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Association Between Self-Rated Health and eHealth Literacy in Higher Vocational Nursing Students: A Cross-Sectional Study.

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Τίτλος: Association Between Self-Rated Health and eHealth Literacy in Higher Vocational Nursing Students: A Cross-Sectional Study.
Συγγραφείς: Huang L; Department of Nursing, Henan Vocational College of Nursing, Anyang, Henan, China., Chen Y; Department of Nursing, Henan Vocational College of Nursing, Anyang, Henan, China., Du X; Department of Nursing, Henan Vocational College of Nursing, Anyang, Henan, China., Wang A; Department of Nursing, Henan Vocational College of Nursing, Anyang, Henan, China.
Πηγή: Nursing open [Nurs Open] 2026 Sep; Vol. 13 (9), pp. e70853.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: John Wiley & Sons, Inc Country of Publication: United States NLM ID: 101675107 Publication Model: Print Cited Medium: Internet ISSN: 2054-1058 (Electronic) Linking ISSN: 20541058 NLM ISO Abbreviation: Nurs Open Subsets: MEDLINE
Imprint Name(s): Original Publication: [Hoboken, NJ] : John Wiley & Sons, Inc., [2014]-
Ιατρικοί όροι (MeSH): Students, Nursing*/statistics & numerical data , Students, Nursing*/psychology , Health Literacy*/statistics & numerical data , Health Literacy*/standards , Telemedicine* , Health Status*, Humans ; Cross-Sectional Studies ; China ; Female ; Male ; Digital Health ; Adult ; Young Adult ; Surveys and Questionnaires ; Self Report
Περίληψη: Aim: To examine the association between self-rated health and eHealth literacy among higher vocational nursing students.
Design: Cross-sectional study.
Methods: Using stratified random cluster sampling, 727 nursing students from a vocational college in Henan Province, China, were recruited. Multiple linear regression analysis assessed the association, adjusting for confounders such as sociodemographic characteristics, family socioeconomic status and academic stress.
Results: After adjusting for covariates, participants with poor self-rated health had significantly lower eHealth literacy scores than those with good health. Participants reporting fair self-rated health also had significantly lower scores; though the difference was substantially smaller.
Conclusion: Self-rated health is significantly associated with eHealth literacy among higher vocational nursing students. Whether interventions combining health management and digital skills training can improve eHealth literacy in this population remains to be tested in future longitudinal and intervention studies.
Impact: Despite the large proportion of higher vocational nursing students in China's nursing workforce, evidence linking their health perceptions to digital competencies remains limited. Poorer self-rated health was associated with markedly lower eHealth literacy, identifying this population as a potential priority group for future studies on combined health-management and digital-literacy support.
Reporting Method: Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement.
No Patient or Public Contribution: This study involved nursing students as participants; no patients or members of the public were involved in the design, conduct, analysis, or preparation of this manuscript.
(© 2026 The Author(s). Nursing Open published by John Wiley & Sons Ltd.)
