Research Article
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Inequality Among Adolescents in the Developing Countries is the Main Determinant of E-Health Literacy

Year 2022, Volume: 13 Issue: 3, 360 - 368, 01.07.2022
https://doi.org/10.31067/acusaglik.1059083

Abstract

Purpose: In this study, it was aimed to find out the e-health literacy levels in the adolescent age group, and its relation to adolescent decision making as well as social and economic determinants of the adolescents and their families.
Materials and Methods: The participants were 14–18 years old from 9-12 grades of the high schools at the different socioeconomic settlements in Turkey. The data was collected using a data collection form consisting of questions related to the adolescents and the socio-demographic characteristics of their parents, Adolescent Decision Making Scale and E-Health Literacy Scale for Adolescents. Data was collected from 1,082 adolescents aged 14 to 18 years.
Results: The e-health literacy level increases with the age of the adolescents, the monthly income of the family, adolescent decision making scores. Economic status and age of the adolescents are the main factors to form their e-health literacy.
Conclusion: There is an urgent need to improve e-health literacy education aiming to teach to adolescents how to find reliable health information and make appropriate decisions to prevent their own health. The e-health information literacy and services should be provided to the adolescents in low socioeconomic status as social policies of the governments in the developing countries.

References

  • 1. Park H, Lee E. Self-reported eHealth literacy among undergraduate nursing students in South Korea: a pilot study. Nurse Educ Today. 2015;35(2):408–13.
  • 2. Robb M, Shellenbarger T. Influential factors and perceptions of eHealth literacy among undergraduate college students. On-Line J Nurs Informatics. 2014;18(3).
  • 3. Holmberg C, Berg C, Dahlgren J, Lissner L, Chaplin JE. Health literacy in a complex digital media landscape: pediatric obesity patients’ experiences with online weight, food, and health information. Health Informatics J. 2019;25(4):1343–57.
  • 4. Kim H, Xie B. Health literacy in the eHealth era: a systematic review of the literature. Patient Educ Couns. 2017;100(6):1073–82.
  • 5. Maitz E, Maitz K, Sendlhofer G, Wolfsberger C, Mautner S, Kamolz LP, et al. Online Health Information Seeking Behavior of Children and Adolescents Aged from 12 to 14 Years-A Mixed-Methods Study. J Med Internet Res. 2020;
  • 6. Wartella E, Rideout V, Montague H, Beaudoin-Ryan L, Lauricella A. Teens, health and technology: A national survey. Media Commun. 2016;4(3):13–23.
  • 7. Hove T, Paek H-J, Isaacson T. Using adolescent eHealth literacy to weigh trust in commercial web sites: the more children know, the tougher they are to persuade. J Advert Res. 2011;51(3):524–37.
  • 8. Chang F-C, Chiu C-H, Chen P-H, Miao N-F, Lee C-M, Chiang J-T, et al. Relationship between parental and adolescent eHealth literacy and online health information seeking in Taiwan. Cyberpsychology, Behav Soc Netw. 2015;18(10):618–24.
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  • 11. Turgut YE, Kursun E. Mobile Internet Experiences of the Children in Turkey and European Countries: A Comparative Analysis of Internet Access, Use, Activities, Skills and Risks. Eurasian J Educ Res. 2020;88:225–48.
  • 12. Freeman JL, Caldwell PHY, Bennett PA, Scott KM. How adolescents search for and appraise online health information: A systematic review. J Pediatr. 2018;195:244–55.
  • 13. Gazibara T, Cakic J, Cakic M, Pekmezovic T, Grgurevic A. eHealth and adolescents in Serbia: psychometric properties of eHeals questionnaire and contributing factors to better online health literacy. Health Promot Int. 2018;
  • 14. Park BK. Factors Influencing eHealth Literacy of Middle School Students in Korea: A Descriptive Cross-Sectional Study. Healthc Inform Res. 2019;25(3):221–9.
