Digital health literacy and well-being among university students: Mediating roles of fear of COVID-19, information satisfaction, and internet information search

Sheng-Chih Chen; Nhi Thi Hong Nguyen; Cheng-Yu Lin; Le Duc Huy; Chih-Feng Lai; Loan T Dang; Nguyen L T Truong; Nhi Y Hoang; Thao T P Nguyen; Tan N Phaṇ; Kevin Dadaczynski; Orkan Okan; Tuyen Van Duong

doi:10.1177/20552076231165970

Digital health literacy and well-being among university students: Mediating roles of fear of COVID-19, information satisfaction, and internet information search

Sheng-Chih Chen, Nhi Thi Hong Nguyen, Cheng-Yu Lin, Le Duc Huy, Chih-Feng Lai, Loan T Dang, Nguyen L T Truong, Nhi Y Hoang, Thao T P Nguyen, Tan N Phaṇ, Kevin Dadaczynski, Orkan Okan, Tuyen Van Duong

研究成果: 雜誌貢獻 › 文章 › 同行評審

2 引文斯高帕斯（Scopus）

摘要

BACKGROUND: Digital health literacy (DHL) enables healthy decisions, improves protective behaviors and adherence to COVID-19 measures, especially during the era of the "infodemic", and enhances psychological well-being.

OBJECTIVE: We aimed to explore the mediating roles of fear of COVID-19, information satisfaction, and the importance of online information searching on the association between DHL and well-being.

METHODS: A cross-sectional web-based survey was conducted among 1631 Taiwanese university students, aged 18 years and above, from June 2021 to March 2022. The collected data include sociodemographic characteristics (sex, age, social status, and financial satisfaction), the importance of online information searching, information satisfaction, fear of COVID-19, DHL, and well-being. A linear regression model was utilized to investigate factors associated with well-being, followed by a pathway analysis to assess the direct and indirect relationship between DHL and well-being.

RESULTS: The scores of DHL and overall well-being were 3.1 ± 0.4 and 74.4 ± 19.7, respectively. Social status (B = 2.40, 95% confidence interval (CI) 1.73-3.07, p
CONCLUSION: Higher DHL scores show direct and indirect associations with higher well-being scores. Fear, importance of online information searching, and information satisfaction significantly contributed to the association.

原文	英語
頁（從 - 到）	20552076231165970
期刊	Digital Health
卷	9
DOIs	https://doi.org/10.1177/20552076231165970
出版狀態	已發佈 - 2023

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10.1177/20552076231165970

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Chen, S.-C., Hong Nguyen, N. T., Lin, C.-Y., Huy, L. D., Lai, C.-F., Dang, L. T., Truong, N. L. T., Hoang, N. Y., Nguyen, T. T. P., Phaṇ, T. N., Dadaczynski, K., Okan, O., & Duong, T. V. (2023). Digital health literacy and well-being among university students: Mediating roles of fear of COVID-19, information satisfaction, and internet information search. Digital Health, 9, 20552076231165970. https://doi.org/10.1177/20552076231165970

Chen, S-C, Hong Nguyen, NT, Lin, C-Y, Huy, LD, Lai, C-F, Dang, LT, Truong, NLT, Hoang, NY, Nguyen, TTP, Phaṇ, TN, Dadaczynski, K, Okan, O & Duong, TV 2023, 'Digital health literacy and well-being among university students: Mediating roles of fear of COVID-19, information satisfaction, and internet information search', Digital Health, 卷 9, 頁 20552076231165970. https://doi.org/10.1177/20552076231165970

