Anning Hu, Xiaozhao Yousef Yang
Is college education an equalizer for social disparities in health literacy? A case study in Shanghai, China
Global health promotion
electronic personal health record ephr provides innovative service citizens professionals manage health data promoting patientcentred care enhances communication patients physicians improves accessibility documents remote medical information management study aims assess prevalence awareness acceptance ephr northern italy define determinants barriers implementation 2022 regionwide crosssectional study carried paperbased online survey shared among adult citizens univariable multivariable regression models analysed association outcome variables knowledge attitudes toward ephr selected independent variables overall 1634 people surveyed twothirds aware ephr among unaware ephr high prevalence specific sociodemographic groups foreignborn individuals lower educational levels highlighted multivariable regression models showed positive association aware ephr educational level health literacy perceived poor health status whereas age negatively associated higher knowledge ephr associated higher attitude towards ephr current analysis confirms lack awareness regarding existence ephr especially among certain disadvantaged demographic groups serve driving force powerful campaign tailored specific categories citizens enhancing knowledge usage ephr involving professionals promoting tool crucial helping patients managing health data