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Data Analysis and Knowledge Discovery  2019, Vol. 3 Issue (4): 13-21    DOI: 10.11925/infotech.2096-3467.2018.1026
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The Inhibition Effect of Health Literacy on Health Risk Under the Internet Environment: An Empirical Study of Chronic Diseases Based on CHNS Data
Shijie Song1,Yuxiang Zhao2(),Wenting Han3,Qinghua Zhu1
1School of Information Management, Nanjing University, Nanjing 210023, China
2School of Economics & Management, Nanjing University of Science and Technology, Nanjing 210094, China
3School of Management & Engineering, Nanjing University, Nanjing 210093, China
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Abstract  

[Objective] To explore the impact of health literacy on health risks and its implications for national health improvement under the Internet environment. [Methods] First, we reviewed the inhibition effect of health literacy on health risk and posited the related hypotheses. Then we estimated the effect of Internet environment on health literacy by using counterfactual design and propensity score matching methods. Finally, the quantile regression approach was used to estimate the heterogeneity inhibition effect of health literacy on health risk. [Results] The results of empirical study showed that individuals exposed on Internet environment are more likely to have higher health literacy, and individuals with higher health literacy could inhibit the health risks of chronic diseases. [Limitations] Due to the constraints of secondary data, this study can't further investigate the micro cognitive mechanism on how the health literacy can inhibit the health risk. [Conclusions] Based on the empirical results, we proposed some political implications from multiple perspectives such as information environment improvement, health literacy training, and health risk identification to facilitate the realization of the “Healthy China” national strategy.

Key wordsInformation Environment      Health Literacy      Health Risk      Propensity Score Matching      Quantile Regression     
Received: 17 September 2018      Published: 29 May 2019

Cite this article:

Shijie Song,Yuxiang Zhao,Wenting Han,Qinghua Zhu. The Inhibition Effect of Health Literacy on Health Risk Under the Internet Environment: An Empirical Study of Chronic Diseases Based on CHNS Data. Data Analysis and Knowledge Discovery, 2019, 3(4): 13-21.

URL:

http://manu44.magtech.com.cn/Jwk_infotech_wk3/EN/10.11925/infotech.2096-3467.2018.1026     OR     http://manu44.magtech.com.cn/Jwk_infotech_wk3/EN/Y2019/V3/I4/13

