Analysis of the influencing factors of electronic health literacy and pulmonary nodule detection in health check-up population

Zhang Linbo; Huang Ping; Liang Qian; Chen Wen; Song Zhuohua; Wang Peng

doi:10.3760/j.issn.1673-4777.2025.06.007

Abstract：Objective To explore the influencing factors of electronic health literacy and pulmonary nodule detection in health check-up population.Methods A total of 730 healthy people who underwent chest CT examination in the Department of Health Management,the First Affiliated Hospital of Guangxi Medical University from February to August 2023 were selected as the research objects.The general situation and the electronic health literacy scale(eHEALS)questionnaire survey were conducted to obtain research data,and the data of the two groups of people with or without eHEALS scores were compared to analyze the related influencing factors of pulmonary nodule detec-tion.Results The eHEALS qualified group was younger and had higher education level than the unqualified group.The proportions of being single,paying great attention to physical and mental health,exercising occasionally or often and searching online health information were higher than those in the unqualified group(all P＜0.05).The results of univariate binary Logistic regression analysis suggested that age[odds ratio(OR)=1.02,95％confidence interval(CI):1.01-1.03,P=0.001]and married(OR=1.71,95％CI:1.11-2.64,P=0.015)were the risk factors for pulmonary nodule detection.The results of multivariate binary Logistic regression analysis suggested that age was an independent risk factor for pulmonary nodule detection(OR=1.02,95％CI=1.01-1.03,P=0.001).Conclusion The overall age of the eHEALS score eligible population was younger and the education level was relatively higher.Age is an independent risk factor for the detection of pulmonary nodule.