  • 15. Kaya N, Asti T, Kaya I, Yaylaci S, Kaya H, Turan N, et al. Association between attitudes towards Internet usage and health practices in high-school students in 2 schools in Turkey: a cross-sectional study. EMHJ-Eastern Mediterr Heal J. 2016;22(11):824–31.
  • 16. Norman CD, Skinner HA. eHEALS: the eHealth literacy scale. J Med Internet Res. 2006;8(4):e27.
  • 17. Coşkun S, Bebiş H. Adolesanlarda e-sağlık okuryazarlığı ölçeği: Türkçe Geçerlik ve güvenirlik çalışması. Gülhane Tıp Derg. 2015;57:378–84.
  • 18. Mann L, Harmoni R, Power C. Adolescent decision-making: The development of competence. J Adolesc. 1989;12(3):265–78.
  • 19. Çolakkadioğlu O, Güçray SS. Ergenlerde Karar Verme Ölçeği’ni Türkçe’ye Uyarlama Çalışması. Eurasian J Educ Res. 2007;(26).
  • 20. Gazibara T, Cakic J, Cakic M, Pekmezovic T, Grgurevic A. eHealth and adolescents in Serbia: psychometric properties of eHeals questionnaire and contributing factors to better online health literacy. Health Promot Int. 2019;34(4):770–8.
  • 21. Ghaddar SF, Valerio MA, Garcia CM, Hansen L. Adolescent health literacy: the importance of credible sources for online health information. J Sch Health. 2012;82(1):28–36.
  • 22. Toçi E, Burazeri G, Myftiu S, Sørensen K, Brand H. Health literacy in a population-based sample of adult men and women in a South Eastern European country. J Public Health (Bangkok). 2016;38(1):6–13.
  • 23. Nordheim LV, Pettersen KS, Espehaug B, Flottorp SA, Guttersrud Ø. Lower secondary school students’ scientific literacy and their proficiency in identifying and appraising health claims in news media: a secondary analysis using large-scale survey data. BMJ Open. 2019;9(10):e028781.
  • 24. Chang A, Schulz P. The measurements and an elaborated understanding of Chinese eHealth Literacy (C-eHEALS) in chronic patients in China. Int J Environ Res Public Health. 2018;15(7):1553.
  • 25. Schulz PJ, Fitzpatrick MA, Hess A, Sudbury-Riley L, Hartung U. Effects of eHealth literacy on general practitioner consultations: a mediation analysis. J Med Internet Res. 2017;19(5):e166.
  • 26. Bröder J, Carvalho GS. Health literacy of children and adolescents: Conceptual approaches and developmental considerations. Int Handb Heal Lit. 2019;39.
  • 27. Chisolm DJ, Hardin DS, McCoy KS, Johnson LD, McAlearney AS, Gardner W. Health literacy and willingness to use online health information by teens with asthma and diabetes. Telemed e-Health. 2011;17(9):676–82.
  • 28. Hernandez-Rabanal C, Vall A, Boter C. Training, the key to improving eHealth literacy of upper secondary school students. Gac Sanit. 2018;32(1):48–53.
  • 29. Ramalingam A, Kar SS. Is there a digital divide among school students? an exploratory study from Puducherry. J Educ Health Promot. 2014;3. 30. Nölke L, Mensing M, Krämer A, Hornberg C. Sociodemographic and health-(care-) related characteristics of online health information seekers: a cross-sectional German study. BMC Public Health. 2015;15(1):31.
  • 31. Lee YJ, Boden-Albala B, Larson E, Wilcox A, Bakken S. Online health information seeking behaviors of Hispanics in New York City: a community-based cross-sectional study. J Med Internet Res. 2014;16(7):e176.
  • 32. Organization WH. New global commitment to primary health care for all at Astana conference. In: URL: http://www who int/news-room/detail/25-10-2018-new-global-commitment-to-primary-health-care-for-all-at-astana-conference Archived at: http://www webcitation org/73khN3DGL. 2018.
  • 33. Jakovljevic M, Bjedov S, Jaksic N, Jakovljevic I. COVID-19 pandemia and public and global mental health from the perspective of global health security. Psychiatr Danub. 2020;32(1):6–14.
  • 34. United Nations Committee on the Rights of the Child (2021) Consideration of reports submitted by states parties under Art. 25 of the Convention: United Kingdom of Great Britain and Northern Ireland (UN Doc. CRC/C/GC/25) (Geneva, United Nations).
Year 2022, Volume: 13 Issue: 3, 360 - 368, 01.07.2022
https://doi.org/10.31067/acusaglik.1059083

