Investigating e-health literacy and its relationship with self-care behaviors among Iranian Middle-aged type 2 diabetes: a cross-sectional study
Abstract Background E-health literacy is closely linked to a wide range of health outcomes, encompassing the control of diseases, self-efficacy, and the quality of life concerning health, as well as the attitudes and behaviors exhibited by patients. Therefore, we conducted this study to investigate...
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BMC
2025-04-01
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| Online Access: | https://doi.org/10.1186/s12889-025-22648-w |
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| author | Sahar Sadeghi Zahra Arab Borzu Shayesteh Shirzadi Shayesteh Jahanfar Yeganeh Ghasem Abadi Melika Taziki |
| author_facet | Sahar Sadeghi Zahra Arab Borzu Shayesteh Shirzadi Shayesteh Jahanfar Yeganeh Ghasem Abadi Melika Taziki |
| author_sort | Sahar Sadeghi |
| collection | DOAJ |
| description | Abstract Background E-health literacy is closely linked to a wide range of health outcomes, encompassing the control of diseases, self-efficacy, and the quality of life concerning health, as well as the attitudes and behaviors exhibited by patients. Therefore, we conducted this study to investigate e-health literacy and examine the relationship between e-health literacy and self-care behaviors in Iranian middle-aged type 2 diabetes. Methods This cross-sectional study was conducted among 313 middle-aged (30–60 years) type 2 diabetics covered by the health care centers of Neyshabur City, Iran, in 2023. They were selected through a stratified random sampling method. Data was gathered using a demographic characteristics questionnaire, a Summary of Diabetes Self-care Activities, and an Electronic Health Literacy scale. Collected data were analyzed using multiple linear regression, t-test, one-way analysis of variance, and chi-square tests by SPSS software version 22, and the significance level was considered 0.05. Results The mean age of the respondents was 48.41 ± 7.1 years. The mean (± SD) of the diabetes Self-care activities was 49.28 (14.9), and the mean (± SD) of e-health literacy was 20.6 (7.78). Most diabetics had low e-health Literacy 192(61.5%). After adjusting for the variables of type of treatment, measuring blood sugar at home, marital status, occupation and economic status, e-health literacy (B = , 0.277, T = 4.5, P < .05) was the statistically significant independent factor associated with diabetes self-care activities. Conclusion Executing educational programs focusing on promoting e-health literacy can increase diabetes self-care activities, increasing overall diabetes’s quality of life. |
| format | Article |
| id | doaj-art-251051fc9e224b8a9acd03f4a7ef0db8 |
| institution | OA Journals |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-251051fc9e224b8a9acd03f4a7ef0db82025-08-20T02:17:10ZengBMCBMC Public Health1471-24582025-04-0125111010.1186/s12889-025-22648-wInvestigating e-health literacy and its relationship with self-care behaviors among Iranian Middle-aged type 2 diabetes: a cross-sectional studySahar Sadeghi0Zahra Arab Borzu1Shayesteh Shirzadi2Shayesteh Jahanfar3Yeganeh Ghasem Abadi4Melika Taziki5Students Research Committee, Neyshabur University of Medical SciencesDepartment of Biostatistics and Epidemiology, School of Health, Zahedan University of Medical SciencesNoncommunicable Diseases Research Center, Neyshabur University of Medical SciencesDepartment of Public Health and Community Medicine, Tufts School of MedicineStudents Research Committee, Neyshabur University of Medical SciencesStudents Research Committee, Neyshabur University of Medical SciencesAbstract Background E-health literacy is closely linked to a wide range of health outcomes, encompassing the control of diseases, self-efficacy, and the quality of life concerning health, as well as the attitudes and behaviors exhibited by patients. Therefore, we conducted this study to investigate e-health literacy and examine the relationship between e-health literacy and self-care behaviors in Iranian middle-aged type 2 diabetes. Methods This cross-sectional study was conducted among 313 middle-aged (30–60 years) type 2 diabetics covered by the health care centers of Neyshabur City, Iran, in 2023. They were selected through a stratified random sampling method. Data was gathered using a demographic characteristics questionnaire, a Summary of Diabetes Self-care Activities, and an Electronic Health Literacy scale. Collected data were analyzed using multiple linear regression, t-test, one-way analysis of variance, and chi-square tests by SPSS software version 22, and the significance level was considered 0.05. Results The mean age of the respondents was 48.41 ± 7.1 years. The mean (± SD) of the diabetes Self-care activities was 49.28 (14.9), and the mean (± SD) of e-health literacy was 20.6 (7.78). Most diabetics had low e-health Literacy 192(61.5%). After adjusting for the variables of type of treatment, measuring blood sugar at home, marital status, occupation and economic status, e-health literacy (B = , 0.277, T = 4.5, P < .05) was the statistically significant independent factor associated with diabetes self-care activities. Conclusion Executing educational programs focusing on promoting e-health literacy can increase diabetes self-care activities, increasing overall diabetes’s quality of life.https://doi.org/10.1186/s12889-025-22648-wHealth LiteracyDiabetes MellitusInformation LiteracyMiddle-agedSelf-care |
| spellingShingle | Sahar Sadeghi Zahra Arab Borzu Shayesteh Shirzadi Shayesteh Jahanfar Yeganeh Ghasem Abadi Melika Taziki Investigating e-health literacy and its relationship with self-care behaviors among Iranian Middle-aged type 2 diabetes: a cross-sectional study BMC Public Health Health Literacy Diabetes Mellitus Information Literacy Middle-aged Self-care |
| title | Investigating e-health literacy and its relationship with self-care behaviors among Iranian Middle-aged type 2 diabetes: a cross-sectional study |
| title_full | Investigating e-health literacy and its relationship with self-care behaviors among Iranian Middle-aged type 2 diabetes: a cross-sectional study |
| title_fullStr | Investigating e-health literacy and its relationship with self-care behaviors among Iranian Middle-aged type 2 diabetes: a cross-sectional study |
| title_full_unstemmed | Investigating e-health literacy and its relationship with self-care behaviors among Iranian Middle-aged type 2 diabetes: a cross-sectional study |
| title_short | Investigating e-health literacy and its relationship with self-care behaviors among Iranian Middle-aged type 2 diabetes: a cross-sectional study |
| title_sort | investigating e health literacy and its relationship with self care behaviors among iranian middle aged type 2 diabetes a cross sectional study |
| topic | Health Literacy Diabetes Mellitus Information Literacy Middle-aged Self-care |
| url | https://doi.org/10.1186/s12889-025-22648-w |
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