Academic Journal
The eHealth literacy and its sociodemographic determinants among adult inpatients in Web 3.0 context: a cross-sectional study.
| Τίτλος: | The eHealth literacy and its sociodemographic determinants among adult inpatients in Web 3.0 context: a cross-sectional study. |
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| Συγγραφείς: | Feng X; School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China.; Xiangya School of Nursing, Central South University, Changsha, Hunan, China., Jiang J; Xiangya School of Nursing, Central South University, Changsha, Hunan, China., Liu M; Xiangya School of Nursing, Central South University, Changsha, Hunan, China., Tian L; Department of Health Management Center, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, Anhui, China. tianlingyun@ustc.edu.cn.; Department of Nursing, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, Anhui, China. tianlingyun@ustc.edu.cn., Li Y; Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan, China. yuyan0202@sina.com.; National Clinical Research Center for Geriatric Diseases, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan, China. yuyan0202@sina.com. |
| Πηγή: | BMC public health [BMC Public Health] 2026 Jun 04; Vol. 26 (1). Date of Electronic Publication: 2026 Jun 04. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BioMed Central, [2001- |
| Ιατρικοί όροι (MeSH): | Health Literacy*/statistics & numerical data , Inpatients*/statistics & numerical data , Inpatients*/psychology , Telemedicine*, Computer Literacy/statistics & numerical data ; Humans ; Cross-Sectional Studies ; Female ; Male ; Adult ; Middle Aged ; China ; Digital Health ; Aged ; Sociodemographic Factors ; Young Adult ; Adolescent ; Internet ; Socioeconomic Factors |
| Περίληψη: | Background: The rise of Web 3.0 in healthcare has made eHealth literacy essential. Patients experiencing prolonged hospital stays encounter unique challenges with digital tools. However, a critical gap remains in understanding their eHealth literacy due to the absence of assessment instruments tailored to contemporary healthcare systems. Objective: This study aimed to evaluate eHealth literacy and identify its sociodemographic determinants among adult inpatients. Methods: A cross-sectional study was conducted among 532 adult inpatients in Hunan, China, using randomized cluster sampling. Data were collected with the Adult Inpatient eHealth Literacy Scale, an instrument developed to assess multiple literacy domains relevant to digital healthcare use in the Web 3.0 context. Multiple linear stepwise regression was performed to identify factors associated with eHealth literacy. Results: The mean score of eHealth literacy was 141.12 ± 35.03, with a scoring rate of 64.15%. The scoring rates for traditional literacy, information literacy, media literacy, health literacy, computer literacy, and scientific literacy were 68.37%, 63.82%, 60.86%, 67.13%, 61.65%, 65.25%, respectively. Lower eHealth literacy was associated with older age, lower educational level, fewer years of electronic device use, limited experience with eHealth tools, lower perceived usefulness, higher perceived ease of use, and lower willingness to learn (P < 0.05). The final regression model explained 62.20% of the total variability. Conclusions: Adult inpatients demonstrated an overall moderate level of eHealth literacy, with notable deficiencies in media, computer, and information literacy. Tailoring eHealth tools to individuals from diverse backgrounds is essential to mitigate health disparities. Healthcare professionals are well positioned to serve as critical facilitators in supporting inpatients' engagement with emerging digital technologies. Patient-centered training programs aimed at strengthening foundational digital and information-processing skills are warranted to promote the safe, effective, and equitable use of eHealth services and improve health outcomes. (© 2026. The Author(s).) |
| Competing Interests: | Declarations. Ethics approval and consent to participate: Ethical approval was obtained from the Institutional Review Board of School of Nursing, Central South University, Hunan, China (No. E202373). The study adhered to the Declaration of Helsinki. We ensured the data confidentiality, and informed consent was obtained from all participants enrolled in this study. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. |
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| Grant Information: | 72304261 National Natural Science Foundation of China; 2025M782290 China Postdoctoral Science Foundation |
| Contributed Indexing: | Keywords: Cross-sectional study; Healthcare innovation; Inpatients; Web 3.0; eHealth literacy |
| Entry Date(s): | Date Created: 20260604 Date Completed: 20260809 Latest Revision: 20260813 |
| Update Code: | 20260813 |
| PubMed Central ID: | PMC13455462 |
| DOI: | 10.1186/s12889-026-27903-2 |
| PMID: | 42243755 |
| Βάση Δεδομένων: | MEDLINE |
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