AUTHOR=Liu Hua Xuan , Chow Bik Chu , Hassel Holger , Huang YaJun Wendy , Liang Wei , Wang Run Bin 

TITLE=Prospective association of eHealth literacy and health literacy with physical activity among Chinese college students: a multiple mediation analysis

JOURNAL=Frontiers in Public Health

VOLUME=Volume 12 - 2024

YEAR=2024

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1275691

DOI=10.3389/fpubh.2024.1275691

ISSN=2296-2565

ABSTRACT=The COVID-19 pandemic has decreased physical activity (PA) while increasing demand for electronic health resource. E-Health literacy (EHL) is expected to aid e-Health use and health promotion. EHL was raised on the ground of Health Literacy (HL). This study explored the associations among EHL, HL and PA in Chinese college students and identified mediating mechanisms in the EHL/HL-PA relationship.Methods: An integrated social-cognitive model was proposed. A total of 947 Chinese college students (52.8%female, age=19.87±1.68 years) completed the three-wave data collection. Path analysis was performed.Results: An adequate good-to-fit model was indicated. Perceived EHL (PEHL) was significantly associated with perceived HL (PHL) and HL performance (HLP); PHL was negatively related to HLP; PEHL was significantly associated with self-efficacy (SE) and social support (SS); PHL had a significant effect on SS but not SE; HLP significantly affected SS but not SE; SS and SE positively predicted intention (INT), which then predicted PA.