eHealth Literacy and Cyberchondria Severity Among Undergraduate Students: Mixed Methods Study

Abstract BackgroundWith the development of the internet, health care websites have become increasingly important by enabling easy access to health information, thereby influencing the attitudes and behaviors of individuals toward health issues. However, few studies have addres...

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Main Author: Wan -Chen Hsu
Format: Article
Language:English
Published: JMIR Publications 2025-02-01
Series:JMIR Formative Research
Online Access:https://formative.jmir.org/2025/1/e63449
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author Wan -Chen Hsu
author_facet Wan -Chen Hsu
author_sort Wan -Chen Hsu
collection DOAJ
description Abstract BackgroundWith the development of the internet, health care websites have become increasingly important by enabling easy access to health information, thereby influencing the attitudes and behaviors of individuals toward health issues. However, few studies have addressed public access to health information and self-diagnosis. ObjectiveThis study investigated the background factors and status of cyberchondria severity among college students by conducting a nationwide sample survey using the Cyberchondria Severity Scale. Further, we explored the perspective of eHealth literacy of those with scores higher than 1 SD from the mean by analyzing their recent experiences using web-based health information. MethodsA nationally representative sample of college students was surveyed, and 802 valid responses were obtained (male: 435/802, 54.2%; female: 367/802, 45.8%; mean age 20.3, SD 1.4 years). The Cyberchondria Severity Scale was used, which consisted of 4 dimensions (increased anxiety, obsessive-compulsive hypochondria, perceived controllability, and web-based physician-patient interaction). Additionally, we recruited 9 volunteers who scored more than 1 SD above the mean for in-depth interviews on their web-based health information–seeking behaviors. ResultsSignificant differences were found across the 4 dimensions of cyberchondria severity (F3,2403PrPPP ConclusionsThe study identified both benefits and risks in college students’ use of web-based health information, emphasizing the importance of critical consciousness and eHealth literacy. Future research should examine how college students move from self-awareness to actionable change and the development of critical health literacy, which are essential for effective digital health engagement.
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spelling doaj-art-27d1b8458dd046b3bb0d16488a092c992025-02-10T16:06:36ZengJMIR PublicationsJMIR Formative Research2561-326X2025-02-019e63449e6344910.2196/63449eHealth Literacy and Cyberchondria Severity Among Undergraduate Students: Mixed Methods Study Wan -Chen Hsuhttp://orcid.org/0000-0001-8193-5139 Abstract BackgroundWith the development of the internet, health care websites have become increasingly important by enabling easy access to health information, thereby influencing the attitudes and behaviors of individuals toward health issues. However, few studies have addressed public access to health information and self-diagnosis. ObjectiveThis study investigated the background factors and status of cyberchondria severity among college students by conducting a nationwide sample survey using the Cyberchondria Severity Scale. Further, we explored the perspective of eHealth literacy of those with scores higher than 1 SD from the mean by analyzing their recent experiences using web-based health information. MethodsA nationally representative sample of college students was surveyed, and 802 valid responses were obtained (male: 435/802, 54.2%; female: 367/802, 45.8%; mean age 20.3, SD 1.4 years). The Cyberchondria Severity Scale was used, which consisted of 4 dimensions (increased anxiety, obsessive-compulsive hypochondria, perceived controllability, and web-based physician-patient interaction). Additionally, we recruited 9 volunteers who scored more than 1 SD above the mean for in-depth interviews on their web-based health information–seeking behaviors. ResultsSignificant differences were found across the 4 dimensions of cyberchondria severity (F3,2403PrPPP ConclusionsThe study identified both benefits and risks in college students’ use of web-based health information, emphasizing the importance of critical consciousness and eHealth literacy. Future research should examine how college students move from self-awareness to actionable change and the development of critical health literacy, which are essential for effective digital health engagement.https://formative.jmir.org/2025/1/e63449
spellingShingle Wan -Chen Hsu
eHealth Literacy and Cyberchondria Severity Among Undergraduate Students: Mixed Methods Study
JMIR Formative Research
title eHealth Literacy and Cyberchondria Severity Among Undergraduate Students: Mixed Methods Study
title_full eHealth Literacy and Cyberchondria Severity Among Undergraduate Students: Mixed Methods Study
title_fullStr eHealth Literacy and Cyberchondria Severity Among Undergraduate Students: Mixed Methods Study
title_full_unstemmed eHealth Literacy and Cyberchondria Severity Among Undergraduate Students: Mixed Methods Study
title_short eHealth Literacy and Cyberchondria Severity Among Undergraduate Students: Mixed Methods Study
title_sort ehealth literacy and cyberchondria severity among undergraduate students mixed methods study
url https://formative.jmir.org/2025/1/e63449
work_keys_str_mv AT wanchenhsu ehealthliteracyandcyberchondriaseverityamongundergraduatestudentsmixedmethodsstudy