Journal of Shanghai Jiao Tong University (Medical Science) >

2022 , Vol. 42 >Issue 6: 805 - 812

DOI: https://doi.org/10.3969/j.issn.1674-8115.2022.06.016

Public health

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

  • Peirong CUI ,
  • Xueping NI ,
  • Mingchan ZONG ,
  • Xiao XIN ,
  • Yulu JIANG ,
  • Xianhua LI
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  • 1.Shanghai Jiao Tong University School of Nursing, Shanghai 200025, China
    2.Nursing Quality Control Office, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
    3.Department of Oncology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
    4.Outpatient Office, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
LI Xianhua, E-mail: eliana2005@126.com.

Received date: 2022-01-17

  Accepted date: 2022-05-02

  Online published: 2022-08-19

Supported by

Special Fund for the Construction of Nursing Plateau Discipline of Shanghai Jiao Tong University School of Nursing(hlgy16031kygg)

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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

Cite this article

Peirong CUI , Xueping NI , Mingchan ZONG , Xiao XIN , Yulu JIANG , Xianhua LI . 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 . DOI: 10.3969/j.issn.1674-8115.2022.06.016

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