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Doğan, Hamza, OKŞAŞ, Hicran. (1404). The Moderating Role of Gender in the Relationship between E-health Literacy and Cyberchondria. , 10(3), 120-135. doi: 10.22038/jhl.2025.86034.1718
Hamza Doğan; Hicran OKŞAŞ. "The Moderating Role of Gender in the Relationship between E-health Literacy and Cyberchondria". , 10, 3, 1404, 120-135. doi: 10.22038/jhl.2025.86034.1718
Doğan, Hamza, OKŞAŞ, Hicran. (1404). 'The Moderating Role of Gender in the Relationship between E-health Literacy and Cyberchondria', , 10(3), pp. 120-135. doi: 10.22038/jhl.2025.86034.1718
Doğan, Hamza, OKŞAŞ, Hicran. The Moderating Role of Gender in the Relationship between E-health Literacy and Cyberchondria. , 1404; 10(3): 120-135. doi: 10.22038/jhl.2025.86034.1718

The Moderating Role of Gender in the Relationship between E-health Literacy and Cyberchondria

Journal of Health Literacy
دوره 10، شماره 3 - شماره پیاپی 38، مهر 2025، صفحه 120-135    اصل مقاله (1.44 M)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22038/jhl.2025.86034.1718
نویسندگان
Hamza Doğan* 1؛ Hicran OKŞAŞ2
1Assistant Professor, Department of Health Management, Faculty of Economics and Administrative Sciences, Dicle University, Diyarbakır, Türkiye.
2MSc Student, Department of Health Management, Institute of Social Sciences, Dicle University, Diyarbakır, Türkiye.
چکیده
Background and Objectives: This study explores whether gender moderates the link between cyberchondria and e-health literacy, the digital forms of hypochondriasis and health literacy. Observed gender-based differences in health literacy and health information-seeking behaviors, which suggest that gender may influence this relationship, are what spurred the study. Although it has been demonstrated that e-health literacy improves access to health-related information, its effects on cyberchondria remain unclear, especially when gender differences are taken into consideration. This study fills a gap in the literature by examining the under-researched moderating role of gender in this relationship, offering a novel perspective on digital health behaviors.

Materials and Methods: Between March and May 2023, a cross-sectional online survey was conducted in Türkiye using convenience sampling. The study included 316 adults (44.9% men, 55.1% women). Data were collected using the Socio-Demographic Characteristics Form, e-Health Literacy Scale, and Cyberchondria Severity Scale, and analyzed using t-tests, ANOVA, correlation, and moderation analysis.

Results: The study found moderate e-health literacy (mean = 28.59 ± 5.81) and cyberchondria (mean = 32.77 ± 8.53) levels. Gender and marital status significantly affected cyberchondria, with males and married individuals reporting higher severity. A weak positive correlation existed between e-health literacy and cyberchondria (r = 0.208, p < 0.001). Gender moderated this relationship: higher e-health literacy predicted increased cyberchondria in males (β = 0.600, p < 0.001) but not in females.

Conclusion: This study shows that e-health literacy may increase the risk of cyberchondria, especially among men, who process online health information more anxiously than women, who use more adaptive strategies. Marital status also influences cyberchondria levels, with married individuals having higher levels. These results highlight the need for gender-sensitive digital health initiatives and customized coping approaches. Future research should examine additional factors, such as personality and coping mechanisms.  
