Examination of Adolescents' E-Health Literacy Levels in Terms of Internet Usage and Some Variables Related to Covid-19

Öz

Objective: E-Health literacy is important for obtaining accurate health information, promote and encourge health. The aim of this study is to examine of adolescents their internet usage habits, Covid-19 infection status, Covid-19 vaccination status and their views on the Covid-19 vaccine in terms of the e-health literacy levels. Methods: This cross-sectional design study was carried out among to 442 students in a high school in the 2021-2022 academic year. The independent variable of this study is the e-health literacy level of adolescents, the dependent variables are their internet usage habits, Covid-19 infection status, Covid-19 vaccination status and their some views on the Covid-19 vaccine. Results: It was determined that there was a statistically significant difference in the e-Health Literacy Scale mean scores of those who thought that internet use was important and useful in making health-related decisions (respectively 15.630 /0.000; 2,656 / 0.030). There was no statistically significant difference between having had a Covid-19 infection, being vaccinated against Covid-19, and e-Health literacy score averages (respectively 0.534/0.594; 1.032/0.302). Conclusion: According to the research results, we recommend that awareness studies be carried out to increase the e-Health literacy level of the young population and to use digital media efficiently to correct incorrect health information.

Anahtar Kelimeler

• adolescent
• Covid-19
• e-Health literacy
• outbreak
• vaccine

Kaynakça

1. 1.Briones R and De Paed M. Harnessing the Web:How E- Health and E-Health Literacy Iımpact YoungAdults’ Perceptions of Online Health Informatıon.Medicine.2015;4 (2): 1-13
2. 2.Kılıç T. e-Health, Best Practıces; Netherlands.GUJHS.2017; 6(3):203-17.
3. 3.O’Donnell, J. Health Literacy in Canada; a Primerfor Students: Laurie Hoffman-Goetz, Lorie Donelle,and Rukhsana Ahmed. J Canc Educ. 2017;32: 211–212
4. 4.Fleary SA, Joseph P, Pappagianopoulos JE.Adolescent health literacy and health behaviors: Asystematic review. Journal of Adolescence.2018;62:116-27.
5. 5.Daşlı Y, Bakırer A, Mısırlıoğlu A. The Impact of theCovıd-19 Epidemic on Health Literacy: A Field Study. Journal of Economics and Administrative Sciences.2022; 23(2): 585-97
6. 6.Ekinci Y, Tutgun Ünal A, Tarhan NA. LiteratureReview on Digital Health Literacy. BIJAR.2021;4(2):148-65.
7. 7. Robbins T, Hudson S, Ray P, et al. COVID-19: A new digital dawn? Digital Health.2020;6:1-3.
8. 8.Biswas MR, Alzubaidi MS, Shah U, Abd-Alrazaq AA,Shah Z. A Scoping Review to Find Out WorldwideCOVID-19 Vaccine Hesitancy and Its UnderlyingDeterminants. Vaccines (Basel). 2021;9(11):1243.

