影响全球电子健康素养的因素:系统审查和元分析
Zhong Hua1, Song Yuqing2,3, Liu Qianwen1
1Department of Nursing, West China School of Nursing, West China Hospital, Sichuan University, Chengdu, China.
Journal of medical Internet research
|March 10, 2025
概括
这次系统性审查确定了影响电子健康素养的关键因素,包括互联网使用,年龄,收入,教育,感知到的有用性和自我有效性. 这些发现指导了改善不同人群的数字健康素养的干预措施.
科学领域:
- 数字健康数字健康
- 卫生识字 卫生识字
- 医疗信息学 医疗信息学
背景情况:
- 电子健康素养对健康结果至关重要,但其决定因素尚未完全理解.
- 现有研究为系统审查和证据综合提供了机会.
- 这项研究解决了对影响电子健康素养的因素的清晰度的需求.
研究的目的:
- 系统地审查影响电子健康素养的因素.
- 检查这些因素在不同人群中的影响.
- 综合关于电子健康识字决定因素的证据.
主要方法:
- 进行全面的数据库搜索 (PubMed,Embase,科学网等) 在2023年4月之前.
- 包括使用eHEALS尺度测量电子健康素养的研究.
- 用于识别和探索预测因素的元分析和元回归,以识别和健康概念框架和TAM为指导.
主要成果:
- 在分析中包括了17项研究.
- 确定了关键因素:互联网使用,年龄,种族,收入,就业状况,教育,感知到的有用性,自我有效性和疾病状况.
- 量化了特定的影响,例如,更高的互联网使用 (β=0.14) 和教育 (β=0.154) 与更高的电子健康素养相关.
结论:
- 电子健康素养受到行动 (互联网使用),决定因素 (社会人口统计学,感知有用性,自我有效性) 和健康状况 (疾病) 的影响.
- 这些发现与"识字与健康概念框架"一致.
- 为开发有针对性的干预措施提供基础,以提高电子健康素养.
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