کلیدواژه‌ها
Health Literacy؛ Hypochondriasis؛ Internet Use؛ Regression Analysis؛ Demographics
مراجع
  1. McLuhan M. The Gutenberg Galaxy: University of Toronto Press; 2011.
  2. Tarhan N, Tutgun Ünal A, Ekinci Y. Yeni kuşak hastalığı siberkondri: Yeni medya çağında kuşakların siberkondri düzeyleri ile sağlık okuryazarlığı ilişkisi. OPUS International Journal of Society Research. 2021;17(37):4253-97. https://doi.org/10.26466/opus.855959
  3. Aiken M, Kirwan G, Berry M, O'Boyle C. The Age of Cyberchondria. Royal College of Surgeons in Ireland Student Medical Journal. 2012; 5:71-4
  4. Norr AM, Albanese BJ, Oglesby ME, Allan NP, Schmidt NB. Anxiety sensitivity and intolerance of uncertainty as potential risk factors for cyberchondria. Journal of Affective Disorders. 2015; 174:64-9. https://doi.org/10.1016/j.jad.2014.11.023 PMid:25486275
  5. Singh K, Brown R. From headache to tumour: An examination of health anxiety, health-related Internet use and 'query escalation'. Journal of Health Psychology. 2016;21(9):2008-20. https://doi.org/10.1177/1359105315569620 PMid:25706333
  6. Council of Europe. Guide to health literacy contributing to trust building and equitable access to healthcare. 2023. https://www.coe.int/en/web/bioethics/guide-to-health-literacy
  7. Norman CD, Skinner HA. eHealth literacy: essential skills for consumer health in a networked world. Journal of medical Internet research. 2006;8(2): e506. https://doi.org/10.2196/jmir.8.2.e9 PMid:16867972 PMCid:PMC1550701
  8. Benotsch EG, Kalichman S, Weinhardt LS. HIV-AIDS patients' evaluation of health information on the internet: the digital divide and vulnerability to fraudulent claims. Journal of consulting clinical psychology. 2004;72(6): 1004. https://doi.org/10.1037/0022-006X.72.6.1004 PMid:15612847
  9. Demir Y, Dağ E, Özpınar S. The relationship of E-health Literacy with Cyberchondria: a cross-sectional study on pregnant women. Journal of Health Literacy. 2024;9(1):89-101. https://doi.org/10.22038/jhl.2024.76171.1501
  10. Institute of Medicine (US) Committee on Health Literacy, Nielsen-Bohlman L, Panzer AM, Kindig DA, eds. Health Literacy: A Prescription to End Confusion. Washington (DC): National Academies Press (US); 2004.https://doi.org/10.17226/10883 PMid:25009856
  11. Bidmon S, Terlutter R. Gender Differences in Searching for Health Information on the Internet and the Virtual Patient-Physician Relationship in Germany: Exploratory Results on How Men and Women Differ and Why. Journal of medical Internet research. 2015;17(6): e156. https://doi.org/10.2196/jmir.4127 PMid:26099325 PMCid:PMC4526954
  12. Ek S. Gender differences in health information behaviour: a Finnish population-based survey. Health promotion international. 2015;30(3):736-45. https://doi.org/10.1093/heapro/dat063 PMid:23985248
  13. Escoffery C, Miner KR, Adame DD, Butler S, McCormick L, Mendell E. Internet Use for Health Information Among College Students. Journal of American College Health. 2005;53(4):183-8. https://doi.org/10.3200/JACH.53.4.183-188 PMid:15663067
  14. Hassan S, Masoud O. Online health information seeking and health literacy among non-medical college students: gender differences. Journal of Public Health. 2021;29(6):1267-73. https://doi.org/10.1007/s10389-020-01243-w
  15. Manierre MJ. Gaps in knowledge: tracking and explaining gender differences in health information seeking. Social Science & Medicine. 2015; 128:151-8. https://doi.org/10.1016/j.socscimed.2015.01.028 PMid:25618604
  16. Chakraverty D, Baumeister A, Aldin A, Seven ÜS, Monsef I, Skoetz N, et al. Gender differences of health literacy in persons with a migration background: a systematic review and meta-analysis. BMJ Open. 2022;12(7): e056090. https://doi.org/10.1136/bmjopen-2021-056090 PMid:37667874 PMCid:PMC9301804
  17. Lee HY, Lee J, Kim NK. Gender differences in health literacy among Korean adults: do women have a higher level of health literacy than men? American journal of men's health. 2015;9(5):370-9. https://doi.org/10.1177/1557988314545485 PMid:25122719
  18. Mahmoodi H, Nadrian H, Moradzadeh R, Shahi F, Azimi S, Shirzadi S, et al. Inadequate functional health literacy and its associated gender inequality among an ethnic population: A social survey. Journal of Health Literacy. 2023;8(1):28-41. https://doi.org/10.22038/jhl.2022.67115.1337
  19. Bird CE, Rieker PP. Gender and health: Cambridge University Press; 2008. https://doi.org/10.1017/CBO9780511807305
  20. Courtenay WH. Constructions of masculinity and their influence on men's well-being: a theory of gender and health. Social Science & Medicine. 2000;50(10):1385-401. https://doi.org/10.1016/S0277-9536(99)00390-1 PMid:10741575
