RESUMO
{L-End}Objective To analyze the current status of e-health literacy (e-HL) among college students and its influencing factors based on the Anderson model. {L-End}Methods A total of 7 230 college students from Guangdong Province, Hebei Province, Jiangsu Province and other places were selected as the study subjects using the convenient sampling method based on the theoretical framework of the Anderson model. The e-HL level, anxiety symptoms and depression symptoms were investigated using the e-Health Literacy Scale, the 7-item Generalized Anxiety Scale and the Patient Health Questionnaire-9 items. {L-End}Results The score of e-HL was (29.2±6.7), with the pass rate of 42.8%. The result of multiple linear regression analysis showed that college students with lower class rank, higher average monthly family income, better online health information judgment ability, and lower degree of depression symptoms had higher e-HL level (all P<0.01). College students living in urban areas had higher e-HL levels than those living in rural areas (P<0.01). College students who engaged in regular physical exercise had higher e-HL levels than those who did not (P<0.01). College students with mild anxiety symptoms had lower e-HL levels than those without anxiety symptoms (P<0.01). {L-End}Conclusion The e-HL level of college students needs to be improved. From the perspective of the Anderson model, predisposing characteristics (class grade ranking), resources (place of residence, online health information judgment ability, regular physical exercise), demand factors (anxiety symptoms, depression symptoms) affect the level of e-HL of college students.
RESUMO
The Anderson model was founded in 1968, based on the three initial components of predisposing characteristics,enabling resources and need as its original components.It has been modified and improved for five times since then by increasing measurement index,adjusting structure,expanding path relation,and transforming a-nalysis path,to become a complete theoretical model and the feasibility of empirical research finally.The Anderson Model was widely recognized by the international academia,and used in the field of healthcare services research in U-nited States and Europe as a theoretical model for analyzing the main influence factors of utilization behavior of health service,such as individual medical choice, medical costs, disease screening, drug use etc.This paper aimed to summarize the development and the usage of the model in foreign countries.It will be not only be helpful to the theo-retical and applied research in the field of healthcare in China, but also be helpful to improving the medical and health policy and designing the questionnaire in the National Health Service Survey.