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Mediating role of health-promoting behaviors in the relationship between eHealth literacy and depressive symptoms among university freshmen
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Hong-piao MA1, Xi LI1, Jun-hua WANG1, Xiu-ling LI3, Tai-hao CHEN2, Lin-hai DAI1, Chang-yang CHEN1, Jiang-ping ZHANG1, 2
Modern Preventive Medicine | 2026, 53(16) : 3024 - 3028
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Modern Preventive Medicine | 2026, 53(16): 3024-3028
• Health and Social Behavior •
Mediating role of health-promoting behaviors in the relationship between eHealth literacy and depressive symptoms among university freshmen
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Hong-piao MA1, Xi LI1, Jun-hua WANG1, Xiu-ling LI3, Tai-hao CHEN2, Lin-hai DAI1, Chang-yang CHEN1, Jiang-ping ZHANG1, 2
Affiliations
  • School of Public Health, the key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, Guizhou 561113, China
Published: 2026-08-25 doi: 10.20043/j.cnki.MPM.202601091
Outline
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Objective

To investigate the mediating role of health-promoting behaviors in the relationship between eHealth literacy and depressive symptoms among university freshmen，and to provide a reference for the early prevention of depressive symptoms in this adolescent group undergoing a transitional phase.

Methods

A multistage cluster random sampling method was employed to survey 2 382 first-year undergraduate students from three public full-time universities in Guiyang, Guizhou Province. The General Information Questionnaire, the eHealth Literacy Scale, the Health-Promoting Lifestyle Profile II-Revised Scale, and the Patient Health Questionnaire-9 were used to conduct a questionnaire survey. SPSS 27.0 was used for descriptive statistics and correlation analyses, while PROCESS 4.1 was applied for mediation effect analysis.

Results

eHealth literacy among university freshmen in Guiyang City showed a positive correlation with health-promoting behaviors and a negative correlation with depressive symptoms (r=0.480, -0.361,P<0.001), while health-promoting behaviors were negatively correlated with depressive symptoms (r=-0.416,P<0.001). The link between eHealth literacy and depressive symptoms was partly mediated by health-promoting behaviors (β=-0.145,P<0.001), explaining 53.14% of the total effect.

Conclusion

Health-promoting behaviors partially mediated the relationship between eHealth literacy and depressive symptoms among university freshmen, supplying a reference basis for implementing early prevention of depressive symptoms in this demographic.

University freshmen  /  eHealth literacy  /  Health-promoting behaviors  /  Depressive symptoms  /  Mediating role
马红飘, 李曦, 汪俊华, 李秀玲, 陈太好, 代林海, 陈昌阳, 张江萍. 健康促进行为在电子健康素养与大学新生抑郁症状关系间的中介作用. 现代预防医学, 2026 , 53 (16) : 3024 -3028 . DOI: 10.20043/j.cnki.MPM.202601091
Hong-piao MA, Xi LI, Jun-hua WANG, Xiu-ling LI, Tai-hao CHEN, Lin-hai DAI, Chang-yang CHEN, Jiang-ping ZHANG. Mediating role of health-promoting behaviors in the relationship between eHealth literacy and depressive symptoms among university freshmen[J]. Modern Preventive Medicine, 2026 , 53 (16) : 3024 -3028 . DOI: 10.20043/j.cnki.MPM.202601091
Appendix
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Year 2026 volume 53 Issue 16
260
114
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Article Info
doi: 10.20043/j.cnki.MPM.202601091
  • Receive Date：2026-01-07
  • Online Date：2026-09-28
  • Published：2026-08-25
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  • Received：2026-01-07
Affiliations
    School of Public Health, the key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, Guizhou 561113, China
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https://castjournals.cast.org.cn/joweb/xdyfyx/EN/10.20043/j.cnki.MPM.202601091
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