Abstract

References

  • 1. Park H, Lee E. Self-reported eHealth literacy among undergraduate nursing students in South Korea: a pilot study. Nurse Educ Today. 2015;35(2):408–13.
  • 2. Robb M, Shellenbarger T. Influential factors and perceptions of eHealth literacy among undergraduate college students. On-Line J Nurs Informatics. 2014;18(3).
  • 3. Holmberg C, Berg C, Dahlgren J, Lissner L, Chaplin JE. Health literacy in a complex digital media landscape: pediatric obesity patients’ experiences with online weight, food, and health information. Health Informatics J. 2019;25(4):1343–57.
  • 4. Kim H, Xie B. Health literacy in the eHealth era: a systematic review of the literature. Patient Educ Couns. 2017;100(6):1073–82.
  • 5. Maitz E, Maitz K, Sendlhofer G, Wolfsberger C, Mautner S, Kamolz LP, et al. Online Health Information Seeking Behavior of Children and Adolescents Aged from 12 to 14 Years-A Mixed-Methods Study. J Med Internet Res. 2020;
  • 6. Wartella E, Rideout V, Montague H, Beaudoin-Ryan L, Lauricella A. Teens, health and technology: A national survey. Media Commun. 2016;4(3):13–23.
  • 7. Hove T, Paek H-J, Isaacson T. Using adolescent eHealth literacy to weigh trust in commercial web sites: the more children know, the tougher they are to persuade. J Advert Res. 2011;51(3):524–37.
  • 8. Chang F-C, Chiu C-H, Chen P-H, Miao N-F, Lee C-M, Chiang J-T, et al. Relationship between parental and adolescent eHealth literacy and online health information seeking in Taiwan. Cyberpsychology, Behav Soc Netw. 2015;18(10):618–24.
  • 9. Center PR. Internet/broadband fact sheet. Pew Res Cent Internet, Sci Tech. 2017;
  • 10. Güzeller CO, Coşguner T. Development of a problematic mobile phone use scale for Turkish adolescents. Cyberpsychology, Behav Soc Netw. 2012;15(4):205–11.
  • 11. Turgut YE, Kursun E. Mobile Internet Experiences of the Children in Turkey and European Countries: A Comparative Analysis of Internet Access, Use, Activities, Skills and Risks. Eurasian J Educ Res. 2020;88:225–48.
  • 12. Freeman JL, Caldwell PHY, Bennett PA, Scott KM. How adolescents search for and appraise online health information: A systematic review. J Pediatr. 2018;195:244–55.
  • 13. Gazibara T, Cakic J, Cakic M, Pekmezovic T, Grgurevic A. eHealth and adolescents in Serbia: psychometric properties of eHeals questionnaire and contributing factors to better online health literacy. Health Promot Int. 2018;
  • 14. Park BK. Factors Influencing eHealth Literacy of Middle School Students in Korea: A Descriptive Cross-Sectional Study. Healthc Inform Res. 2019;25(3):221–9.
  • 15. Kaya N, Asti T, Kaya I, Yaylaci S, Kaya H, Turan N, et al. Association between attitudes towards Internet usage and health practices in high-school students in 2 schools in Turkey: a cross-sectional study. EMHJ-Eastern Mediterr Heal J. 2016;22(11):824–31.
  • 16. Norman CD, Skinner HA. eHEALS: the eHealth literacy scale. J Med Internet Res. 2006;8(4):e27.
  • 17. Coşkun S, Bebiş H. Adolesanlarda e-sağlık okuryazarlığı ölçeği: Türkçe Geçerlik ve güvenirlik çalışması. Gülhane Tıp Derg. 2015;57:378–84.
  • 18. Mann L, Harmoni R, Power C. Adolescent decision-making: The development of competence. J Adolesc. 1989;12(3):265–78.
  • 19. Çolakkadioğlu O, Güçray SS. Ergenlerde Karar Verme Ölçeği’ni Türkçe’ye Uyarlama Çalışması. Eurasian J Educ Res. 2007;(26).
  • 20. Gazibara T, Cakic J, Cakic M, Pekmezovic T, Grgurevic A. eHealth and adolescents in Serbia: psychometric properties of eHeals questionnaire and contributing factors to better online health literacy. Health Promot Int. 2019;34(4):770–8.