  21. Annandale E, Hunt K. Gender inequalities in health. Buckingham · Philadelphia: Open University Press; 2000.
  22. Şahan S, Kaçmaz ED. Searching for Health Information on the Internet; Determining the Relationship Between Nurses' Cyberchondria Levels, Health Anxiety, and Effective Factors. Mediterr Nurs Midwifery. 2024;4(3):159-65. https://doi.org/10.4274/MNM.2024.24209
  23. Baumann E, Czerwinski F, Reifegerste D. Gender-specific determinants and patterns of online health information seeking results from a representative German health survey. Journal of Medical Internet Research. 2017;19(4): e92. https://doi.org/10.2196/jmir.6668 PMid:28377367
  24. Rowley J, Johnson F, Sbaffi L. Gender as an influencer of online health information‐seeking and evaluation behavior. Journal of the Association for Information Science Technology. 2017;68(1):36-47. https://doi.org/10.1002/asi.23597
  25. Zhang N, Ren X, Xu Z, Zhang K. Gender differences in the relationship between medical students' emotional intelligence and stress coping: a cross-sectional study. BMC Medical Education. 2024;24(1): 810. https://doi.org/10.1186/s12909-024-05781-9 PMid:39075473 PMCid:PMC11285314
  26. Gray KE, Silvestrini M, Ma EW, Nelson KM, Bastian LA, Voils CI. Gender differences in social support for diabetes self-management: A qualitative study among veterans. Patient Education Counseling. 2023; 107:107578. https://doi.org/10.1016/j.pec.2022.107578 PMid:36463824
  27. Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-60. https://doi.org/10.3758/BRM.41.4.1149 PMid:19897823
  28. Richard FD, BondJr CF, Stokes-Zoota JJ. One Hundred Years of Social Psychology Quantitatively Described. Review of General Psychology. 2003;7(4):331-63. https://doi.org/10.1037/1089-2680.7.4.331
  29. Coşkun S, Bebiş H. Adolesanlarda e-sağlık okuryazarlığı ölçeği: Türkçe geçerlik ve güvenirlik çalışması. Gülhane Tıp Dergisi. 2015;57(4):378-84. https://doi.org/10.5455/gulhane.157832
  30. Tamer Gencer Z. Norman ve Skinner'ın E-Sağlık Okuryazarlığı Ölçeğinin Kültürel Uyarlaması İçin Geçerlilik ve Güvenilirlik Çalışması. University Faculty of Communication Journal. 2017(52). https://doi.org/10.17064/iuifd.333165
  31. Uskun E, Doğan E, Önal Ö, Kişioğlu AN. e-Health literacy scale: Turkish validity and reliability study for adults over 45. Türk Hijyen ve Deneysel Biyoloji Dergisi. 2022;79(4):674-89. https://doi.org/10.5505/TurkHijyen.2022.75608
  32. McElroy E, Kearney M, Touhey J, Evans J, Cooke Y, Shevlin M. The CSS-12: Development and Validation of a Short-Form Version of the Cyberchondria Severity Scale. Cyberpsychology, behavior and social networking. 2019;22(5):330-5. https://doi.org/10.1089/cyber.2018.0624 PMid:31013440
  33. Söyler S, Biçer İ, Çavmak D. Siberkondri Ciddiyeti Ölçeği Kısa Formu (CSS-12) Geçerlilik ve Güvenirlilik Çalışması. In: Uyar S, Kıraç R, editors. Davranışsal Boyutları ile Sağlık. Ankara: Nobel Akademik Yayıncılık; 2021.
