Path analysis of the influence of digital health literacy on self-management behaviour among elderly patients with chronic diseases in rural China

作者：Xuefang Liu, Xiaomin Gan, Guiying Ren, Zhongrui Mao, Jiuying Hu, Chengcheng Sha, Juan Wu · 发表于：BMC Geriatrics · 年份：2025 · DOI：10.1186/s12877-025-05952-3 · 被引用次数：10 · 研究领域：Health Literacy and Information Accessibility、Diabetes Management and Education、Mobile Health and mHealth Applications

BACKGROUND: Chronic disease self-management is very important for the progression and treatment of diseases worldwide. The management of chronic diseases among elderly individuals in rural areas is an urgent public health concern in China. The purpose of this study was to investigate the relationship between digital health literacy and chronic disease self-management behaviour in elderly Chinese patients with chronic diseases in rural areas, as well as the chain mediating effects of social support and depression. The objective was to provide a scientific basis for improving the active health behaviour of rural elderly patients with chronic diseases in China and worldwide. METHODS: Using convenience sampling, the survey subjects were elderly patients with chronic diseases in rural areas of Anhui Province, China. A self-designed questionnaire was used to collect general survey data, digital health literacy scale scores, social support scale scores, depression scale scores, and chronic disease self-management behaviour scale scores. Common method bias tests, descriptive statistics and correlation analyses were performed via SPSS 29.0. The structural equation model was constructed and tested via AMOS 27.0. Differences for which p < 0.05 were considered statistically significant. RESULTS: In all, 202 elderly patients with chronic diseases who resided in rural areas were enrolled. The digital health literacy score was 39.25 ± 9.00, and the chronic disease self-management behaviour ...