  • 21. Ghaddar SF, Valerio MA, Garcia CM, Hansen L. Adolescent health literacy: the importance of credible sources for online health information. J Sch Health. 2012;82(1):28–36.
  • 22. Toçi E, Burazeri G, Myftiu S, Sørensen K, Brand H. Health literacy in a population-based sample of adult men and women in a South Eastern European country. J Public Health (Bangkok). 2016;38(1):6–13.
  • 23. Nordheim LV, Pettersen KS, Espehaug B, Flottorp SA, Guttersrud Ø. Lower secondary school students’ scientific literacy and their proficiency in identifying and appraising health claims in news media: a secondary analysis using large-scale survey data. BMJ Open. 2019;9(10):e028781.
  • 24. Chang A, Schulz P. The measurements and an elaborated understanding of Chinese eHealth Literacy (C-eHEALS) in chronic patients in China. Int J Environ Res Public Health. 2018;15(7):1553.
  • 25. Schulz PJ, Fitzpatrick MA, Hess A, Sudbury-Riley L, Hartung U. Effects of eHealth literacy on general practitioner consultations: a mediation analysis. J Med Internet Res. 2017;19(5):e166.
  • 26. Bröder J, Carvalho GS. Health literacy of children and adolescents: Conceptual approaches and developmental considerations. Int Handb Heal Lit. 2019;39.
  • 27. Chisolm DJ, Hardin DS, McCoy KS, Johnson LD, McAlearney AS, Gardner W. Health literacy and willingness to use online health information by teens with asthma and diabetes. Telemed e-Health. 2011;17(9):676–82.
  • 28. Hernandez-Rabanal C, Vall A, Boter C. Training, the key to improving eHealth literacy of upper secondary school students. Gac Sanit. 2018;32(1):48–53.
  • 29. Ramalingam A, Kar SS. Is there a digital divide among school students? an exploratory study from Puducherry. J Educ Health Promot. 2014;3. 30. Nölke L, Mensing M, Krämer A, Hornberg C. Sociodemographic and health-(care-) related characteristics of online health information seekers: a cross-sectional German study. BMC Public Health. 2015;15(1):31.
  • 31. Lee YJ, Boden-Albala B, Larson E, Wilcox A, Bakken S. Online health information seeking behaviors of Hispanics in New York City: a community-based cross-sectional study. J Med Internet Res. 2014;16(7):e176.
  • 32. Organization WH. New global commitment to primary health care for all at Astana conference. In: URL: http://www who int/news-room/detail/25-10-2018-new-global-commitment-to-primary-health-care-for-all-at-astana-conference Archived at: http://www webcitation org/73khN3DGL. 2018.
  • 33. Jakovljevic M, Bjedov S, Jaksic N, Jakovljevic I. COVID-19 pandemia and public and global mental health from the perspective of global health security. Psychiatr Danub. 2020;32(1):6–14.
  • 34. United Nations Committee on the Rights of the Child (2021) Consideration of reports submitted by states parties under Art. 25 of the Convention: United Kingdom of Great Britain and Northern Ireland (UN Doc. CRC/C/GC/25) (Geneva, United Nations).
There are 33 citations in total.

Details

Primary Language English
Subjects Paediatrics
Journal Section Research Article
Authors

Sevil Çınar Özbay 0000-0002-9281-1614

Handan Boztepe 0000-0001-6980-1568

Hilal Özcebe 0000-0002-0918-8519

Publication Date July 1, 2022
Submission Date January 17, 2022
Published in Issue Year 2022Volume: 13 Issue: 3

Cite

EndNote Çınar Özbay S, Boztepe H, Özcebe H (July 1, 2022) Inequality Among Adolescents in the Developing Countries is the Main Determinant of E-Health Literacy. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13 3 360–368.