The Mediating Effect of E-Health Literacy on the Relationship between Self-Perceived Aging and Use of Smart Medical Services Among Elderly Patients

BAO Manzhen; YANG Xiyao; TANG Xia; ZHANG Miao; REN Juan; TAI Anting; LIU Li; ZOU Rong; XU Jinfeng; ZHANG Fengqin

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Journal of Hunan Normal University(Medical Science) ›› 2025, Vol. 22 ›› Issue (5) : 238-242.

The Mediating Effect of E-Health Literacy on the Relationship between Self-Perceived Aging and Use of Smart Medical Services Among Elderly Patients

BAO Manzhen¹, YANG Xiyao¹, TANG Xia², ZHANG Miao¹, REN Juan¹, TAI Anting¹, LIU Li³, ZOU Rong⁴, XU Jinfeng⁵, ZHANG Fengqin⁶

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Abstract

Objective This study aims to explore the mediating effect of electronic health literacy on the relationship between self-perceived aging and the use of smart medical services among older patients. Methods A cross-sectional survey was conducted among 2 266 elderly outpatients who were randomly selected from six tertiary hospitals in Anhui Province. Descriptive statistics and Bootstrap mediation analysis were employed to investigate the relationships between self-perceived aging, electronic health literacy, and the utilization of smart medical services. Results Electronic health literacy was positively correlated with the use of smart health services (r=0.626, P<0.01), while self-perceived aging was negatively correlated with the use of smart health services (r=-0.247, P<0.01). Furthermore, electronic health literacy was found to partially mediate the relationship between self-perceived aging and the use of smart medical services, accounting for 60.32% of the total effect. Conclusion Electronic health literacy plays a significant mediating role in the association between self-perceived aging and the utilization of smart medical services among older patients.

Key words

electronic health literacy / self-perceived aging / intelligent outpatient service / mediating effect

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BAO Manzhen, YANG Xiyao, TANG Xia, ZHANG Miao, REN Juan, TAI Anting, LIU Li, ZOU Rong, XU Jinfeng, ZHANG Fengqin. The Mediating Effect of E-Health Literacy on the Relationship between Self-Perceived Aging and Use of Smart Medical Services Among Elderly Patients[J]. Journal of Hunan Normal University(Medical Science). 2025, 22(5): 238-242

References

[1] 赵芳, 李雪, 王磊. 智慧医疗服务在老年群体中的应用障碍及对策研究[J]. 中国卫生信息管理杂志, 2021, 18(3): 345-350.
[2] 杨顺舟, 仇永贵, 黄翔, 等. 某医院门急诊信息化应用实践与效果评价[J]. 中国医院, 2024, 28(05): 75-77.
[3] 张丽, 吴昊. 自我感知老化与老年人健康技术使用意愿的关系研究[J]. 中华老年医学杂志, 2021, 40(12): 1567-1572.
[4] SUN N, XU Z, HUA CL, et al.Self-perception of aging and perceived medical discrimination[J]. J Am Geriatr Soc, 2023, 71(10): 3049-3058.
[5] 李林, 吴君娴, 张思思, 等. 自我感知老化在社区慢性病共病老年人社会疏离与健康促进行为间的中介作用[J]. 现代预防医学, 2025, 52(02): 286-291.
[6] 郝云, 陶立翠, 祝聪慧, 等. 健康赋权教育对中老年慢性病病人健康管理行为的影响[J]. 全科护理, 2024, 22(21): 4070-4073.
[7] PURCELL DJ, CAVANAUGH G, THOMAS-PURCELL KB, et al.e-Health Literacy Scale, Patient Attitudes, Medication Adherence, and Internal Locus of Control[J]. Health Lit Res Pract, 2023, 7(2): e80-e88.
[8] FANG X, DENG M, ZHANG W, et al.The bidirectional association between self-perceptions of aging and frailty: the mediating role of subjective cognitive decline[J]. BMC Geriatr, 2024, 24(1): 985.
[9] 扈娜, 孟令弟, 刘堃. 简版自我感知老化量表在社区老年人中应用的信效度研究[J]. 现代预防医学, 2018, 45(04): 655-658, 682.
[10] 叶钦, 张丽, 李杨, 等. 自我感知老化对老年人健康结局影响的研究进展[J]. 中国健康教育, 2021, 37(1): 88-92.
[11] 谭丘羽, 邓一芯, 冀婉倩, 等. 农村老年人自我刻板化与主观记忆抱怨在自我感知老化与痴呆恐惧间的链式中介效应[J]. 护理学报, 2025, 32(01): 56-62.
[12] 周宁, 孙俊俊, 罗艳艳, 等. 内在能力在社区老年人家庭功能和自我感知老化间的中介作用[J]. 中国健康心理学杂志, 2024, 32(05): 686-693.
[13] 杨青建, 辛小林, 李响, 等. 自我感知老化在农村老年人数字健康素养和技术焦虑间的中介效应[J]. 现代预防医学, 2024, 51(03): 471-475.
[14] 杨欣微, 林锦霞. 血液透析患者电子健康素养与透析充分性的相关性研究[J]. 中国卫生标准管理, 2024, 15(10): 189-193.
[15] 吴盛忠, 高点, 王冬. 健康体检人群的电子健康素养现状及影响因素[J]. 实用医学杂志, 2022, 38(9): 1141-1146.
[16] 阮婷婷, 唐芳. 湖南省高职老年服务专业大学生电子健康素养及健康危害行为现状调查[J]. 中国高等医学教育, 2024(01): 52-54.
[17] 玉仁如, 廖文江, 车玲, 等. 武汉市非医学专业大学生电子健康素养现状及影响因素分析[J]. 职业与健康, 2024, 40(03): 375-380.
[18] 吴超凡, 俞郑, 魏中原, 等. 农村中老年慢性病患者家庭功能对健康素养的影响研究——自我效能的中介作用[J]. 中国卫生事业管理, 2024, 41(8): 905-909.