hbd Hemşirelik Bilimi Dergisi 2636-8439 Aydın Adnan Menderes Üniversitesi 10.54189/hbd.1701386 Public Health Nursing Fundamentals of Nursing Halk Sağlığı Hemşireliği Hemşirelik Esasları Üniversite Öğrencilerinde Sağlık Okuryazarlığı, Siberkondri Ciddiyeti ve İlişkili Faktörlerin İncelenmesi Examination of Health Literacy, Cyberchondria Severity, and Related Factors Among University Students https://orcid.org/0000-0002-1321-4337 Bakanoğlu Kalkavan Emek DOĞUŞ ÜNİVERSİTESİ https://orcid.org/0009-0005-2556-0084 Özcan Asude ISTANBUL GEDIK UNIVERSITY https://orcid.org/0009-0008-5727-0622 Çelen Buse ISTANBUL GEDIK UNIVERSITY https://orcid.org/0009-0009-8603-145X Acar Hayriye Nur ISTANBUL GEDIK UNIVERSITY 04 25 2026 9 1 81 95 05 17 2025 09 23 2025 Copyright © 2018, Hemşirelik Bilimi Dergisi 2018 Hemşirelik Bilimi Dergisi

Amaç: Araştırma, üniversite öğrencilerinde sağlık okuryazarlığı, siberkondri ciddiyeti ve ilişkili faktörlerin incelenmesi amacıyla yapılmıştır.Yöntem: Araştırma tanımlayıcı ve kesitsel tipte olup, rastlantısal örnekleme yöntmiyle seçilen 396 öğrenci ile yürütülmüştür. Veriler, kişisel bilgi formu, Türkiye Sağlık Okuryazarlığı Ölçeği (TSOY-32) ve Siberkondri Ciddiyet Ölçeği kullanılarak çevrimiçi ve yüzyüze görüşme tekniği kullanılarak toplanmıştır. Analizler SPSS 26 programında, bağımsız gruplarda t testi ve ANOVA ile yapılmıştır. Bulgular: TSOY-32 ortalaması 35,16±8,37, Siberkondri Şiddet Ölçeği ortalaması ise 80,78±22,54 bulunmuştur. Sağlık durumlarını “çok iyi” olarak değerlendiren öğrencilerin THLS-32 puanları, kendi değerlendirmelerine göre sağlık durumu, hastalandıklarında sergiledikleri ilk sağlık davranışı, son bir yıl içindeki doktor/hastane ziyaret sayısı ve e-sağlık uygulamaları ile sağlık kurumlarının web sitelerinin kullanımı gibi değişkenler açısından, sağlık durumlarını “orta” veya “iyi” olarak değerlendiren öğrencilerin puanlarından istatistiksel olarak anlamlı derecede yüksekti (p

Objective: This study was conducted to examine health literacy, cyberchondria severity, and related factors among university students.Methods: This descriptive, cross-sectional study included 396 university students determined by ‘Random Sampling Method’. Data were collected using the Personal Information Form, the Turkish Health Literacy Scale (THLS-32), and the Cyberchondria Severity Scale, through online and face-to-face methods. Data were analyzed using SPSS 26, and independent samples t-test and ANOVA were applied.Results: The mean score of THLS-32 was 35.16±8.37, and the the Cyberchondria Severity Scale mean score was 80.78±22.54. The THLS-32 scores of the students who evaluated their health as very good were significantly higher than those who evaluated it as fair or good across variables including self-rated health status, initial health behaviour when ill, number of doctor/hospital visits in the last year, and use of e-health applications and health institution websites (p

 College Students Cyberchondria Health Literacy Sağlık Okuryazarlığı Siberkondri Üniversite Öğrencileri Supported by TUBITAK 2209-A University Students Research Projects Support Program. Project no: 1919B012218004 1919B012218004 Ahmad I, Taimur H, Shabbir S, Shabbir CA, Ahsan A, Ahmad HS, et al. (2024). Examining communicative, critical health literacy and ehealth literacy among international university students residing in Japan. In Healthcare, 12-9, 941. MDPI. doi:10.3390/healthcare12090941 Aulia A, Marchira CR, Supriyanto I, Pratiti B. (2020). Cyberchondria in first year medical students of Yogyakarta. Journal of Consumer Health on the Internet, 24(1), 1-9. doi:10.1080/15398285.2019.1710096 Avcı Isik S, Cagli C. (2023). Determining the relationship between nursing students’ cardiovascular diseases risk factors knowledge levels and health literacy levels. Health and Society, 33(3), 170-182. Aydın Kartal Y, Kaya L. (2021). Investigation of cyberchondria levels and affecting factors of midwifery students in the COVID-19 pandemic. Journal of Samsun Health Science, 6(3), 541-555. doi:10.47115/jshs.969748 Bahadir O, Dündar C. (2024). The impact of online health information source preference on intolerance to uncertainty and cyberchondria in a youthful generation. Indian Journal of Psychiatry, 