{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T06:03:01Z","timestamp":1789970581002,"version":"4.0.1"},"reference-count":86,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The rapid spread of online health misinformation has emerged as a significant public health concern, particularly among young adults who rely heavily on digital sources for health information. Understanding how susceptibility to online health misinformation is associated with health risk behaviors and vaccine hesitancy is especially critical among nursing students, who will play a key role as future healthcare professionals. The aim of this study was to examine whether susceptibility to online health misinformation was associated with health behaviors and vaccine hesitancy among nursing students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted in Greece during September 2025 and 414 nursing students were included in the study. Susceptibility to online health misinformation was measured with the Health-Related Online Misinformation Susceptibility Scale. Health behaviors were assessed using the Health Behavior Inventory \u2013 Short Form and vaccine hesitancy was measured with the Vaccine Hesitancy Scale. Multivariable linear regression models were applied to determine the independent association between susceptibility to online health misinformation and health behaviors\/vaccine hesitancy, following adjustment for several sociodemographic and behavioral confounders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Multivariable analysis showed that higher levels of susceptibility to online health misinformation were significantly associated with worse diet behaviors (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), worse anger and stress management (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), and higher levels of substance use (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Also, higher susceptibility to online health misinformation was independently associated with greater vaccine hesitancy, reflected in lower confidence in vaccines and higher perceived vaccination risk (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These results suggest that susceptibility to online health misinformation is associated with less healthy behaviors and greater vaccine hesitancy among nursing students.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1935732","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T05:35:58Z","timestamp":1789968958000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations between susceptibility to online health misinformation, health risk behaviors and vaccine hesitancy among nursing students in Greece"],"prefix":"10.3389","volume":"17","author":[{"given":"Aglaia","family":"Katsiroumpa","sequence":"first","affiliation":[{"name":"Clinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens","place":["Athens, Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antigoni","family":"Kolisiati","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens","place":["Athens, Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Moisoglou","sequence":"additional","affiliation":[{"name":"Department of Nursing, University of Thessaly","place":["Larissa, Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Nystazaki","sequence":"additional","affiliation":[{"name":"Department of Nursing Education \u201cAttikon\u201d University General Hospital","place":["Athens, Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petros","family":"Galanis","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens","place":["Athens, Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"102603","DOI":"10.1016\/j.acalib.2022.102603","article-title":"Online health information seeking and digital health literacy among information and learning resources undergraduate students","volume":"48","author":"Abdoh","year":"2022","journal-title":"J. Acad. Librariansh."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1016\/0749-5978(91)90020-T","article-title":"The theory of planned behavior","volume":"50","author":"Ajzen","year":"1991","journal-title":"Organ. Behav. Hum. Decis. Process."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1952","DOI":"10.1080\/21645515.2020.1852871","article-title":"A brief educational intervention can improve nursing students\u2019 knowledge of the human papillomavirus vaccine and readiness to counsel","volume":"17","author":"Berenson","year":"2021","journal-title":"Hum. Vaccin. Immunother."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"544","DOI":"10.2471\/BLT.21.287654","article-title":"Infodemics and health misinformation: a systematic review of reviews","volume":"100","author":"Borges do Nascimento","year":"2022","journal-title":"Bull. World Health Organ."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"2417","DOI":"10.1001\/jama.2018.16865","article-title":"Addressing health-related misinformation on social media","volume":"320","author":"Chou","year":"2018","journal-title":"JAMA"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e24097","DOI":"10.2196\/24097","article-title":"Digital health literacy and web-based information-seeking Behaviors of university students in Germany during the COVID-19 pandemic: cross-sectional survey study","volume":"23","author":"Dadaczynski","year":"2021","journal-title":"J. Med. Internet Res."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"68","DOI":"10.3390\/livers5040068","article-title":"Examining vaccination coverage in patients with diagnosis of chronic liver disease and cirrhosis: a cross-sectional study in Greece","volume":"5","author":"Dafnou","year":"2025","journal-title":"Liver"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"16408","DOI":"10.1038\/s41598-022-20640-7","article-title":"Depression, reduced education, and bias perceptions as risk factors of beliefs in misinformation","volume":"12","author":"Delmastro","year":"2022","journal-title":"Sci. Rep."