Assessing eHealth Literacy and Identifying Factors Influencing Its Adoption Among Cancer Inpatients: A Cross-Sectional Study in Guangdong Population

Patient Prefer Adherence. 2023 Jun 21:17:1477-1485. doi: 10.2147/PPA.S409730. eCollection 2023.

Abstract

Purpose: The purpose of this study was to investigate the current state of eHealth literacy among cancer patients in a grade A tertiary hospital in Guangzhou, Guangdong Province, and to identify the factors that influence it, in order to provide a basis for improving the eHealth literacy of cancer patients.

Patients and methods: From September to November 2021, a convenience sampling method was employed to survey cancer patients in the oncology department of a grade A tertiary hospital in Guangzhou, using a self-administered general information questionnaire and the eHealth literacy scale (eHEALS). A total of 130 questionnaires were distributed, and 117 valid questionnaires were returned.

Results: The mean total score of eHealth literacy among cancer patients was 21.32±8.35. Multiple linear regression analysis revealed that the frequency of searching for health information and education level were significant factors influencing eHealth literacy (p<0.05). Specifically, the education level (junior high school vs primary school or below) was found to have a significant association with eHealth literacy (beta=0.26, p=0.039).

Conclusion: The results of this study suggest that the eHealth literacy of cancer patients is relatively low, with low scores on the dimensions of judgment and decision-making ability. The government and relevant regulatory authorities should focus on strengthening the reliability of online health information and implementing targeted e-interventions to enhance the eHealth literacy of cancer patients.

Keywords: eHEALS; health literacy; information seeking behavior; neoplasms.

Grants and funding

This work was supported by the National Natural Science Foundation of China (81972319, 81903405), the Guangzhou Basic and Applied Basic Research Foundation (SL2022A04J01951), and the Natural Science Foundation of Guangdong Province (2021A1515010003), Southern Medical University Center for World Health Organization Studies, The 14th Five-Year Plan for the Development of Philosophy and Social Sciences of Guangzhou (2022GZGJ57) and the General Project of Basic and Applied Basic Research of Guangzhou Basic Research Program (Doctoral Young Scientist Category) (2023A04J2267).