66(4), 360-366. doi:10.4103/indianjpsychiatry.indianjpsychiatry715_23 Bati AH, Mandiracioglu A, Govsa F, Cam O. (2018). Health anxiety and cyberchondria among Ege University health science students. Nurse Education Today, 71, 169-173. doi: 10.1016/j.nedt.2018.09.029 Canal DJ, Soler RS, Porquet AB, Vernay M, Blanchard H, Noguer CB. (2020). Health literacy among health and social care university students. International Journal of Environmental Research and Public Health, 17, 2273. doi:10.3390/ijerph17072273 Chen X, Hay JL, Waters EA, Kiviniemi MT, Biddle C, Schofield E, et al. (2018). Health literacy and use and trust in health information. Journal of Health Communication, 23, 724-734. doi:10.1080/10810730.2018.1511658 Cheong KY, Syed Mahmud SMB, Chng NW, Kwek GJ, Yan CC, Yeung MT. (2024). Cross-sectional survey of health literacy among health science students in Singapore. The Journal of Medicine Access, 8, 27550834231222382. doi:10.1177/27550834231222382 Dagar D, Kakodkar P, Shetiya SH. (2019). Evaluating the cyberchondria construct among computer engineering students in Pune (India) using Cyberchondria Severity Scale (CSS-15). Indian Journal of Occupational and Environmental Medicine, 23(3), 117-120. doi: 10.4103/ijoem.IJOEM_217_19 Deniz S. (2020). A study on the e-health literacy and cyberchondria levels of individuals. Insan ve Insan, 7(24), 84-96. doi:10.29224/insanveinsan.674726 Doganyigit PB, Keceligil HT. (2022). The Effect of individuals health anxiety on cyberchondry during the COVID-19 pandemic. Manisa Celal Bayar University Journal of Instutue of Health Science, 9(3), 355-362. doi:10.34087/cbusbed.1021471 Dolezel D, Shanmugam R, Morrison EE. (2018). Are college students’ health literate? J Am Coll Heal, 17, 1–8. doi:10.1080/07448481.2018.1539001 Elciyar K, Tasci D. (2017). Application of Cyberchondria Severity Scale to the students of Anadolu University Communication Faculty. Abant Journal of Culturel Studies, 2(4), 57-70. Ickes MJ, Cottrell R. (2010). Health literacy in college students. J Am Coll Heal, 58(5), 491-8. doi:10.1080/07448481003599104 Jungmann SM, Witthöft M. (2020). Health anxiety, cyberchondria, and coping in the current COVID-19 pandemic: Which factors are related to coronavirus anxiety? Journal of Anxiety Disorders, 73,102239. doi: 10.1016/j.janxdis.2020.102239 Kaynak S, Arat N, Yardimci F, Senol S, Bal Yilmaz H. (2019). The relationship between E-health literacy level and clinical decision-making skills of nursing students. EGEHFD, 38(3), 229-237. doi:10.53490/egehemsire.1100418 Kayupova G, Takuadina A, Bolatova Z, Dauletkaliyeva Z, Yerdessov N, Nukeshtayeva K, et al. (2024). General, vaccination, navigational and digital health literacy of students enrolled in different medical and health educational programs. In Healthcare, 12(9), 907. doi:10.3390/healthcare12090907 Mancuso JM. (2009). Assessment and measurement of health literacy: An integrative review of literature. Nursing and Health Sciences, 11, 77-89. doi:10.1111/j.1442-2018.2008.00408.x Martin P, Cousin L, Gottot S, Bourmaud A, de La Rochebrochard E, Alberti C. (2020). Participatory interventions for sexual health promotion for adolescents and young adults on the internet: Systematic review. J Med Internet Res, 22, 15378. doi:10.2196/15378 Mas FS, Jacobson HE, Dong Y. (2014). Health literacy level of Hispanic college students. South Med J, 107(2), 61-5. doi:10.1097/SMJ.0000000000000050 McElroy E, Shevlin M. (2014). The development and initial validation of the Cyberchondria Severity Scale (CSS). Journal of anxiety disorders, 28(2), 259-265. doi: 10.1016/j.janxdis.2013.12.007 McKinnon KA, HY Caldwell P, Scott KM. (2020). How adolescent patients search for and appraise online health information: A pilot study. J Paediatrics Child Health, 56, 1270-6. doi:10.1111/jpc.14918 Nayır D. (2023). Investigation of the relationship between health anxiety and cyberchondria in nurses during the COVID-19 pandemic period. (Master's thesis). Biruni University Graduate Education Institute, Istanbul. Nutbeam D, Levin-Zamir D, Rowlands G. (2018). Health literacy in context. International Journal of Environmental Research and Public Health, 15, 2657. doi:10.3390/ijerph15122657 Okur E, Evcimen H, Yagci