The Relationship Between E-Health Literacy, Health Anxiety, Cyberchondria, and Death Anxiety in University Students That Study in Health Related Department

Bahar Kefeli Col,1 Ayse Gumusler Basaran,2 Burcu Genc Kose2 1Güneysu School of Physical Therapy and Rehabilitation, Recep Tayyip Erdoan University, Rize, Türkiye; 2Faculty of Health Sciences, Recep Tayyip Erdoan University, Rize, TürkiyeCorrespondence: Bahar Kefeli Col, Email bahar.kefelicol@erdogan.edu.trIntroduction: While the Internet can be a valuable resource for learning about health issues, for those without adequate e-health literacy skills, it can have adverse effects on unwanted anxiety and cyberchondria risk. Improving e-health literacy is essential to manage health and death anxiety and help reduce the risk of cyberchondria. The aim of this study is to determine the e-health literacy, health anxiety, cyberchondria and death anxiety levels of university students, evaluate them in terms of independent variables and examine the relationship between the scales.Methods: The study was completed with 568 students receiving education in the health department of a university. Data were obtained using the e-Health Literacy Scale, Health Anxiety Inventory, Cyberchondria Severity Scale, and Death Anxiety Scale. The chi-square, Mann–Whitney U, Kruskal–Wallis, Tamhane’s T2 post hoc tests, and Spearman correlation were used to analyze the data.Results: The mean score of e-health literacy was 28.63± 4.65; health anxiety was 19.11± 8.37, cyberchondria was 86.30± 18.28 and death anxiety was 7.34± 2.14. Cyberchondria is low in women and those who do not conduct online research on health. E-health literacy was higher in those earning above the minimum wage. Health and death anxiety was low in men and in those who did not conduct online health-related research. Health anxiety was positively correlated with cyberchondria and death anxiety and negatively correlated with e-health literacy. There was a positive relationship between cyberchondria and E-health literacy and death anxiety. This study highlights the complex relationship between eHealth literacy, health anxiety, cyberchondria and death anxiety. It shows that low e-health literacy can increase health anxiety, which in turn can worsen cyberchondria and death anxiety. By emphasising the importance of e-health literacy in health education, the findings may help students manage their anxiety, make informed health decisions, and increase their professional competence.Keywords: E-health literacy, death anxiety, cyberchondria, health anxiety, university students