  34. Özer Ö, Özmen S, Özkan O. Investigation of the effect of cyberchondria behavior on e-health literacy in healthcare workers. Hospital topics. 2023;101(2):94-102. https://doi.org/10.1080/00185868.2021.1969873 PMid:34461810
  35. Varer Akpinar C, Mandiracioglu A, Ozvurmaz S, Kurt F, Koc N. Cyberchondria and COVID-19 anxiety and internet addiction among nursing students. Current Psychology. 2023;42(3):2406-14. https://doi.org/10.1007/s12144-022-04057-z PMid:36468163 PMCid:PMC9702735
  36. Kaya B, Top FÜ. Hemşirelik öğrencilerinin dijital okuryazarlık, siberkondria düzeyleri ve ilişkili faktörlerin değerlendirilmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2024;13(1):243-52. https://doi.org/10.37989/gumussagbil.1366898
  37. Gürkan AT, Özdelikara A, İnanlı TK. Hemşirelik öğrencilerinde e-sağlık okuryazarlığı ve siberkondri ilişkisi. Üniversite Araştırmaları Dergisi. 2023;6(4):474-80. https://doi.org/10.32329/uad.1364668
  38. Aydın A, Sayılan AA. Hemşirelik öğrencilerinin siberkondri ciddiyet düzeyleri ve ilişkili faktörler: Kesitsel çalışma. Uluslararası Sosyal Bilimler ve Eğitim Dergisi. 2024;6(11):313-28. https://doi.org/10.5281/zenodo.12579721
  39. Aiken LS, West SG, Reno RR. Multiple regression: Testing and interpreting interactions: Sage; 1991.
  40. Jiang S, Ng JYY, Choi SM, Ha AS. Relationships Among eHealth Literacy, Physical Literacy, and Physical Activity in Chinese University Students: Cross-Sectional Study. J Med Internet Res 2024;26: e56386. https://doi.org/10.2196/56386 PMid:39496161 PMCid:PMC11574492
  41. Şengül H, Çınar F, Çapar H, Bulut A, Çakmak C. Sağlık bilimleri fakültesi öğrencilerin e-sağlık okuryazarlığı düzeyleri ve internet kullanımına yönelik tutumları: Bir vakıf üniversitesi örneği. Journal of Social Humanities Sciences Research. 2017;4(12):1277-87. https://doi.org/10.26450/jshsr.187
  42. Yang E, Chang SJ, Ryu H, Kim HJ, Jang SJ. Comparing factors associated with eHealth literacy between young and older adults. Journal of Gerontological Nursing. 2020;46(8):46-56. https://doi.org/10.3928/00989134-20200707-02 PMid:32936926
  43. Yüksel O, Deniz S, editors. Bireylerin e-sağlık okuryazarlık düzeyinin belirlenmesine yönelik bir araştırma. 2nd International Conference on Data Science and Applications (ICONDATA'19); 2019.