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"daaf023","DOI":"10.1093\/heapro\/daaf023","article-title":"Social media and the spread of misinformation: infectious and a threat to public health","volume":"40","author":"Denniss","year":"2025","journal-title":"Health Promot. Int."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1080\/07448481.2018.1549557","article-title":"Where college students look for vaping information and what information they believe","volume":"68","author":"Dobbs","year":"2020","journal-title":"J. Am. Coll. Heal."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1038\/s44159-021-00006-y","article-title":"The psychological drivers of misinformation belief and its resistance to correction","volume":"1","author":"Ecker","year":"2022","journal-title":"Nat. Rev. Psychol."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"e41869","DOI":"10.1016\/j.heliyon.2025.e41869","article-title":"The relationships between mental health and social media addiction, and between academic burnout and social media addiction among Chinese college students: a network analysis","volume":"11","author":"Feng","year":"2025","journal-title":"Heliyon"},{"key":"ref13","volume-title":"A Theory of Cognitive Dissonance","author":"Festinger","year":"1962"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1177\/2515245919847202","article-title":"Evaluating effect size in psychological research: sense and nonsense","volume":"2","author":"Funder","year":"2019","journal-title":"Adv. Methods Pract. Psychol. Sci."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"S60","DOI":"10.1016\/j.vacun.2022.03.003","article-title":"Cross-sectional assessment of predictors for COVID-19 vaccine uptake: an online survey in Greece","volume":"23","author":"Galanis","year":"","journal-title":"Vacunas"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"33","DOI":"10.15388\/Amed.2021.29.1.4","article-title":"Predictors of real-world parents\u2019 acceptance to vaccinate their children against the COVID-19","volume":"29","author":"Galanis","year":"","journal-title":"Acta Med Litu"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1460","DOI":"10.3390\/healthcare12151460","article-title":"Validity and reliability of the Greek version of adult vaccine hesitancy scale in terms of dispositional optimism in a community-dwelling population: a cross-sectional study","volume":"12","author":"Gialama","year":"2024","journal-title":"Healthcare"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1778953","DOI":"10.3389\/fpubh.2026.1778953","article-title":"Mapping digital public health training: are we preparing the European workforce?","volume":"14","author":"Gorga","year":"2026","journal-title":"Front. Public Health"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"15536","DOI":"10.1073\/pnas.1920498117","article-title":"A digital media literacy intervention increases discernment between mainstream and false news in the United States and India","volume":"117","author":"Guess","year":"2020","journal-title":"Proc. Natl. Acad. Sci."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"e0248811","DOI":"10.1371\/journal.pone.0248811","article-title":"Psychosocial effects of social media on the Saudi society during the coronavirus disease 2019 pandemic: a cross-sectional study","volume":"16","author":"Hammad","year":"2021","journal-title":"PLoS One"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1186\/s41235-021-00301-5","article-title":"The effects of repetition frequency on the illusory truth effect","volume":"6","author":"Hassan","year":"2021","journal-title":"Cogn. Research"},{"key":"ref22","year":"2025"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1740","DOI":"10.3390\/healthcare9121740","article-title":"Online health information seeking behavior: a systematic review","volume":"9","author":"Jia","year":"2021","journal-title":"Healthcare"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1416792","DOI":"10.3389\/fpsyg.2024.1416792","article-title":"Perception of misinformation on social media among Chinese college students","volume":"15","author":"Jiang","year":"2024","journal-title":"Front. Psychol."},{"key":"ref25","first-page":"383","article-title":"Online misinformation susceptibility scale: an adapted version for health-related misinformation","volume":"43","author":"Katsiroumpa","year":"","journal-title":"Arch. Hell. Med."},{"key":"ref26","first-page":"828","article-title":"Health behavior inventory-short form: translation and validation in Greek","volume":"43","author":"Katsiroumpa","year":"","journal-title":"Arch. Hell. Med."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"2252","DOI":"10.3390\/healthcare13172252","article-title":"The online misinformation susceptibility scale: development and initial validation","volume":"13","author":"Katsiroumpa","year":"2025","journal-title":"Healthcare"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"2588","DOI":"10.1080\/07448481.2022.2119404","article-title":"In harm\u2019s way: do college students\u2019 beliefs about cannabis put them at risk for use?","volume":"72","author":"Kennedy","year":"2024","journal-title":"J. Am. Coll. Heal."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"e56931","DOI":"10.2196\/56931","article-title":"A comprehensive analysis of COVID-19 misinformation, public health impacts, and communication strategies: scoping review","volume":"26","author":"Kisa","year":"2024","journal-title":"J. Med. Internet Res."