通讯作者: 解东方, xiedf@139.com

DOI：10.12201/bmr.202605.00082

The mediating role of implicit health beliefs in the relationship between household health and e-health literacy among residents in Tibet

• 摘要：目的/意义 探讨内隐健康信念在西藏自治区居民家庭健康与电子健康素养之间的中介作用，为提升西藏自治区居民电子健康素养水平、制定民族地区健康促进策略提供理论依据。方法/过程 基于2024年中国居民心理与行为调查数据，采用多阶段抽样方法选取445例西藏户籍居民为研究对象，运用家庭健康量表、内隐健康信念量表、电子健康素养量表开展问卷调查。采用Pearson相关性分析探讨家庭健康、内隐健康信念与电子健康素养的相关性，运用SPSS PROCESS 3.4.1插件的Model 4结合偏差校正的百分位Bootstrap法（重复抽样5000次）分析内隐健康信念的中介效应。结果/结论 西藏自治区居民家庭健康得分为（38.94±7.21）分，内隐健康信念得分为（23.29±6.37）分，电子健康素养得分为（17.91±3.91）分；Pearson相关性分析显示，家庭健康与电子健康素养呈显著正相关（r=0.638，P＜0.001），电子健康素养与内隐健康信念呈显著正相关（r=0.341，P＜0.001），内隐健康信念与家庭健康呈显著正相关（r=0.354，P＜0.001）；中介效应分析结果显示，内隐健康信念在家庭健康与电子健康素养之间发挥部分中介作用，中介效应值为0.046，95%置信区间为0.012,0.085，不包含0，中介效应占总效应的7.27%。西藏自治区居民家庭健康可直接正向影响电子健康素养，也可通过内隐健康信念的部分中介作用间接正向影响电子健康素养。提升西藏自治区居民电子健康素养可从改善家庭健康水平、塑造积极内隐健康信念双维度入手，制定针对性的健康干预措施。

  关键词： 西藏自治区居民; 家庭健康; 内隐健康信念; 电子健康素养; 中介作用

   

  Abstract: Purpose/Significance To explore the mediating role of implicit health beliefs in the relationship between household health and e-health literacy among residents in Tibet, and to provide theoretical basis for improving the level of e-health literacy among residents in Tibet and formulating health promotion strategies in ethnic regions. Method/Process Based on the 2024 China Residents Psychological and Behavioral Survey data, 445 Xizang household residents were selected as study subjects using a multi-stage sampling method. Questionnaires were conducted using the Family Health Scale, Implicit Health Belief Scale, and E-Health Literacy Scale. Pearson correlation analysis was used to explore the correlations between family health, implicit health beliefs, and e-health literacy. The mediating effect of implicit health beliefs was analyzed using the Model 4 plugin of SPSS PROCESS 3.4.1 combined with the bias-corrected percentile Bootstrap method (repeated sampling 5000 times). Results/Conclusion The health score of Tibetan household residents was (38.94±7.21) points, the implicit health belief score was (23.29±6.37) points, and the e-health literacy score was (17.91±3.91) points. Pearson correlation analysis showed that family health was significantly positively correlated with e-health literacy (r=0.638, P<0.001), e-health literacy was significantly positively correlated with implicit health belief (r=0.341, P<0.001), and implicit health belief was significantly positively correlated with family health (r=0.354, P<0.001). Mediation effect analysis revealed that implicit health belief partially mediated the relationship between family health and e-health literacy, with a mediation effect value of 0.046 (95% confidence interval: 0.012,0.085, excluding 0), accounting for 7.27% of the total effect. The household health of Tibet residents can directly positively influence e-health literacy, and can also indirectly positively influence e-health literacy through the partial mediating role of implicit health beliefs. To improve the e-health literacy of Tibet residents, targeted health intervention measures should be formulated from two dimensions: improving household health levels and shaping positive implicit health beliefs.

  Key words: Tibetan residents; family health; implicit health beliefs; e-health literacy; mediating role

  提交时间：2026-05-23

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• 序号	提交日期	编号	操作
  1	2026-03-16	10.12201/bmr.202605.00082V1	下载

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