  44. El-Zayat A, Namnkani SA, Alshareef NA, Mustfa MM, Eminaga NS, Algarni GA. Cyberchondria and its Association with Smartphone Addiction and Electronic Health Literacy among a Saudi Population. Saudi Journal of Medicine & Medical Sciences. 2023;11(2):162-8. https://doi.org/10.4103/sjmms.sjmms_491_22 PMid:37252023 PMCid:PMC10211420
  45. Sansakorn P, Mushtaque I, Awais EYM, Dost MKB. The Relationship between Cyberchondria and Health Anxiety and the Moderating Role of Health Literacy among the Pakistani Public. International journal of environmental research and public health. 2024;21(9). https://doi.org/10.3390/ijerph21091168 PMid:39338051 PMCid:PMC11431163
  46. Bin Abdulrahman KA, Al Musfir SK, Alforaih AS, Alshehri AM, Aldossari AK, Dawood FDB. The prevalence of cyberchondria and the impact of skepticism on medical decisions among Imam Mohammed Ibn Saud Islamic University students, Riyadh, Saudi Arabia. Journal of family medicine and primary care. 2024;13(11):5334-40. https://doi.org/10.4103/jfmpc.jfmpc_640_24 PMid:39722934 PMCid:PMC11668380
  47. Tekin B, Ankara HG. Evli, siberkondriyak, çocuklu: Ebeveynlerin çevrimiçi sağlık bilgisi arama davranışlarına genel bir bakış. Sağlık Akademisyenleri Dergisi. 2024;11(3):366-73. https://doi.org/10.52880/sagakaderg.1489139
  48. Eşkisu M, Çam Z, Boysan M. Health-Related Cognitions and Metacognitions Indirectly Contribute to the Relationships Between Impulsivity, Fear of COVID-19, and Cyberchondria. Journal of rational-emotive and cognitive-behavior therapy: RET.2023:1-23. https://doi.org/10.1007/s10942-022-00495-7 PMid:36687465 PMCid:PMC9838370
  49. Scott KM, Wells JE, Angermeyer M, Brugha TS, Bromet E, Demyttenaere K, et al. Gender and the relationship between marital status and first onset of mood, anxiety and substance use disorders. Psychological medicine. 2010;40(9):1495-505. https://doi.org/10.1017/S0033291709991942 PMid:19939327 PMCid:PMC2891411
  50. Vismara M, Caricasole V, Starcevic V, Cinosi E, Dell'Osso B, Martinotti G, et al. Is cyberchondria a new transdiagnostic digital compulsive syndrome? A systematic review of the evidence. Comprehensive Psychiatry. 2020; 99:152167. https://doi.org/10.1016/j.comppsych.2020.152167 PMid:32146315
  51. Kobryn M, Duplaga M. Does Health Literacy Protect Against Cyberchondria: A Cross-Sectional Study? Telemedicine and e-Health. 2023;30(4): e1089-e100. https://doi.org/10.1089/tmj.2023.0425 PMid:38016126
  52. Starcevic V. Cyberchondria: challenges of problematic online searches for health-related information. Psychotherapy psychosomatics. 2017;86(3):129-33. https://doi.org/10.1159/000465525 PMid:28490037
  53. Kalantari A, Valizadeh-Haghi S, Starcevic V, Shahbodaghi A, Rahmatizadeh S, Zayeri F, et al. The relationship between e-Health literacy and cyberchondria in Iranian students of health sciences. Front Psychiatry. 2024; 15:1421391. https://doi.org/10.3389/fpsyt.2024.1421391 PMid:40061086 PMCid:PMC11885954
  54. Zhu X, Zheng T, Ding L, Zhang X. Exploring associations between eHealth literacy, cyberchondria, online health information seeking and sleep quality among university students: A cross-section study. Heliyon. 2023;9(6). https://doi.org/10.1016/j.heliyon.2023.e17521 PMid:37408886 PMCid:PMC10319213
