Status and path analysis of influencing factors on the health information seeking behavior in elderly patients with chronic diseases

doi:10.3969/j.issn.1674-8115.2022.06.016

Abstract

Abstract: Objective

·To understand the status quo, influencing factors and action paths of health information seeking behavior in elderly patients with chronic diseases.

Methods

·From October 2020 to September 2021, five hundred and two elderly patients with chronic diseases in Ruijin Hospital, Shanghai Jiao Tong University School of Medicine were selected by objective sampling method. General Information Questionnaire, Health Literacy Management Scale (HeLMS), Chronic Disease Self-Efficacy Scale (CDSES), Health Information Seeking Behavior Scale were used. IBM SPSS 26.0 software and Mplus 8.3 software were used for statistics analysis.

Results

·The total average score of health information seeking behavior of elderly patients with chronic diseases was (3.30±0.40) points. The univariate analysis showed that different ages, residence, education, incomes, types of medical insurance, comprehensibility of health information, credibility of health information, self-efficacy, health literacy, and seeking health information for family members had statistically significant differences (all P<0.05). The path analysis results showed that comprehensibility of health information, self-efficacy, health literacy, education, credibility of health information, residence, type of medical insurance, income, and seeking health information for friends and families can directly affect health information seeking behavior, and the direct effects was 0.479, 0.225, 0.197, -0.197, 0.154, 0.145, -0.119, -0.085, 0.070 (all P<0.05). Income, comprehensibility of health information, and health literacy can indirectly affect the health information seeking behavior of elderly patients with chronic diseases through the credibility of health information, and the indirect effects were -0.036, 0.033, 0.032 (all P<0.05).

Conclusions

·The current status of health information seeking behavior among elderly patients with chronic diseases is poor. The most important influencing factor is the understandability of health information, and the main influencing factors are health literacy, self-efficacy, education, credibility of health information, residence, type of medical insurance, income, and seeking health information for friends and family. It is suggested that medical staff should understand the characteristics and influencing factors of health information seeking behavior, strengthen the assessment of health information seeking behavior, and implement timely intervention measures to improve health information seeking behavior of elderly patients with chronic diseases.

Key words: health information seeking behavior, influencing factor, path analysis, chronic disease, the elderly

CLC Number:

R193

CUI Peirong, NI Xueping, ZONG Mingchan, XIN Xiao, JIANG Yulu, LI Xianhua. Status and path analysis of influencing factors on the health information seeking behavior in elderly patients with chronic diseases[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2022, 42(6): 805-812.

Figures/Tables 4

TrendMD

References 28

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Item	n（%）	HISB （x±s）	t/χ²	P
Age			2.126	0.035
<75 years old	409 （81.5）	3.32±0.41
≥75 years old	93 （18.5）	3.23±0.35
Gender			0.300	0.849
Male	223 （44.4）	3.30±0.44
Female	279 （55.6）	3.29±0.37
Marriage			1.298	0.195
Married	455 （90.6）	3.31±0.41
Unmarried or other	47 （9.4）	3.23±0.38
Residence			5.716	0.000
Town	228 （82.9）	3.35±0.38
Country	47 （17.1）	3.05±0.45
Education			47.849	0.000
Elementary school and lower	46 （9.2）	2.76±0.39
Junior high school	140 （27.9）	3.25±0.37
High school or technical secondary school	155 （30.9）	3.33±0.33
College degree and above	161 （32.1）	3.46±0.36
Monthly income			2.168	0.023
<5 000 yuan （CNY）	196 （39.0）	3.27±0.44
≥5 000 yuan （CNY）	306 （61.0）	3.35±0.44
Insurance type			2.160	0.034
New rural cooperative medical insurance	68 （13.5）	3.16±0.58
Urban employee/resident basic medical insurance	434 （86.5）	3.32±0.37
Internet access			1.328	0.185
No	110 （21.9）	3.25±0.41
Yes	392 （78.1）	3.31±0.40
Number of chronic diseases			1.636	0.102
1	186 （37.1）	3.26±0.37
≥2	316 （62.9）	3.32±0.42
Disease duration			1.834	0.068
<5 years	153（30.5）	3.25±0.37
≥5 years	349（69.5）	3.31±0.41
Family history			0.219	0.827
No	278 （55.4）	3.30±0.39
Yes	224 （44.6）	3.29±0.43
Have ever been seeking information for families or friends			3.973	0.000
No	237 （47.2）	3.22±0.39
Yes	265 （52.8）	3.37±0.41
Comprehensibility of health information			－11.220	0.000
No	302 （60.2）	3.15±0.38
Yes	200 （39.8）	3.52±0.33
Credibility of health information			－6.658	0.000
No	273 （54.4）	3.19±0.37
Yes	229 （45.6）	3.42±0.41
Health Literacy			－8.758	0.000
Does not have	373 （74.3）	3.21±0.38
Have	129 （25.7）	3.55±0.38
Self-efficacy			－6.531	0.000
Not good	341 （67.9）	3.22±0.40
Good	161 （32.1）	3.46±0.37