@article{6f8877107485499aa27f75d424ada8a9,

title = "Digital health literacy and well-being among university students: Mediating roles of fear of COVID-19, information satisfaction, and internet information search",

abstract = "BACKGROUND: Digital health literacy (DHL) enables healthy decisions, improves protective behaviors and adherence to COVID-19 measures, especially during the era of the {"}infodemic{"}, and enhances psychological well-being.OBJECTIVE: We aimed to explore the mediating roles of fear of COVID-19, information satisfaction, and the importance of online information searching on the association between DHL and well-being.METHODS: A cross-sectional web-based survey was conducted among 1631 Taiwanese university students, aged 18 years and above, from June 2021 to March 2022. The collected data include sociodemographic characteristics (sex, age, social status, and financial satisfaction), the importance of online information searching, information satisfaction, fear of COVID-19, DHL, and well-being. A linear regression model was utilized to investigate factors associated with well-being, followed by a pathway analysis to assess the direct and indirect relationship between DHL and well-being.RESULTS: The scores of DHL and overall well-being were 3.1 ± 0.4 and 74.4 ± 19.7, respectively. Social status (B = 2.40, 95% confidence interval (CI) 1.73-3.07, p < 0.001), DHL (B 0.29, 95% CI 0.10-0.49, p < 0.001), importance of online information searching (B = 0.78, 95% CI 0.38-1.17, p < 0.001), and information satisfaction (B = 3.59, 95% CI 2.22-4.94, p < 0.001) were positively associated with well-being, whereas higher fear of COVID-19 scores (B = -0.38, 95% CI -0.55-(-0.21), p < 0.001) and female (B = -2.99, 95% CI -5.02-0.6, p = 0.004) were associated with lower well-being, when compared with lower fear scores and male, respectively. Fear of COVID-19 (B = 0.03, 95% CI 0.016-0.04, p < 0.001), importance of online information searching (B = 0.03, 95% CI 0.01-0.05, p = 0.005), and information satisfaction (B = 0.05, 95% CI 0.023-0.067, p < 0.001) were significantly mediated the relationship between DHL and well-being.CONCLUSION: Higher DHL scores show direct and indirect associations with higher well-being scores. Fear, importance of online information searching, and information satisfaction significantly contributed to the association.",

author = "Sheng-Chih Chen and {Hong Nguyen}, {Nhi Thi} and Cheng-Yu Lin and Huy, {Le Duc} and Chih-Feng Lai and Dang, {Loan T} and Truong, {Nguyen L T} and Hoang, {Nhi Y} and Nguyen, {Thao T P} and Phaṇ, {Tan N} and Kevin Dadaczynski and Orkan Okan and Duong, {Tuyen Van}",

note = "{\textcopyright} The Author(s) 2023.",

year = "2023",

doi = "10.1177/20552076231165970",

language = "English",

volume = "9",

pages = "20552076231165970",

journal = "Digital Health",

issn = "2055-2076",

publisher = "SAGE Publications Inc.",

}

TY - JOUR

T1 - Digital health literacy and well-being among university students

T2 - Mediating roles of fear of COVID-19, information satisfaction, and internet information search

