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作者

Zhang Huifang Zhang Xindan Ma Xingli Fan Boyang Wang Yingjie Zhang Ao Sun Wenning Yu Haining Wang Haipeng

作者单位

Shandong University；Shandong First Medical University and Shandong Academy of Medical Sciences

刊名

全球健康研究与政策

年份

2025

卷号

第10卷

期号

第7期

关键词

Cancer cognition Cancer prevention consciousness E-health literacy Mediation Rural residents

摘要

Background Cancer prevention is a critical public health challenge in China, especially among rural residents. This study aimed to examine the mediating role of cancer cognition in the relationship between e-health literacy and cancer prevention consciousness. Methods A multi-stage stratified random sampling method was used to recruit 486 rural residents from Shandong Province for a questionnaire survey. Data from 453 valid responses were analyzed using descriptive statistics, univariate and mul...更多

Background Cancer prevention is a critical public health challenge in China, especially among rural residents. This study aimed to examine the mediating role of cancer cognition in the relationship between e-health literacy and cancer prevention consciousness. Methods A multi-stage stratified random sampling method was used to recruit 486 rural residents from Shandong Province for a questionnaire survey. Data from 453 valid responses were analyzed using descriptive statistics, univariate and multiple linear regression. Path analysis was used to examine the mediating role of cancer cognition in the relationship between e-health literacy and cancer prevention consciousness. Results The mean score of cancer prevention consciousness among rural residents in this study was 7.46 out of a maximum of 10. Regression analysis showed that e-health literacyand cancer cognitioninfluenced cancer prevention consciousness. Gender and the perceived necessity of cancerrelated knowledge were also influencing factors. The direct effect value of e-health literacy on cancer prevention consciousness was 0.155, which accounted for 84.87% of the total effect. The indirect effect value through cancer cognition level is 0.028, accounting for 15.13% of the total effect. Conclusions We found an above-average level of cancer prevention consciousness among the rural residents. E-health literacy can enhance the consciousness among individuals by increasing their cancer cognition. Policymakers should leverage e-health technologies to strengthen residents' capacity to understand cancer-related information, with culturally tailored interventions further supporting effective prevention and global health efforts.收起

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