The relationship among social capital, eHealth literacy and health behaviours in Chinese elderly people: a cross-sectional study

作者：Guanghui Cui, Shaojie Li, Yongtian Yin, Li-jun Chen, Li-jun Chen, Fengyuan Liang, Feng-Yuan Liang, Xinyao Liu, Lei Chen, Lei Chen · 发表于：BMC Public Health · 年份：2021 · DOI：10.1186/s12889-020-10037-4 · 被引用次数：103 · 研究领域：Health Literacy and Information Accessibility、Health disparities and outcomes、Chronic Disease Management Strategies

BACKGROUND: Social capital has been linked to health behaviours, but the underlying mechanism is unclear. Previous studies have found that health literacy played the role of a mediator in the relationships among social capital, individual physical activity and nutrition. But it is not clear whether eHealth literacy mediates the impact of social capital on health behaviours. Therefore, our research aimed to explore the relationships among social capital (structural and cognitive social capital), eHealth literacy, and the health behaviours of elderly people, and to analyse the mediating effect of eHealth literacy, while providing a theoretical basis for a health behaviour intervention for elderly people. METHODS: From January to February 2019, we conducted a cross-sectional survey of 1201 Chinese people aged over 60 years using the Chinese Shortened Social Capital Scale (contains two subscales of structural social capital and cognitive social capital), eHealth Literacy Scale, and Health-Promoting Lifestyle Profile. We used structural equation modelling to test a hypothetical mediation model. RESULTS: The mean scores of social capital was 72.07 (SD = 13.03), 17.24 (SD = 9.34) for eHealth literacy, and 112.23 (SD = 23.25) for health behaviours. Social capital and eHealth literacy were significantly correlated with health behaviours, and social capital and structural social capital were significantly correlated with eHealth literacy. Lastly, eHealth literacy mediated the relations...