AU - Chen, Sheng-Chih

AU - Hong Nguyen, Nhi Thi

AU - Lin, Cheng-Yu

AU - Huy, Le Duc

AU - Lai, Chih-Feng

AU - Dang, Loan T

AU - Truong, Nguyen L T

AU - Hoang, Nhi Y

AU - Nguyen, Thao T P

AU - Phaṇ, Tan N

AU - Dadaczynski, Kevin

AU - Okan, Orkan

AU - Duong, Tuyen Van

PY - 2023

Y1 - 2023

N2 - BACKGROUND: Digital health literacy (DHL) enables healthy decisions, improves protective behaviors and adherence to COVID-19 measures, especially during the era of the "infodemic", and enhances psychological well-being.OBJECTIVE: We aimed to explore the mediating roles of fear of COVID-19, information satisfaction, and the importance of online information searching on the association between DHL and well-being.METHODS: A cross-sectional web-based survey was conducted among 1631 Taiwanese university students, aged 18 years and above, from June 2021 to March 2022. The collected data include sociodemographic characteristics (sex, age, social status, and financial satisfaction), the importance of online information searching, information satisfaction, fear of COVID-19, DHL, and well-being. A linear regression model was utilized to investigate factors associated with well-being, followed by a pathway analysis to assess the direct and indirect relationship between DHL and well-being.RESULTS: The scores of DHL and overall well-being were 3.1 ± 0.4 and 74.4 ± 19.7, respectively. Social status (B = 2.40, 95% confidence interval (CI) 1.73-3.07, p < 0.001), DHL (B 0.29, 95% CI 0.10-0.49, p < 0.001), importance of online information searching (B = 0.78, 95% CI 0.38-1.17, p < 0.001), and information satisfaction (B = 3.59, 95% CI 2.22-4.94, p < 0.001) were positively associated with well-being, whereas higher fear of COVID-19 scores (B = -0.38, 95% CI -0.55-(-0.21), p < 0.001) and female (B = -2.99, 95% CI -5.02-0.6, p = 0.004) were associated with lower well-being, when compared with lower fear scores and male, respectively. Fear of COVID-19 (B = 0.03, 95% CI 0.016-0.04, p < 0.001), importance of online information searching (B = 0.03, 95% CI 0.01-0.05, p = 0.005), and information satisfaction (B = 0.05, 95% CI 0.023-0.067, p < 0.001) were significantly mediated the relationship between DHL and well-being.CONCLUSION: Higher DHL scores show direct and indirect associations with higher well-being scores. Fear, importance of online information searching, and information satisfaction significantly contributed to the association.

AB - BACKGROUND: Digital health literacy (DHL) enables healthy decisions, improves protective behaviors and adherence to COVID-19 measures, especially during the era of the "infodemic", and enhances psychological well-being.OBJECTIVE: We aimed to explore the mediating roles of fear of COVID-19, information satisfaction, and the importance of online information searching on the association between DHL and well-being.METHODS: A cross-sectional web-based survey was conducted among 1631 Taiwanese university students, aged 18 years and above, from June 2021 to March 2022. The collected data include sociodemographic characteristics (sex, age, social status, and financial satisfaction), the importance of online information searching, information satisfaction, fear of COVID-19, DHL, and well-being. A linear regression model was utilized to investigate factors associated with well-being, followed by a pathway analysis to assess the direct and indirect relationship between DHL and well-being.RESULTS: The scores of DHL and overall well-being were 3.1 ± 0.4 and 74.4 ± 19.7, respectively. Social status (B = 2.40, 95% confidence interval (CI) 1.73-3.07, p < 0.001), DHL (B 0.29, 95% CI 0.10-0.49, p < 0.001), importance of online information searching (B = 0.78, 95% CI 0.38-1.17, p < 0.001), and information satisfaction (B = 3.59, 95% CI 2.22-4.94, p < 0.001) were positively associated with well-being, whereas higher fear of COVID-19 scores (B = -0.38, 95% CI -0.55-(-0.21), p < 0.001) and female (B = -2.99, 95% CI -5.02-0.6, p = 0.004) were associated with lower well-being, when compared with lower fear scores and male, respectively. Fear of COVID-19 (B = 0.03, 95% CI 0.016-0.04, p < 0.001), importance of online information searching (B = 0.03, 95% CI 0.01-0.05, p = 0.005), and information satisfaction (B = 0.05, 95% CI 0.023-0.067, p < 0.001) were significantly mediated the relationship between DHL and well-being.CONCLUSION: Higher DHL scores show direct and indirect associations with higher well-being scores. Fear, importance of online information searching, and information satisfaction significantly contributed to the association.

U2 - 10.1177/20552076231165970

DO - 10.1177/20552076231165970

M3 - Article

C2 - 37009305

SN - 2055-2076

VL - 9

SP - 20552076231165970

JO - Digital Health

JF - Digital Health

ER -

Digital health literacy and well-being among university students: Mediating roles of fear of COVID-19, information satisfaction, and internet information search

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