대학생의 e헬스 리터러시가 건강증진행위에 미치는 영향 = Influence of eHealth Literacy on Health Promoting Behaviors among University Students

다국어 초록 (Multilingual Abstract)

Purpose. The purpose of this study was to identify the influence of eHealth literacy on health promoting behaviors, thereby providing basic data for the development of interventions for health promoting behaviors among university students. Methods. Data were collected from 242 university students aged 19 and over in a university located in K province in South Korea. Participants responded to structured questionnaires in September 2018. eHealth literacy and health promoting behaviors were measured by eHealth Litaracy (EHL) and a translated version of the Health Promoting Lifestyle Profile (HPLP-Ⅱ), respectively. The correlation between eHealth literacy and health promoting behaviors were analyzed using Pearson's correlation, and multiple regression analysis was carried out to examine the influence of eHealth literacy on health promoting behaviors. Results. The participants had a moderate level of eHealth literacy with the greatest score recorded in the sub-domain of functional eHealth literacy and the lowest in the sub-domain of critical eHealth literacy. Female students and students who majored in healthcare had higher levels of eHealth literacy than male students and those with non-healthcare majors. The degree of health promoting behaviors was moderate or lower with the highest score being in the sub-domain of interpersonal support and the lowest in the sub-domain of health responsibility. Health promoting behaviors had significant relationships with eHealth literacy, exercise hours, subjective health status, and health concerns. Multiple regression analyses revealed that the participants engaged more in health promoting behaviors when they had greater eHealth literacy (β=.18, p <.001), interest in their own health (β=.33, p <.001), exercise hours (β=.18∼.23, p <.001), and subjective health status (β=.17∼.18, p=.007∼.031). Conclusion. In order to facilitate health promoting behaviors of university students, interventions for health promoting behaviors need to be developed including strategies to improve competencies relevant to critical eHealth literacy and to increase exercise hours.

국문 초록 (Abstract)

연구목적. 본 연구의 목적은 대학생의 e헬스 리터러시와 건강증진행위의 수준과 e헬스 리터러시가 건강증진행위에 미치는 영향을 파악하여 대학생들의 건강증진행위 향상을 위한 중재를 개발하는데 기초자료를 제공하고자 함이다. 연구방법. 연구대상자는 19세 이상의 K도에 소재한 일개 대학교에 재학 중인 대학생들이었으며, 총 242명이 구조화된 설문조사에 응답하였다. 자료수집은 2018년 9월에 이루어졌다. 대학생의 e헬스 리터러시는 eHealth Literacy 도구를, 건강증진행위는 Health Promoting Lifestyle Profile (HPLP-Ⅱ)를 번안한 도구를 사용하여 측정하였다. e헬스 리터러시, 건강증진행위와의 관계는 Pearson's correlation으로 분석 하였고, 대학생의 e헬스 리터러시가 건강증진행위에 미치는 영향을 분석하기 위해 다중 회귀분석을 시행하였다. 연구결과. 연구대상자들은 중간정도 수준의 e헬스 리터러시 수준을 보였으며, 하위 영역 중에서는 기능적 영역의 점수가 가장 높았고 비판적 영역에서 가장 낮았다. 여학생의 e헬스 리터러시가 남학생보다 높았고, 보건의료전공 학생들이 비보건의료전공 학생들보다 높았다. 건강증진행위는 중하 수준이었으며, 대인관계 영역에서 가장 높았고, 건강책임 영역에서 가장 낮았다. 건강증진행위는 e헬스 리터러시, 건강관심도, 주관적 건강상태, 일주일 운동 시간과 유의한 상관관계가 있음이 나타났다. 다중회귀분석 결과 대학생들의 건강증진행위에 영향을 미치는 요인은 높은 수준의 e헬스 리터러시(β=.18, p <.001), 건강관심도(β=.33, p <.001), 일주일 운동시간(β=.18∼.23, p <.001)과 주관적 건강상태(β=.17∼.18, p=.007∼.031)인 것으로 나타났다. 결론. 대학생들을 건강증진행위에 참여시키기 위해서는 비판적 영역의 e헬스 리터러시 역량을 향상시키고 운동시간을 증가시키는 중재가 필요하다.

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