Ethics code: IR.KMU.REC.1401.519
1- Ph.D. in Health Information Management, Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
2- Bachelor of Science in Occupational Health Engineering and Safety, Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
3- Master of Science in Health Education and Promotion, Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran , z.khajeh@kmu.ac.ir
4- Master of Science in Software Engineering, Health Foresight and Innovation Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
Abstract: (16 Views)
Background and Aim: Electronic health literacy (eHealth literacy) refers to the ability to search, comprehend, and effectively apply health-related information obtained from digital sources, thereby enabling individuals to make informed decisions regarding their health. In the context of increasing reliance on the internet and online health resources, this skill has become essential for personal and public health. The aim of this study was to evaluate the level of eHealth literacy among adults aged 18 years and older in the city of Kerman, Iran.
Materials and Methods: This cross-sectional, descriptive-analytical study assessed eHealth literacy among 700 adults (≥18 years) in Kerman City. Participants were sampled from different city areas to ensure representativeness. Data were collected using the validated 8-item eHealth Literacy Scale (eHEALS) on a 5-point Likert scale (total score 8–40; higher scores indicate greater literacy). Analyses were performed in SPSS using descriptive statistics (frequency, mean, SD) and inferential tests (Mann–Whitney U and Kruskal–Wallis) to explore associations with demographic variables.
Results: The mean eHealth literacy score was 26.26±6.80, reflecting a moderate level of proficiency. While over half of the participants reported being capable of searching for and utilizing online health resources, less than half possessed the skills required to critically evaluate the quality of such information. The Mann-Whitney U test revealed a significant relationship between gender and eHealth literacy (P=0.002), with women scoring significantly higher than men. Furthermore, the Kruskal–Wallis test demonstrated statistically significant associations between eHealth literacy and age (P<0.001), level of education (P=0.001), employment status (P=0.001), and economic status (P<0.001). So that, higher scores were observed among younger adults (18–40 years), individuals with university education, students, and those with a higher economic status.
Conclusion: The study indicates a moderate level of eHealth literacy among the population, with significant gaps in the ability to evaluate credible sources and use health information confidently. To address these gaps, policymakers should implement infrastructure improvements and public education programs that enhance access to reliable resources, foster critical appraisal skills, and support informed health decision-making.