  55. Aslantaş AHB, Altuntaş M. Cyberchondria's Possible Relationship with Problematic Internet Use and eHealth Literacy. Journal of Academic Research in Medicine. 2023;13(2):63-9. https://doi.org/10.4274/jarem.galenos.2023.91885
  56. Mayukh N. The Influence of eHealth Literacy and Self-Efficacy on Online Health Information-Seeking Behaviour among University Students: Cyberchondria as a Mediator. Journal of Communication, Language Culture. 2024;4(1):40-60. https://doi.org/10.33093/jclc.2024.4.1.3
  57. Özkan O, Sungur C, Özer Ö. Investigation of cyberchondria level and digital literacy on women in Turkey. Journal of Human Behavior in the Social Environment. 2022;32(6):768-80. https://doi.org/10.1080/10911359.2021.1962776
  58. Şahan FU, Purtul S. Health anxiety and eHealth literacy as predictors of cyberchondria in women. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2023;14(3):454-61. https://doi.org/10.31067/acusaglik.1285876
  59. Staraj Bajcic T, Sorta-Bilajac Turina I, Lucijanic M, Sinozic T, Vuckovic M, Bazdaric K. Cyberchondria, Health Literacy, and Perception of Risk in Croatian Patients with Risk of Sexually Transmitted Infections and HIV-A Cross-Sectional Study. Epidemiologia. 2024;5(3):525-38. https://doi.org/10.3390/epidemiologia5030036 PMid:39311353 PMCid:PMC11417742
  60. Atalı E. Sağlık Kaygısı, Algılanan Stres, Çevrimiçi Sağlık Bilgisi Arama (Siberkondri), Sağlık Okuryazarlığı Arasındaki İlişkiler. Yayınlanmamış Yüksek Lisans Tezi. Konya: Selçuk Üniversitesi; 2023. https://hdl.handle.net/20.500.12395/49907
  61. Demir Y, Özpınar S, Dağ E. Öğretmelerde E-Sağlık Okuryazarlığı Ve Siberkondri İlişkisi: Kesitsel Bir Araştırma. Samsun Sağlık Bilimleri Dergisi. 2024;9(3):281-95. https://doi.org/10.47115/jshs.1426588
  62. Deniz S. Bireylerin E-Sağlık Okuryazarlığı ve Siberkondri Düzeylerinin İncelenmesi. İnsan ve İnsan. 2020;7(24):84-96. https://doi.org/10.29224/insanveinsan.674726
  63. Ezirmik E, Canpolat Şair İ, Başar NN, Özdin YS, Öğütlü A. Bir İlçede Çalışan Öğretmenlerin Siberkondri Düzeyleri ve e-Sağlık Okuryazarlığı Arasındaki İlişki. Sakarya Tıp Dergisi. 2024;14(3):239-53. https://doi.org/10.31832/smj.1452113
  64. Mansur F, Ciğerci K. Siberkondri ve e-sağlık okuryazarlığı arasındaki ilişki. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2022;11(1):11-21. https://doi.org/10.37989/gumussagbil.961457
  65. Potur İ, Islek Secen E. The Relationship Between e-Health Literacy and Cyberchondria Severity with Participation in Cervical Cancer Screening. Ankara Medical Journal. 2024;24(2). https://doi.org/10.5505/amj.2024.56323
  66. Özişli Ö, Ağcadağ A. E- Sağlık Okuryazarlık ve Siberkondri Arasındaki İlişki Üzerine Bir Saha Araştırması. International Journal of Social and Humanities Sciences Research (JSHSR). 2022;9(88):1979-85. https://doi.org/10.26450/jshsr.3294
  67. Öztürk K. E-sağlık okuryazarlığının siberkondriye etkisinde güven iletişiminin aracı rolü. Yayınlanmamış Yüksek Lisans Tezi. Sakarya: Sakarya Üniversitesi; 2020.
  68. Uncu G. İzmir ili Karşıyaka ilçesi sınıf öğretmenlerinde siberkondri düzeyi ve ilişkili faktörler Yayınlanmamış Uzmanlık Tezi. İzmir: Ege Üniversitesi 2018.
