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Article Abstract
Objectives: To investigate factors associated with the acceptance of healthcare services with risks among Chinese public.
Study Design: This national cross-sectional study used data from the 2023 Psychology and Behavior Investigation of Chinese Residents.
Methods: Structural equation modelling was used to analyse the chain-mediated pathways of e-health literacy acting through general risk propensity and self-efficacy on the acceptability of five risky healthcare services (COVID-19 vaccine booster shots, mixed vaccination with COVID-19 vaccine, telemedicine, internet-based home care, and brain-computer interface technology). Subgroup analyses were performed by gender, region, and age.
Results: Mean acceptance ratings for the five services ranged from 53.01 to 65.62. eHealth literacy was positively associated with self-efficacy, general risk propensity, and acceptance of five services (r = 0.012-0.048, P < 0.05). General risk propensity was positively associated with mixed vaccination with COVID-19 vaccine, telemedicine, and brain-computer interface technology (r = 0.009 to 0.041, P < 0.05). After adjusting for covariates, the correlation between general risk propensity and acceptance of the COVID-19 vaccine booster shots and telemedicine was non-significant. eHealth literacy had a significant positive effect on five services, self-efficacy, and general risk propensity (P < 0.05). Subgroup analyses showed that self-efficacy and general risk propensity acted as mediators in the relationship between e-health literacy and acceptance of four health services in addition to the mixed neocoronary vaccine in both male and urban populations.
Conclusions: This finding shows general risk propensity and self-efficacy mediate the link between eHealth literacy and risky healthcare acceptance, deepening understanding and providing practical guidance for promoting innovative healthcare services in China.
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| http://dx.doi.org/10.1016/j.puhe.2025.105891 | DOI Listing |
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