Senturk A. (2021). Examination of health literacy levels of students of health services school. STED, 30(1), 18-24. doi:10.17942/sted.629676 Okyay P, Abacıgil F. (2016). Turkey Health Literacy Scale’s reliability and validity study. T.C. Ministry of Health, 19-75. Patterson SP, Hilton S, Flowers P, McDaid LM. (2019). What are the barriers and challenges faced by adolescents when searching for sexual health information on the internet? Implications for policy and practice from a qualitative study. Sex Transm Infect, 95, 462-7. doi:10.1136/sextrans-2018-053710 Ramezankhani A, Ghafari M, Rakhshani F, Ghanbari S, Azimi S. (2015). Comparison of health literacy between medical and non-medical students in Shahid Beheshti Universities in the academic year 92-93. Pajoohandeh J, 20(2), 78-85. Savkin R, Guven I, Buker N. (2022). Health literacy and cyberchondria levels in healthcare workers and their relationship with body awareness and physical activity. Medical Bulletin of Haseki, 60, 351-357. doi: 10.4274/haseki.galenos.2022.8258 Shailaja B, Shetty V, Chaudhury S, Thyloth M. (2020). Exploring cyberchondria and its associations in dental students amid COVID-19 infodemic. Industrial Psychiatry Journal, 29(2), 257-267. doi: 10.4103/ipj.ipj_212_20 Sharma S, Oli N, Thapa B. (2019). Electronic health–literacy skills among nursing students. Advances in Medical Education and Practice, 10, 527-532. doi:10.2147/AMEP.S207353 Sharot T, Sunstein CR. (2020). How people decide what they want to know. Nat Hum Behav, 4, 14-9. doi:10.1038/s41562-019-0793-1 Starcevic V. (2017). Cyberchondria: Challenges of problematic online searches for health-related information. Psychoter Psychosom, 86, 129-33. doi:10.1159/000465525 Sukys S, Cesnaitiene VJ, Ossowsky ZM. (2017). Is health education at university associated with students’ health literacy? Evidence from cross-sectional study applying HLS-EU-Q. Biomed Research International, 1. doi:10.1155/2017/8516843 Tarhan N, Tutgun Unal A, Ekinci Y. (2021). New generation disease cyberchondria: relationship between cyberchondria and health literacy of generations in the new media age. OPUS International Journal of Society Researches, 17(37), 4253-4297. doi:10.26466/opus.855959 Tastan Gurkan A, Ozdelikara A, Inanlı TK. (2023). The relationship between e-health literacy and cyberchondria in nursing students. Journal of University Research, 6(4), 474-480. doi:10.32329/uad.1364668 Teken MT. (2003). Evaluation of cyberchondry and health literacy levels in patients applied to a unıversity hospital. (Thesis MSc, Faculty of Medicine). Necmettin Erbakan University, Meram Faculty of Medicine, Konya. Tugut N, Yılmaz A, Çelik BY. (2021). The relationship between nursing students' health literacy levels and healthy lifestyle behaviors. Journal of Cumhuriyet University Health Sciences Institute, 6(2), 120-128. doi:10.51754/cusbed.911936 Turan N, Guven Ozdemir N, Culha Y, Ozdemir Aydin G, Kaya H, Asti T. (2021). The effect of undergraduate nursing students’ e-Health literacy on healthy lifestyle behaviour. Global Health Promotion, 28(3), 6-13. doi:10.1177/1757975920960442 Uzun SU, Zencir M. (2022). Cyberchondria and associated factors among university staff. ESTÜDAM Public Health Journal, 7(2), 257-268. doi:10.35232/estudamhsd.1027589 World Health Organization [WHO]/PAHO (2009). Proyecto DDT/PNUMA/GEF/OPS, Programa Regional de Acción y Demostración de Alternativas de Control de Vectores de la Malaria sin el uso del DDT en México y Centroamérica. (Date of Access: 15.05.2024) https://www.who.int/teams/health-promotion/enhanced-wellbeing/seventh-global-conference/health-literacy Yazıcıoğlu Y, Erdoğan S. (2004). SPSS Applied scientific research methods. Ankara: Detay Publishing. Yilmaz A, Saygili M, Kaya M. (2020). Determining of e-health literacy levels of students of the faculty of health sciences. Mehmet Akif Ersoy University Journal of Social Sciences Institute, 11, 148-157. doi:10.20875/makusobed.585984 Zakar R, Iqbal S, Zakar MZ, Fischer F. (2021). COVID-19 and health information seeking behavior: Digital health literacy survey amongst university students in Pakistan. International Journal of Environmental Research and Public Health, 18, 4009. doi:10.3390/ijerph18084009