The Associations Among Health-Promoting Lifestyle, eHealth Literacy, and Cognitive Health in Older Chinese Adults: A Cross-Sectional Study.

Author: Li SJ1, Yin YT2, Cui GH3, Xu HL1
Affiliation: <sup>1</sup>Department of Social Medicine and Health Service Management, Xiangya School of Public Health, Central South University, Changsha 410078, China. <sup>2</sup>School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan 250355, China. <sup>3</sup>School of Acupuncture and Tuina, Shandong University of Traditional Chinese Medicine, Jinan 250355, China.
Conference/Journal: Int J Environ Res Public Health.
Date published: 2020 Mar 27
Other: Volume ID: 17 , Issue ID: 7 , Special Notes: doi: 10.3390/ijerph17072263. , Word Count: 208


Background: Healthy lifestyles and health literacy are strongly associated with cognitive health in older adults, however, it is unclear whether this relationship can be generalized to health-promoting lifestyles and eHealth literacy. To date, no research has examined the interactive effect of health-promoting lifestyles and eHealth literacy on cognitive health. Objective: To examine the associations among health-promoting lifestyles, eHealth literacy, and cognitive health in older adults. Methods: Using a stratified cluster sampling method, we conducted a survey with older adults in four districts and two counties in Jinan (China). Older adults (n = 1201; age ≥ 60 years) completed our survey. We assessed health-promoting lifestyles, eHealth literacy, and cognitive health, and collected participants' sociodemographic information. Results: Health-promoting lifestyles and eHealth literacy were significantly and positively associated with cognitive health (both p < 0.01). In addition, eHealth literacy was positively associated with health-promoting lifestyles. Moreover, the interaction of health-promoting lifestyle and eHealth literacy negatively predicted cognitive health (β = -0.465, p < 0.01). Conclusions: Health-promoting lifestyles and eHealth literacy were associated with the cognitive health of Chinese older adults, both independently and interactively. Further, eHealth literacy was associated with health-promoting lifestyles in older adults. Therefore, interventions regarding healthy lifestyles and eHealth literacy would benefit older adults.

KEYWORDS: cognitive health; eHealth literacy; health-promoting lifestyles; older adults

PMID: 32230935 DOI: 10.3390/ijerph17072263