References: Health Psychol Behav Med. 2021 May 15;9(1):480-497. (PMID: 34104571)
Nurse Educ Today. 2019 Jul;78:50-56. (PMID: 31082746)
Front Public Health. 2023 Mar 03;11:1113211. (PMID: 36935682)
Lancet. 2002 Jan 19;359(9302):187-8. (PMID: 11812551)
Int J Environ Res Public Health. 2021 May 28;18(11):. (PMID: 34071469)
Patient Educ Couns. 2021 May;104(5):1176-1182. (PMID: 33221117)
Prev Med. 2009 Nov;49(5):418-23. (PMID: 19716843)
BMC Public Health. 2025 Jan 20;25(1):223. (PMID: 39833757)
BMJ Open. 2013 Jun 28;3(6):. (PMID: 23811174)
Int J Environ Res Public Health. 2022 Nov 04;19(21):. (PMID: 36361377)
J Med Internet Res. 2006 Nov 14;8(4):e27. (PMID: 17213046)
Qual Life Res. 2020 Sep;29(9):2593-2604. (PMID: 32436111)
SAGE Open Nurs. 2024 Mar 1;10:23779608241233147. (PMID: 38435341)
BMC Nurs. 2025 Jan 10;24(1):36. (PMID: 39794813)
J Med Internet Res. 2024 Jul 18;26:e52314. (PMID: 39024006)
Med Care. 1996 Mar;34(3):220-33. (PMID: 8628042)
Nurse Educ Pract. 2019 Jan;34:192-198. (PMID: 30579041)
Front Public Health. 2023 Jul 13;11:1147403. (PMID: 37521980)
Front Public Health. 2024 Oct 03;12:1429983. (PMID: 39421818)
Nurse Educ Pract. 2023 Mar;68:103592. (PMID: 36889169)
J Health Commun. 2020 Apr 2;25(4):333-343. (PMID: 32419661)
BMC Med Educ. 2025 Jul 1;25(1):881. (PMID: 40598103)
BMC Nurs. 2020 Apr 10;19:22. (PMID: 32308559)
J Clin Epidemiol. 2008 Apr;61(4):344-9. (PMID: 18313558)
J Med Internet Res. 2021 Apr 30;23(4):e25672. (PMID: 33929327)
Int J Environ Res Public Health. 2023 Jun 19;20(12):. (PMID: 37372758)
Nurse Educ Pract. 2020 Oct;48:102860. (PMID: 32890934)
J Med Internet Res. 2024 Mar 8;26:e54107. (PMID: 38457223)
Nurse Educ Today. 2016 Jul;42:47-52. (PMID: 27237352)
JMIR Nurs. 2026 Mar 26;9:e82272. (PMID: 41886742)
Grant Information: 23B320015 Department of Education of Henan Province (Key Scientific Research Project of Higher Education Institutions in Henan Province)
Contributed Indexing: Keywords: eHealth literacy; nursing students; self‐rated health
Entry Date(s): Date Created: 20260922 Date Completed: 20260922 Latest Revision: 20260924
Update Code: 20260924
PubMed Central ID: PMC13593919
DOI: 10.1002/nop2.70853
PMID: 42768417
Βάση Δεδομένων: MEDLINE
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  Data: Aim: To examine the association between self-rated health and eHealth literacy among higher vocational nursing students.<br />Design: Cross-sectional study.<br />Methods: Using stratified random cluster sampling, 727 nursing students from a vocational college in Henan Province, China, were recruited. Multiple linear regression analysis assessed the association, adjusting for confounders such as sociodemographic characteristics, family socioeconomic status and academic stress.<br />Results: After adjusting for covariates, participants with poor self-rated health had significantly lower eHealth literacy scores than those with good health. Participants reporting fair self-rated health also had significantly lower scores; though the difference was substantially smaller.<br />Conclusion: Self-rated health is significantly associated with eHealth literacy among higher vocational nursing students. Whether interventions combining health management and digital skills training can improve eHealth literacy in this population remains to be tested in future longitudinal and intervention studies.<br />Impact: Despite the large proportion of higher vocational nursing students in China's nursing workforce, evidence linking their health perceptions to digital competencies remains limited. Poorer self-rated health was associated with markedly lower eHealth literacy, identifying this population as a potential priority group for future studies on combined health-management and digital-literacy support.<br />Reporting Method: Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement.<br />No Patient or Public Contribution: This study involved nursing students as participants; no patients or members of the public were involved in the design, conduct, analysis, or preparation of this manuscript.<br /> (© 2026 The Author(s). Nursing Open published by John Wiley & Sons Ltd.)
