eHealth literacy of patients attending a primary care clinic in Malaysia and its associated factors: A cross-sectional study

Wong, Swee Shiuan and Lim, Hooi Min and Chin, Adrian Jian Zhi and Chang, Felicia Wen Si and Yip, Kah Chun and Teo, Chin Hai and Abdullah, Adina and Ng, Chirk Jenn (2022) eHealth literacy of patients attending a primary care clinic in Malaysia and its associated factors: A cross-sectional study. Digital Health, 8. ISSN 2055-2076, DOI https://doi.org/10.1177/20552076221135392.

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Abstract

BackgroundPeople are overloaded with online health information (OHI) of variable quality. eHealth literacy is important for people to acquire and appraise reliable information to make health-related decisions. While eHealth literacy is widely studied in developed countries, few studies have been conducted among patients in low- and middle-income countries (LMICs). ObjectiveWe aimed to determine the level of eHealth literacy in patients attending a primary care clinic in Malaysia and its associated factors. MethodsA cross-sectional study using a self-administered questionnaire was conducted in an urban primary care clinic. We used a systematic random sampling method to select patients aged 18 years and above who attended the clinic. The eHealth literacy scale (eHEALS) was used to measure eHealth literacy. ResultsA total of 381 participants were included. The mean eHEALS was 24.4 +/- 7.6. The eHEALS statements related to skills in appraising OHI were scored lower than statements related to looking for online resources. Higher education level of attending upper secondary school (AOR 2.53, 95% CI 1.05-6.11), tertiary education (AOR 4.05, 95% CI 1.60-10.25), higher monthly household income of >US$470 (AOR 1.95, 95% CI 1.07-3.56), and those who had sought OHI in the past month (AOR 1.95, 95% CI 1.13-3.36) were associated with a higher eHealth literacy level. ConclusionsThis study found a low eHealth literacy level among primary care patients in Malaysia. While the patients were confident in searching for OHI, they lacked skills in appraising them. Our findings inform the interventions for improving eHealth literacy in LMICs, especially educating the public about OHI appraisal.

Item Type: Article
Funders: None
Uncontrolled Keywords: eHealth literacy; eHealth; Low-and middle-income country; Primary care; Consumer health informatics; Health information
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine > Primary Care Medicine Department
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 27 Oct 2023 02:13
Last Modified: 27 Oct 2023 02:16
URI: http://eprints.um.edu.my/id/eprint/40493

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