J Korean Soc Matern Child Health.  2023 Apr;27(2):92-101. 10.21896/jksmch.2023.27.2.92.

Effects of e-Health Literacy, Parenting Stress, and Maternal Role Confidence on Children’s Health-Promoting Behaviors in Mothers of Infants and Toddlers

• Park SH
• Kim JI

• KMID: 2542190
• DOI: http://doi.org/10.21896/jksmch.2023.27.2.92

Abstract

Purpose
This study aimed to evaluate the effects of e-health literacy, parenting stress, maternal role confidence on children’s health-promoting behaviors in mothers of infants and toddlers.
Methods
The participants were 175 mothers of infants and toddlers. Data were collected from August 30 to September 24, 2022. The effects of e-health literacy, parenting stress, and maternal role confidence on children’s health-promoting behaviors in mothers of infants and toddlers were analyzed using multiple regression using IBM SPSS Statistics ver. 27.0.
Results
Children’s health-promoting behaviors showed a significant positive relationship with e-health literacy and maternal role confidence, and negative relationship with children’s age and parenting stress. The factors affecting children’s health-promoting behaviors were e-health literacy, maternal role confidence, and children’s age, which explained 30.7% of the total variance in children’s health-promoting behaviors.
Conclusion
This study suggests including e-health literacy and maternal role confidence for improving children’s health-promoting behaviors in mothers of infants and toddlers.

Keyword

e-health literacy; Parenting stress; Maternal role confidence; Children's health-promoting behaviors

Reference

Abidin RR. The determinants of parenting behavior. J Clin Child Psy-chol. 1992. 21:407–12. https://doi.org/10.1207/s15374424jccp2104_12 .

Ahn BH., Park KO. The associations between the mothers' internet information usage patterns and care-giving behaviors for their kindergarten-aged children. Korean Public Health Res. 2012. 38:67–79. https://kiss.kstudy.com/Detail/Ar?key=3110617 .

Chang SJ., Yang EJ., Ryu HJ., Kim HJ., Yoon JY. Cross-cultural adaptation and validation of the ehealth literacy scale in Korea. Korean J Adult Nurs. 2018. 30:504–15. https://doi.org/10.7475/kjan.2018.30.5.504 .

Choi Y. A study on the effect of digital technology acceptance on the life satisfaction of urban residents in the era of covid 19: focusing on the moderating effect of digital literacy. J Local Gov Stud. 2021. 33:187–219. https://doi.org/10.21026/jlgs.2021.33.3.187 .

Hobbs R. Digital and media literacy: a plan of action. A white paper on the digital and media literacy recommendations of the knight commission on the information needs of communities in a demo-cracy. Washington DC: Aspen Institute;2010. Available from https://eric.ed.gov/?id=ED523244 .

Hockenberry MJ., Wilson D. Wong's nursing care of infant and children. 11th ed.St. Louis (MO): Mosby;2018.

Holden GW., Ashraf R., Brannan E., Baker P. The emergence of “positive parenting” as a revived paradigm: theory, processes, and evidence. Narvaez D, Braungart-Rieker JM, Miller-Graff LE, Gettler LT, Hastings PD, editors. Contexts for young child flouri-shing: evolution, family, and society. Oxford (UK): Oxford University Press;2016. p. 201–14.

Jeong NO. Influence of parents' parenting efficacy on health promotion behavior in early childhood. Child Health Nurs Res. 2009. 15:236–44. https://doi.org/10.4094/jkachn.2009.15.2.236 .

Kasparian NA., Lieu N., Winlaw DS., Cole A., Kirk E., Sholler GF. eHealth literacy and preferences for ehealth resources in parents of children with complex CHD. Cardiol Young. 2017. 27:722–30. https://doi.org/10.1017/S1047951116001177 .

Kim ES., Choi YK., Kwon MK., Choi HM., Kim NY., Kim JY, et al. 2021 National childcare survey: household survey report. Seoul (Korea): Korea Institute of Child Care and Education;2021. Report No. 11-1352000-000961-12.https://repo.kicce.re.kr/handle/2019.oak/5299 .

Kim HJ. Influencing factors on child health promoting behaviors of the mothers with infants and toddlers [thesis]. Seoul (Korea): Kyung Hee University;2015.

Kim KH., Kang HK. Development of the parenting stress scale. Hum Ecol Res. 1997. 35:141–50.

