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Article ; Online: The Association between Self-Rated Health and Health Self-Management Ability of Healthcare Undergraduates

Guangyi Xu / Yanhong Xu / Xiaomin Tu / Shuaijia Hao / Ting Liu

International Journal of Environmental Research and Public Health, Vol 19, Iss 14501, p

The Chain Mediating Roles of eHealth Literacy and Resistance to Peer Influence

2022  Volume 14501

Abstract: Health self-management is important for healthcare undergraduates who are at the late adolescent or early adulthood stage, and will play an important part in health promotion for the general population. Previous research has shown that perceived health ... ...

Abstract Health self-management is important for healthcare undergraduates who are at the late adolescent or early adulthood stage, and will play an important part in health promotion for the general population. Previous research has shown that perceived health status affects health self-management. However, few studies have uncovered the mechanism between self-rated health and health self-management among healthcare undergraduates. Based on social ecology theory and Pender’s health promotion model, this study aimed to explore the associations between health self-management ability, self-rated health, eHealth literacy and resistance to peer influence of healthcare undergraduates, with a focus on identifying the mediating effects of eHealth literacy and resistance to peer influence. A cross-sectional study was conducted among 515 healthcare undergraduates in Eastern China between July and September 2021. Serial mediation analysis was performed using Haye’s Model 6 PROCESS macro to examine the mediating effects. The study found that health self-management ability was significantly and positively correlated with eHealth literacy, resistance to peer influence and self-rated health. Self-rated health had a direct and positive predictive effect on health self-management, with a direct effect value of 0.654. eHealth literacy and resistance to peer influence played both an independent mediating and a chain-mediating role in the mechanism of self-rated health affecting health self-management among healthcare undergraduates, with indirect effect values of 0.085, 0.101, and 0.013, respectively. The results suggest that eHealth literacy and resistance to peer influence could be intervention targets in programs for improving these students’ health self-management ability.
Keywords health self-management ability ; eHealth literacy ; peer influence ; self-rated health ; healthcare undergraduates ; China ; Medicine ; R
Subject code 796 ; 360
Language English
Publishing date 2022-11-01T00:00:00Z
Publisher MDPI AG
Document type Article ; Online
Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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