9. 9.Rosenbaum L. No Cure Without Care — SoothingScience Skepticism. N. Engl. J.Med.2021;384(15):1462–5.
10. 10.Howard-Jones AR, Bowen AC, Danchin M, et al.COVID-19 in children: I. Epidemiology, preventionand indirect impacts. J Pediatr ChildHealth.2022;58(1):39-45.
11. 11.World Health Organization. Recognizingadolescence. Geneva: World Health Organization.http://apps.who.int/adolescent/second-decade/section2/page1/recognizing-adolescence.html. ( 2017 accessed 23.02.2023)
12. 12.Akseer N, Mehta S, Wigle J, et al. Non-communicable diseases among adolescents: currentstatus, determinants, interventions and policies.BMC Public Health.2020;20(1):1908.
13. 13.Naleway AL, Groom HC, Crawford PM, et al(2021). Incidence of SARS-CoV-2 Infection,Emergency Department Visits, and HospitalizationsBecause of COVID-19 Among Persons Aged ≥12Years, by COVID-19 Vaccination Status - Oregon andWashington, MMWR Morb Mortal Wkly Rep.2021;70(46):1608-12.
14. 14.Tümer A, Sümen A. E-health literacy levels ofhigh school students in Turkey: results of a cross-sectional study. Health PromotInt.2022;37(2):daab174.
15. 15.orman CD, Skinner HA. eHEALS: The eHealthLiteracy Scale J Med Internet Res.2006; 8(4):e27.
16. 16.Coskun S, Bebis H. Psychometric evaluation of aTurkısh version of the e-health literacy scale (e-heals) in adolescent. Gülhane Med. J.2015; 57(4):378-84.
17. 17.WHO Coronavirus (COVID-19) Dashboard. WHOCoronavirus (COVID-19) Dashboard WithVaccination Data; https://covid19.who.int.(2021accessed 20.01.2023)
18. 18.American Academy of Pediatric. Covid-19İnfection. Summary of data publicly reported by theCenters for Disease Control and Prevention.https://publications.aap.org/aapnews/news/1362?autologincheck=redirected (2023 accessed20.04.2023)
19. 19.Yıldırım Baş F. The Importance Of Vaccination InThe Pandemia And Covid-19 Vaccination Studies.Med J SDU.2021; (Special Issue-1):245-48.
20. 20.Thakkar PV, Zimmerman KO, Brookhart MA, etal. ABC Science Collaborative. COVID-19 IncidenceAmong Sixth Through Twelfth Grade Students byVaccination Status. Pediatrics.2022;149(5):e2022056230.
21. 21.Coronavirus (Covid-19) Vaccinations. Share ofpeople vaccinated against COVID-19.https://ourworldindata.org/covid-vaccinations.(2023 accessed 06.02.2023)
22. 22.Frenck R W Jr, Klein NP, Kitchin, N, et al. ClinicalTrial Group. Safety, immunogenicity, andefficacy ofthe BNT162b2 COVID-19 vaccine in adolescents. NEngl J Med.2021; 385(3):239–50.
23. 23.Yüksel GH, Topuzoğlu A. Factors Affectıng Antı-Vaccınatıon. ESTUDAM Public Health J. 2019;4:244-58.
24. 24.World Health Organization. Report of the SAGEWorking Group on Vaccine Hesitancy http:// www.who.int/ immuniz ation/sage /meeting s /2014/october/SAGE_working_group_revised_report_vaccine_hesitancy.pdf.(2014 accessed 17.05.2023)
25. 25.Mac Donald NE. SAGE Working Group on VaccineHesitancy. Vaccine Hesitancy: defintion, scope anddeterminants. Vaccine.2015; 33:4161–4.
26. 26.Eyimaya AO, Özdemir F, Tezel A, Apay SE.Determining the healthy lifestyle behaviors and e-health literacy levels in adolescentes. Rev EscEnferm USP.2021; 55:e03742.
27. 27.Gazibara T, Cakic J, Cakic M, Pekmezovic T,Grgurevic A. eHealth and adolescents in Serbia:psychometric properties of eHeals questionnaireand contributing factors to better online healthliteracy. Health Promot Int. 2019;34(4):770-8.
28. 28.Park BK, Nahm ES, Rogers VE, et al. A Facebook-based obesity prevention program for KoreanAmerican adolescents: Usability evaluation. JPHC.2017;31: 57–66.
29. 29.Saygın E, Tolon M, Doğan B, Atalay KD. AResearch On Investigation of E-Health Literacy InThe Covid – 19 Pandemic Period. TİSEJ.2021; 56(3):1559-75.
30. 30.Bin Naeem S, Kamel Boulos M N. COVID-19Misinformation Online and Health Literacy: A BriefOverview. Int J Environ Res PublicHealth.2021;18(15): 8091.