with more preventive behaviours (aOR=3.66, 95% CI 2.47 to 5.42) but no significant associations with anxiety and depressive symptoms.

Conclusion We identified that eHealth literacy and COVID-19 knowledge were not associated each other, and differently associated with individuals’ COVID-19 preventive behaviours and psychological well-being. Public health strategies should pay attention to enhancing both eHealth literacy and COVID-19 knowledge levels in the public to maximise their COVID-19 preventive behaviours and mitigate their psychological distress during COVID-19 pandemic.


Persistent Identifierhttp://hdl.handle.net/10722/339745
ISSN
2023 Impact Factor: 2.4
2023 SCImago Journal Rankings: 0.971
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLee, Jung Jae-
dc.contributor.authorPoon, Chung Yan-
dc.contributor.authorO'Connor, Siobhan-
dc.contributor.authorWong, Janet Yuen Ha-
dc.contributor.authorKwok, Jojo Yan Yan-
dc.contributor.authorChoi, Edmond Pui Hang-
dc.contributor.authorTsang, Wing Nga-
dc.contributor.authorWang, Man Ping-
dc.date.accessioned2024-03-11T10:39:00Z-
dc.date.available2024-03-11T10:39:00Z-
dc.date.issued2023-12-14-
dc.identifier.citationBMJ Open, 2023, v. 13, n. 12-
dc.identifier.issn2044-6055-
dc.identifier.urihttp://hdl.handle.net/10722/339745-
dc.description.abstract<p><strong>Objectives</strong> To compare the associations of COVID-19 preventive behaviours and depressive and anxiety symptoms with eHealth literacy and COVID-19 knowledge among Korean adults.</p><p><strong>Design</strong> A cross-sectional online survey was conducted in April 2020.</p><p><strong>Setting</strong> Seoul metropolitan area in South Korea.</p><p><strong>Participants</strong> 1057 Korean adults were recruited.</p><p><strong>Main outcome measures</strong> Associations between eHealth literacy, COVID-19 knowledge, COVID-19 preventive behaviours and psychological distress were computed using Pearson’s correlation and logistic regression analyses. eHealth literacy, COVID-19 knowledge, COVID-19 preventive behaviours and psychological distress were weighted by sex and age distribution of the general population in Seoul Metropolitan area.</p><p><strong>Results</strong> 68.40% (n=723) perceived high eHealth literacy level (eHEALS ≥26), while 57.43% (n=605) had high levels of COVID-19 knowledge (score ≥25). No significant association between eHealth literacy and COVID-19 knowledge was identified (r=0.05, p=0.09). eHealth literacy and COVID-19 knowledge were significantly associated with COVID-19 preventive behaviours (aOR=1.99, 95% CI 1.51 to 2.62 L; aOR=1.81, 95% CI 1.40 to 2.34, respectively). High eHealth literacy was significantly associated with anxiety symptom (aOR=1.71, 95% CI 1.18 to 2.47) and depressive symptom (aOR=1.69, 95% CI 1.24 to 2.30). COVID-19 knowledge had negative and no associations with the symptoms (aOR=0.62, 95% CI 0.46 to 0.86; aOR=0.79, 95% CI 0.60 to 1.03, respectively). High eHealth literacy with low COVID-19 knowledge was positively and significantly associated with COVID-19 preventive behaviours (aOR=2.30, 95% CI 1.52 to 3.43), and anxiety (aOR=1.81, 95% CI 1.09 to 3.01) and depressive symptoms (aOR=2.24, 95% CI 1.41 to 3.55). High eHealth literacy with high COVID-19 knowledge were significantly associated with more preventive behaviours (aOR=3.66, 95% CI 2.47 to 5.42) but no significant associations with anxiety and depressive symptoms.</p><p><strong>Conclusion</strong> We identified that eHealth literacy and COVID-19 knowledge were not associated each other, and differently associated with individuals’ COVID-19 preventive behaviours and psychological well-being. Public health strategies should pay attention to enhancing both eHealth literacy and COVID-19 knowledge levels in the public to maximise their COVID-19 preventive behaviours and mitigate their psychological distress during COVID-19 pandemic.</p>-
dc.languageeng-
dc.publisherBMJ Publishing Group-
dc.relation.ispartofBMJ Open-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectCOVID-19-
dc.subjectDepression & mood disorders-
dc.subjecteHealth-
dc.subjectHealth Literacy-
dc.subjectPREVENTIVE MEDICINE-
dc.subjectPrimary Prevention-
dc.titleAssociations of eHealth literacy and knowledge with preventive behaviours and psychological distress during the COVID-19 pandemic: a population-based online survey-
dc.typeArticle-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1136/bmjopen-2022-069514-
dc.identifier.scopuseid_2-s2.0-85179903110-
dc.identifier.volume13-
dc.identifier.issue12-
dc.identifier.eissn2044-6055-
dc.identifier.isiWOS:001171115000114-
dc.identifier.issnl2044-6055-

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