Item	n（%）	HISB （x±s）	t/χ²	P
Age			2.126	0.035
<75 years old	409 （81.5）	3.32±0.41
≥75 years old	93 （18.5）	3.23±0.35
Gender			0.300	0.849
Male	223 （44.4）	3.30±0.44
Female	279 （55.6）	3.29±0.37
Marriage			1.298	0.195
Married	455 （90.6）	3.31±0.41
Unmarried or other	47 （9.4）	3.23±0.38
Residence			5.716	0.000
Town	228 （82.9）	3.35±0.38
Country	47 （17.1）	3.05±0.45
Education			47.849	0.000
Elementary school and lower	46 （9.2）	2.76±0.39
Junior high school	140 （27.9）	3.25±0.37
High school or technical secondary school	155 （30.9）	3.33±0.33
College degree and above	161 （32.1）	3.46±0.36
Monthly income			2.168	0.023
<5 000 yuan （CNY）	196 （39.0）	3.27±0.44
≥5 000 yuan （CNY）	306 （61.0）	3.35±0.44
Insurance type			2.160	0.034
New rural cooperative medical insurance	68 （13.5）	3.16±0.58
Urban employee/resident basic medical insurance	434 （86.5）	3.32±0.37
Internet access			1.328	0.185
No	110 （21.9）	3.25±0.41
Yes	392 （78.1）	3.31±0.40
Number of chronic diseases			1.636	0.102
1	186 （37.1）	3.26±0.37
≥2	316 （62.9）	3.32±0.42
Disease duration			1.834	0.068
<5 years	153（30.5）	3.25±0.37
≥5 years	349（69.5）	3.31±0.41
Family history			0.219	0.827
No	278 （55.4）	3.30±0.39
Yes	224 （44.6）	3.29±0.43
Have ever been seeking information for families or friends			3.973	0.000
No	237 （47.2）	3.22±0.39
Yes	265 （52.8）	3.37±0.41
Comprehensibility of health information			－11.220	0.000
No	302 （60.2）	3.15±0.38
Yes	200 （39.8）	3.52±0.33
Credibility of health information			－6.658	0.000
No	273 （54.4）	3.19±0.37
Yes	229 （45.6）	3.42±0.41
Health Literacy			－8.758	0.000
Does not have	373 （74.3）	3.21±0.38
Have	129 （25.7）	3.55±0.38
Self-efficacy			－6.531	0.000
Not good	341 （67.9）	3.22±0.40
Good	161 （32.1）	3.46±0.37

Item	χ²	χ²/df	TLI	CFI	SRMR	RMSEA
Index	2.601	2.601	0.934	0.997	0.010	0.056
Reference	‒	1－5	>0.90	>0.90	<0.05	<0.08

Item	χ²	χ²/df	TLI	CFI	SRMR	RMSEA
Index	2.601	2.601	0.934	0.997	0.010	0.056
Reference	‒	1－5	>0.90	>0.90	<0.05	<0.08

Variable	Direct effect	Indirect effect	Total effect	Total effect ranking
Seeking health information for friends and families	0.070	‒	0.070	9
Comprehensibility of health information	0.479	0.033	0.512	1
Credibility of health information	0.154	‒	0.154	5
Education	-0.197	‒	-0.197	4
Residence	0.145	‒	0.145	6
Monthly income	-0.085	-0.036	-0.121	7
Insurance type	-0.119	‒	-0.119	8
Self-efficacy	0.225	‒	0.225	3
Health literacy	0.197	0.032	0.230	2