Kim SJ., Kang KA., Yun J., Kwon OJ. Development of a tool to measure health promotion behavior for infants & toddlers. Child Health Nurs Res. 2007. 13:21–32.

Kim YJ., Song YS. The relation between a mother's parenting knowledge about infants and parental stress. J Korea Open Assoc Early Child Edu. 2007. 12:475–93.

Korean Law Information Center. Child care act [Internet]. Sejong (Korea): Health and Welfare;2023. [cited 2023 Mar 1]. Available from: https://www.law.go.kr/법령/영유아보육법 .

Lederman RP., Weingarten CG., Lederman E. Postpartum self-evaluation questionnaire: measures of maternal adaptation. Birth Defects Orig Artic Ser. 1981. 17:201–31. https://europepmc.org/article/med/7326372 .

Lee CJ. Mothers' health promoting activity for their disabled children [thesis]. Daegu (Korea): Kyungpook National University;2010.

Lee JY. The relationships between parenting knowledge and parenting style of mothers with infants: the mediating effect of parenting efficacy. Hum Ecol Res. 2009. 47:35–48. https://kiss.kstudy.com/Detail/Ar?key=2873778 .

Lee SY., Kwon IS. A comparative study on maternal role confidence and parenting stress according to the infant's feeding method. Korean J Women Health Nurs. 2006. 12:231–9. https://doi.org/10.4069/kjwhn.2006.12.3.231 .

Lee YE. An experimental study on the impact of an agreement on the means to achieve nursing goals in the early postpartum period of primiparous mothers and enhance their self-confidence and satisfaction in maternal role performance. J Korean Acad Nurs. 1992. 22:81–115. https://doi.org/10.4040/jnas.1992.22.1.81 .

Liechty JM., Saltzman JA., Musaad SM; The STRONG Kids Team. Health literacy and parent attitudes about weight control for children. Appetite. 2015. 91:200–8. https://doi.org/10.1016/j.appet.2015.04.010 .

Lu CY., Huang LM., Fan TY., Cheng AL., Chang LY. Incidence of re-spir atory viral infections and associated factors among children attending a public kindergarten in Taipei City. J Formos Med Assoc. 2018. 117:132–40. https://doi.org/10.1016/j.jfma.2017.02.020 .

Nam YH., Lee SM. Comparison of e-health literacy and health behavior among healthcare- and engineering- affiliated students. J Digit Contents Soc. 2018. 9:1947–55. https://doi.org/10.9728/dcs.2018.19.10.1947 .

Norman CD., Skinner HA. eHealth literacy: essential skills for con-sumer health in a networked world. J Med Internet Res. 2006a. 8:e9. https://doi.org/10.2196/jmir.8.2.e9 .

Norman CD., Skinner HA. eHEALS: the eHealth literacy scale. J Med Internet Res. 2006b. 8:e27. https://doi.org/10.2196/jmir.8.4.e27 .

Simon AK., Hollander GA., McMichael A. Evolution of the immune system in humans from infancy to old age. Proc Royal Soc B. 2015. 282:20143085. https://doi.org/10.1098/rspb.2014.3085 .

Son HM., Je MJ., Sohn YS. Quality evaluation of online health information related to young child. Child Health Nurs Res. 2018. 24:91–100. https://doi.org/10.4094/chnr.2018.24.1.91 .

Son JH. The Effect of Infant's temperament and development, mother's parenting efficacy on health promoting behaviors for infants [thesis]. Daegu (Korea): Kyungpook National University;2016.

Statistics Korea. The death of a child by an accident: 1996-2016 [Internet]. Daejeon (Korea): Statistics Korea;2018. [cited 2022 Nov 10]. Available from: http://kostat.go.kr/portal/korea/kor_nw/3/index.board?bmode=read&aSeq=367574 .

Swire-Thompson B., Lazer D. Public health and online misinformation: challenges and recommendations. Annu Rev Public Health. 2019. 41:433–51. https://doi.org/10.1146/annurev-publhealth-040119-094127 .

Tonsaker T., Bartlett G., Trpkov C. Health information on the internet: Gold mine or minefield? Can Fam Physician. 2014. 60:407–8.

You MA., Baek EB., Kang NG. The influences of mother's ehealth literacy, health information orientation, and social support on the use of internet on health promotion behaviors for their children. J Health Info Stat. 2021. 46:221–9. https://doi.org/10.21032/jhis.2021.46.2.221 .