  69. Ali SS, Hendawi NE, El-Ashry AM, Mohammed MS. The relationship between cyberchondria and health literacy among first-year nursing students: the mediating effect of health anxiety. BMC Nursing. 2024;23(1): 776. https://doi.org/10.1186/s12912-024-02396-9 PMid:39434055 PMCid:PMC11494779
  70. Mohammdinia N, Nasehi A, Niusha B. The Effect of Health Literacy on Health Anxiety with the Mediation of Cyberchondria and Cognitive Flexibility in Breast Cancer Patients. Iranian Journal of Psychiatric Nursing (IJPN). 2024;11(6):129-40. https://doi.org/10.22034/ijpn.11.6.4
  71. Loeb S, Sanchez Nolasco T, Byrne N, Allen L, Langford AT, Ravenell JE, et al. Qualitative Study on Internet Use and Care Impact for Black Men with Prostate Cancer. Health Education Behavior. 2024;51(3):359-66 https://doi.org/10.1177/10901981241228226 PMid:38366884
  72. Link E, Baumann E. A comparison of Women's and Men's web-based information-seeking behaviors about gender-related health information: web-based survey study of a stratified German sample. Journal of Medical Internet Research. 2023;25: e43897. https://doi.org/10.2196/43897 PMid:37195743 PMCid:PMC10233438
  73. White RW, Horvitz E. Cyberchondria: studies of the escalation of medical concerns in web search. ACM Transactions on Information Systems. 2009;27(4):1-37. https://doi.org/10.1145/1629096.1629101
  74. Starcevic V, Berle D. Cyberchondria: towards a better understanding of excessive health-related Internet use. Expert review of neurotherapeutics. 2013;13(2):205-13. https://doi.org/10.1586/ern.12.162 PMid:23368807
  75. Fergus TA. Cyberchondria and intolerance of uncertainty: examining when individuals experience health anxiety in response to Internet searches for medical information. Cyberpsychology, Behavior, Social Networking. 2013;16(10):735-9. https://doi.org/10.1089/cyber.2012.0671 PMid:23992476
  76. Gough B, Novikova I. Mental health, men and culture: how do sociocultural constructions of masculinities relate to men's mental health help-seeking behavior in the WHO European Region? Copenhagen: WHO Regional Office for Europe; 2020.
  77. Mursa R, Patterson C, Halcomb E. Men's help-seeking and engagement with general practice: An integrative review. Journal of advanced nursing. 2022;78(7):1938-53. https://doi.org/10.1111/jan.15240 PMid:35384022 PMCid:PMC9322545
  78. Mahalik JR, Burns SM, Syzdek M. Masculinity and perceived normative health behaviors as predictors of men's health behaviors. Social Science & Medicine. 2007;64(11):2201-9. https://doi.org/10.1016/j.socscimed.2007.02.035 PMid:17383784
  79. Jia X, Pang Y, Liu LS. Online Health Information Seeking Behavior: A Systematic Review. Healthcare (Basel). 2021;9(12):1740. https://doi.org/10.3390/healthcare9121740 PMid:34946466 PMCid:PMC8701665
  80. Gray KE, Silvestrini M, Ma EW, Nelson KM, Bastian LA, Voils CI. Gender differences in social support for diabetes self-management: A qualitative study among veterans. Patient Education and Counseling. 2023; 107:107578. https://doi.org/10.1016/j.pec.2022.107578 PMid:36463824
  81. Matud MP. Gender differences in stress and coping styles. Personality and Individual Differences. 2004;37(7):1401-15. https://doi.org/10.1016/j.paid.2004.01.010
  82. Bedrov A, Gable SL. Thriving together: the benefits of women's social ties for physical, psychological and relationship health. Philosophical Transactions of the Royal Society B. 2023;378(1868): 20210441. https://doi.org/10.1098/rstb.2021.0441 PMid:36440568 PMCid:PMC9703221
  83. Halder S, Ray A, Chakrabarty P. Gender differences in information seeking behavior in three universities in West Bengal, India. The International Information Library Review. 2010;42(4):242-51. https://doi.org/10.1016/j.iilr.2010.10.004
  84. Kim M, Kim B, Park S. Social support, eHealth literacy, and mHealth use in older adults with diabetes: moderated mediating effect of the perceived importance of app design. Computers, Informatics, Nursing. 2023:10. 1097.https://doi.org/10.1097/CIN.0000000000001081 PMid:38129323 PMCid:PMC11444354
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