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  Data: Health Psychol Behav Med. 2021 May 15;9(1):480-497. (PMID: <searchLink fieldCode="PM" term="%2234104571%22">34104571)</searchLink><br />Nurse Educ Today. 2019 Jul;78:50-56. (PMID: <searchLink fieldCode="PM" term="%2231082746%22">31082746)</searchLink><br />Front Public Health. 2023 Mar 03;11:1113211. (PMID: <searchLink fieldCode="PM" term="%2236935682%22">36935682)</searchLink><br />Lancet. 2002 Jan 19;359(9302):187-8. (PMID: <searchLink fieldCode="PM" term="%2211812551%22">11812551)</searchLink><br />Int J Environ Res Public Health. 2021 May 28;18(11):. (PMID: <searchLink fieldCode="PM" term="%2234071469%22">34071469)</searchLink><br />Patient Educ Couns. 2021 May;104(5):1176-1182. (PMID: <searchLink fieldCode="PM" term="%2233221117%22">33221117)</searchLink><br />Prev Med. 2009 Nov;49(5):418-23. (PMID: <searchLink fieldCode="PM" term="%2219716843%22">19716843)</searchLink><br />BMC Public Health. 2025 Jan 20;25(1):223. (PMID: <searchLink fieldCode="PM" term="%2239833757%22">39833757)</searchLink><br />BMJ Open. 2013 Jun 28;3(6):. (PMID: <searchLink fieldCode="PM" term="%2223811174%22">23811174)</searchLink><br />Int J Environ Res Public Health. 2022 Nov 04;19(21):. (PMID: <searchLink fieldCode="PM" term="%2236361377%22">36361377)</searchLink><br />J Med Internet Res. 2006 Nov 14;8(4):e27. (PMID: <searchLink fieldCode="PM" term="%2217213046%22">17213046)</searchLink><br />Qual Life Res. 2020 Sep;29(9):2593-2604. (PMID: <searchLink fieldCode="PM" term="%2232436111%22">32436111)</searchLink><br />SAGE Open Nurs. 2024 Mar 1;10:23779608241233147. (PMID: <searchLink fieldCode="PM" term="%2238435341%22">38435341)</searchLink><br />BMC Nurs. 2025 Jan 10;24(1):36. (PMID: <searchLink fieldCode="PM" term="%2239794813%22">39794813)</searchLink><br />J Med Internet Res. 2024 Jul 18;26:e52314. (PMID: <searchLink fieldCode="PM" term="%2239024006%22">39024006)</searchLink><br />Med Care. 1996 Mar;34(3):220-33. (PMID: <searchLink fieldCode="PM" term="%228628042%22">8628042)</searchLink><br />Nurse Educ Pract. 2019 Jan;34:192-198. (PMID: <searchLink fieldCode="PM" term="%2230579041%22">30579041)</searchLink><br />Front Public Health. 2023 Jul 13;11:1147403. (PMID: <searchLink fieldCode="PM" term="%2237521980%22">37521980)</searchLink><br />Front Public Health. 2024 Oct 03;12:1429983. (PMID: <searchLink fieldCode="PM" term="%2239421818%22">39421818)</searchLink><br />Nurse Educ Pract. 2023 Mar;68:103592. (PMID: <searchLink fieldCode="PM" term="%2236889169%22">36889169)</searchLink><br />J Health Commun. 2020 Apr 2;25(4):333-343. (PMID: <searchLink fieldCode="PM" term="%2232419661%22">32419661)</searchLink><br />BMC Med Educ. 2025 Jul 1;25(1):881. (PMID: <searchLink fieldCode="PM" term="%2240598103%22">40598103)</searchLink><br />BMC Nurs. 2020 Apr 10;19:22. (PMID: <searchLink fieldCode="PM" term="%2232308559%22">32308559)</searchLink><br />J Clin Epidemiol. 2008 Apr;61(4):344-9. (PMID: <searchLink fieldCode="PM" term="%2218313558%22">18313558)</searchLink><br />J Med Internet Res. 2021 Apr 30;23(4):e25672. (PMID: <searchLink fieldCode="PM" term="%2233929327%22">33929327)</searchLink><br />Int J Environ Res Public Health. 2023 Jun 19;20(12):. (PMID: <searchLink fieldCode="PM" term="%2237372758%22">37372758)</searchLink><br />Nurse Educ Pract. 2020 Oct;48:102860. (PMID: <searchLink fieldCode="PM" term="%2232890934%22">32890934)</searchLink><br />J Med Internet Res. 2024 Mar 8;26:e54107. (PMID: <searchLink fieldCode="PM" term="%2238457223%22">38457223)</searchLink><br />Nurse Educ Today. 2016 Jul;42:47-52. (PMID: <searchLink fieldCode="PM" term="%2227237352%22">27237352)</searchLink><br />JMIR Nurs. 2026 Mar 26;9:e82272. (PMID: <searchLink fieldCode="PM" term="%2241886742%22">41886742)</searchLink>
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