title: Assessing the influence of health literacy on health information behaviors: A multi-domain skills-based approach.
abstract: The aim of this study is to investigate the relationship between five domain-specific skills of health literacy: Find Health Information (FHI), Appraise Health Information (AHI), Understand Health Information to act (UHI), Actively Manage One's Health (AMH), and E-health literacy (e-Heals), and health information seeking behaviors and three categories of health outcomes.
  
  
  
  A survey was implemented and data was collected from 1062 college going adults and analyzed using bivariate tests and multiple regression analysis.
  
  
  
  Among the five domain-specific Health Literacy skills, AHI and e-Heals were significantly associated with the use of traditional sources and the Internet for healthcare information respectively. Similarly and AMH and e-Heals were significantly associated with the use of traditional sources and the Internet for health lifestyle information respectively. Lastly AHI, AMH and e-Heals were significantly associated with the three categories of outcomes, and AFH was significantly associated with cognitive and instrumental outcomes, but not doctor-patient communication outcomes.
  
  
  
  Consumers' ability to use different health sources for both healthcare and health lifestyle information, and the three categories of health outcomes are associated with different domain-specific health literacy skills.
  
  
  
  Health literacy initiatives may be improved by focusing on clients to develop domain-specific skills that increase the likelihood of using health information sources and accrue benefits.
authors.affiliation: The Wee Kim Wee School of Communication and Information, Nanyang Technological University, 31, Nanyang Link, Singapore 637718, Singapore. Electronic address: Ratnadeep.Suri@gmail.com.
authors.forename: Venkata Ratnadeep
authors.initials: VR
authors.lastname: Suri
authors.affiliation: The Wee Kim Wee School of Communication and Information, Nanyang Technological University, 31, Nanyang Link, Singapore 637718, Singapore. Electronic address: Asmajid@ntu.edu.sg.
authors.forename: Shaheen
authors.initials: S
authors.lastname: Majid
authors.affiliation: The Wee Kim Wee School of Communication and Information, Nanyang Technological University, 31, Nanyang Link, Singapore 637718, Singapore. Electronic address: Ykchang@ntu.edu.sg.
authors.forename: Yun-Ke
authors.initials: YK
authors.lastname: Chang
authors.affiliation: The Wee Kim Wee School of Communication and Information, Nanyang Technological University, 31, Nanyang Link, Singapore 637718, Singapore. Electronic address: sfoo@ntu.edu.sg.
authors.forename: Schubert
authors.initials: S
authors.lastname: Foo
mesh_terms: D000328:Adult; D005260:Female; D015438:Health Behavior; D057220:Health Literacy; D006801:Humans; D057226:Information Seeking Behavior; D020407:Internet; D008297:Male; D012846:Singapore; D011795:Surveys and Questionnaires
keywords: E-health literacy; Health information seeking; Health literacy; Singapore