[1] Kindig D A, Panzer A M, Nielsen-Bohlman L.Health Literacy: A Prescription to End Confusion[M]. National Academies Press, 2004.
[2] 中共中央, 国务院. “健康中国2030”规划纲要[M]. 北京: 人民出版社, 2016.
[2] (The Central Committee of the Communist Party of China, The Sate Council. “Healthy China 2030” Planning Outline[M]. Beijing: People's Publishing House, 2016.)
[3] 周晓英. “互联网时代的医疗健康信息传播与利用”专题导语[J]. 图书与情报, 2015(4): 1.
[3] (Zhou Xiaoying.Special Topic Introduction to the Dissemination and Utilization of Health Care Information in the Internet Era[J]. Library & Information, 2015(4): 1.)
[4] 宋丹, 周晓英, 郭敏. 网络健康信息生态系统构成要素分析[J]. 图书与情报, 2015(4): 11-18.
[4] (Song Dan, Zhou Xiaoying, Guo Min.Analysis of the Essentials in Network Health Information Ecology System[J]. Library & Information, 2015(4): 11-18.)
[5] 周晓英, 蔡文娟. 大学生网络健康信息搜寻行为模式及影响因素[J]. 情报资料工作, 2014(4): 50-55.
[5] (Zhou Xiaoying, Cai Wenjuan.Universities Students Online Health Information Seeking Behavior Patterns and Influencing Factors[J]. Information and Documentation Services, 2014(4): 50-55.)
[6] 周晓英, 张璐. 基于活动理论的非线性信息搜寻行为模型研究[J]. 图书情报知识, 2018(1): 4-15.
[6] (Zhou Xiaoying, Zhang Lu.A Research on the Non-linear Information Seeking Behavior Model Based on Activity Theory[J]. Documentation, Information & Knowledge, 2018(1): 4-15.)
[7] 邓胜利, 付少雄. 定性比较分析(QCA)在图书情报学中的应用——以网络社区健康信息搜寻影响因素研究为例[J]. 情报理论与实践, 2017, 40(12): 23-28, 11.
[7] (Deng Shengli, Fu Shaoxiong.Applying Qualitative Comparative Analysis to Library and Information Science: A Case Study of Influencing Factors of Network Community Health Information Seeking[J]. Information Studies: Theory & Application, 2017, 40(12): 23-28, 11.)
[8] 邓胜利, 付少雄, 陈晓宇. 信息传播媒介对用户健康信息搜寻的影响研究——基于健康素养和信息检索能力的双重视角[J]. 情报科学, 2017, 35(4): 126-132.
[8] (Deng Shengli, Fu Shaoxiong, Chen Xiaoyu.The Role of Information Media on User Health Information Seeking——Based on Health Literacy and Information Retrieval Capability Perspectives[J]. Information Science, 2017, 35(4): 126-132.)
[9] 周晓英, 宋丹, 张秀梅. 健康素养与健康信息传播利用的国家战略研究[J]. 图书与情报, 2015(4): 2-10.
[9] (Zhou Xiaoying, Song Dan, Zhang Xiumei.National Strategic Study of Health Literacy and Health Information Dissemination and Utilization[J]. Library & Information, 2015(4): 2-10.)
[10] Simonds S K.Health Education as Social Policy[J]. Health Education & Behavior, 1974, 2(S1): 1-10.
[11] Eriksson-Backa K, Ek S, Niemelä R, et al.Health Information Literacy in Everyday Life: A Study of Finns Aged 65-79 Years[J]. Health Informatics Journal, 2012, 18(2): 83-94.
[12] Daft R L, Lengel R H. Organizational Information Requirements, Media Richness and Structural Design[J]. Management Science, 1986, 32(5): 554-571.
[13] 刘宸, 周向红. 互联网医疗信息溢出与中国居民就诊选择——基于CHNS混合截面数据的实证研究[J]. 公共管理学报, 2017, 14(4): 78-90, 156-157.
[13] (Liu Chen, Zhou Xianghong. Medical Information Spillovers and Health Care Choice of Chinese Residents in the Internet Era——An Empirical Research Based on CHNS[J]. Journal of Public Management, 2017, 14(4): 78-90, 156-157.)
[14] Cotten S R, Gupta S S.Characteristics of Online and Offline Health Information Seekers and Factors That Discriminate Between Them[J]. Social Science & Medicine, 2004, 59(9): 1795-1806.
[15] Paasche-Orlow M K, Wolf M S. The Causal Pathways Linking Health Literacy to Health Outcomes[J]. American Journal of Health Behavior, 2007, 31(S1): S19-S26.
[16] Berkman N D, Sheridan S L, Donahue K E, et al.Low Health Literacy and Health Outcomes: An Updated Systematic Review[J]. Annals of Internal Medicine, 2011, 155(2): 97-107.
[17] Williams M V, Baker D W, Parker R M, et al.Relationship of Functional Health Literacy to Patients' Knowledge of Their Chronic Disease: A Study of Patients with Hypertension and Diabetes[J]. Archives of Internal Medicine, 1998, 158(2): 166-172.
[18] Kalichman S C, Ramachandran B, Catz S.Adherence to Combination Antiretroviral Therapies in HIV Patients of Low Health Literacy[J]. Journal of General Internal Medicine, 1999, 14(5): 267-273.
[19] Gazmararian J A, Williams M V, Peel J, et al.Health Literacy and Knowledge of Chronic Disease[J]. Patient Education and Counseling, 2003, 51(3): 267-275.
[20] Schillinger D, Grumbach K, Piette J, et al.Association of Health Literacy with Diabetes Outcomes[J]. Journal of the American Medical Association, 2002, 288(4): 475-482.
[21] Rosenbaum P R, Rubin D B.The Central Role of the Propensity Score in Observational Studies for Causal Effects[J]. Biometrika, 1983, 70(1): 41-55.
[22] Koenker R, Bassett Jr G.Regression Quantiles[J]. Econometrica: Journal of the Econometric Society, 1978, 46(1): 33-50.
[23] Nutbeam D.Health Literacy as a Public Health Goal: A Challenge for Contemporary Health Education and Communication Strategies into the 21st Century[J]. Health Promotion International, 2000, 15(3): 259-267.
[24] Spronk I, Kullen C, Burdon C, et al.Relationship Between Nutrition Knowledge and Dietary Intake[J]. British Journal of Nutrition, 2014, 111(10): 1713-1726.
[25] 何明月, 丁凌玉, 武晓岩, 等. 哈尔滨市成年居民膳食模式与高血压患病关系[J]. 中国公共卫生, 2017, 33(10): 1430-1433.
[25] (He Mingyue, Ding Lingyu, Wu Xiaoyan, et al.Association of Dietary Pattern with Hypertension Prevalence Among Residents in Northern China[J]. Chinese Journal of Public Health, 2017, 33(10): 1430-1433. )
[26] 李冬华, 赵丽云, 于冬梅. 添加糖摄入状况及与健康关系的研究进展[J]. 卫生研究, 2014, 43(2): 328-331.
[26] (Li Donghua, Zhao Liyun, Yu Dongmei.Research on the Relationship Between Sugar Intake and Health[J]. Journal of Hygiene Research, 2014, 43(2): 328-331. )
[27] Abadie A, Drukker D, Herr J L, et al.Implementing Matching Estimators for Average Treatment Effects in Stata[J]. The Stata Journal, 2004, 4(3): 290-311.
[28] Abadie A, Imbens G W.Bias-corrected Matching Estimators for Average Treatment Effects[J]. Journal of Business & Economic Statistics, 2011, 29(1): 1-11.
[29] 倪国华, 郑风田. 健康的阶层差异: 肥胖流行背景下“富贵病”成因研究[J]. 中国软科学, 2014(10): 71-82.
[29] (Ni Guohua, Zheng Fengtian.Healthy Hierarchy: The Study on the Cause of “Disease of Affluence” in the Context of Ubiquitous Obesity[J]. China Soft Science, 2014(10): 71-82. )
[30] 世界卫生组织, 联合国粮农组织. 膳食、营养和慢性疾病预防[EB/OL]. [2018-08-27]. http://www.who.int/nutrition/ publications/obesity/WHO_TRS_916/zh/
[30] (World Health Organization, United Nations Food Agriculture Organization. Diet, Nutrition and Chronic Disease Prevention[EB/OL]. [2018-08-27]. http://www.who.int/nutrition/publications/obesity/ WHO_TRS_916/zh/.
[1] Chen Dingquan,Liu Xiehang. Evaluation and Prospect of Reference Management Software——A Case Study of EndNote and NoteExpress[J]. 现代图书情报技术, 2009, 25(7-8): 80-84.
[2] Ma Jianxia, Zhu Zhongming, Tang Runhuan, LI Fuqiang, Wang Yuanming. A Try to Integrate Institutional Repository with Information Environment of Management of Scientific Research[J]. 现代图书情报技术, 2008, 24(2): 14-18.
[3] Zhang Zhixiong, Lin Ying, Guo Shaoyou, Jiang Qi . Towards the New Framework of the Institutional Information Environment[J]. 数据分析与知识发现, 2006, 22(3): 1-5.
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