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"1121","DOI":"10.1037\/0022-3514.77.6.1121","article-title":"Unskilled and unaware of it: how difficulties in recognizing one\u2019s own incompetence lead to inflated self-assessments","volume":"77","author":"Kruger","year":"1999","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref31","doi-asserted-by":"publisher","first-page":"480","DOI":"10.1037\/0033-2909.108.3.480","article-title":"The case for motivated reasoning","volume":"108","author":"Kunda","year":"1990","journal-title":"Psychol. Bull."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1016\/j.addbeh.2017.05.005","article-title":"The relationship between social desirability bias and self-reports of health, substance use, and social network factors among urban substance users in Baltimore, Maryland","volume":"73","author":"Latkin","year":"2017","journal-title":"Addict. Behav."},{"key":"ref33","doi-asserted-by":"publisher","first-page":"e22205","DOI":"10.2196\/22205","article-title":"Associations between COVID-19 misinformation exposure and belief with COVID-19 knowledge and preventive behaviors: cross-sectional online study","volume":"22","author":"Lee","year":"2020","journal-title":"J. Med. Internet Res."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"13681","DOI":"10.1038\/s41598-022-17430-6","article-title":"Misinformation of COVID-19 vaccines and vaccine hesitancy","volume":"12","author":"Lee","year":"2022","journal-title":"Sci. Rep."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"e74280","DOI":"10.2196\/74280","article-title":"Media exposure and its association with vaccine attitudes, intentions, and hesitancy: systematic review","volume":"28","author":"Leonforte","year":"","journal-title":"J. Med. Internet Res."},{"key":"ref36","doi-asserted-by":"publisher","first-page":"2760","DOI":"10.3390\/nu18172760","article-title":"Prevalence and correlates of dietary supplement use among Italian university students: a cross-sectional study","volume":"18","author":"Leonforte","year":"","journal-title":"Nutrients"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1037\/men0000215","article-title":"Development, variance composition, measurement invariance across five gender identity groups, and validity of the health behavior inventory\u2013short form","volume":"21","author":"Levant","year":"2020","journal-title":"Psychol. Men Masculin."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"973","DOI":"10.3390\/vaccines10060973","article-title":"The health belief model applied to COVID-19 vaccine hesitancy: a systematic review","volume":"10","author":"Limbu","year":"2022","journal-title":"Vaccine"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"4005","DOI":"10.1111\/jocn.17852","article-title":"Determinants and motivations of vaccination hesitancy and uptake in nurses: a systematic review and Meta-analysis","volume":"34","author":"Locatelli","year":"2025","journal-title":"J. Clin. Nurs."},{"key":"ref40","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1038\/s41562-021-01056-1","article-title":"Measuring the impact of COVID-19 vaccine misinformation on vaccination intent in the UK and USA","volume":"5","author":"Loomba","year":"2021","journal-title":"Nat. Hum. Behav."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1080\/21645515.2017.1392423","article-title":"Health literacy and vaccination: a systematic review","volume":"14","author":"Lorini","year":"2018","journal-title":"Hum. Vaccin. Immunother."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"e2019527118","DOI":"10.1073\/pnas.2019527118","article-title":"Overconfidence in news judgments is associated with false news susceptibility","volume":"118","author":"Lyons","year":"2021","journal-title":"Proc. Natl. Acad. Sci."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"e0280439","DOI":"10.1371\/journal.pone.0280439","article-title":"Understanding the barriers and facilitators of vaccine hesitancy towards the COVID-19 vaccine in healthcare workers and healthcare students worldwide: an umbrella review","volume":"18","author":"McCready","year":"2023","journal-title":"PLoS One"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"101309","DOI":"10.1016\/j.cofs.2025.101309","article-title":"Food-related fake news, misleading information, established misconceptions, and food choice","volume":"63","author":"Melios","year":"2025","journal-title":"Curr. Opin. Food Sci."},{"key":"ref45","doi-asserted-by":"publisher","first-page":"1811","DOI":"10.3390\/healthcare12181811","article-title":"Evaluation of evidence-based practice competency among Greek undergraduate nursing students","volume":"12","author":"Miliara","year":"2024","journal-title":"Healthcare"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"e0245389","DOI":"10.1371\/journal.pone.0245389","article-title":"Evaluation of a \u2018serious game\u2019 on nursing student knowledge and uptake of influenza vaccination","volume":"16","author":"Mitchell","year":"2021","journal-title":"PLoS One"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"425","DOI":"10.3390\/healthcare14040425","article-title":"Online health misinformation susceptibility increases health risk behaviors and vaccine hesitancy: evidence from Greece","volume":"14","author":"Moisoglou","year":"2026","journal-title":"Healthcare"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"100289","DOI":"10.1016\/j.bbih.2021.100289","article-title":"COVID-19 vaccination hesitancy in students and trainees of healthcare professions: a global assessment and call for action","volume":"16","author":"Mustapha","year":"2021","journal-title":"Brain Behav. Immun. Health"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1037\/1089-2680.2.2.175","article-title":"Confirmation bias: a ubiquitous phenomenon in many guises","volume":"2","author":"Nickerson","year":"1998","journal-title":"Rev. Gen. Psychol."},{"key":"ref50","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1186\/s12889-025-26099-1","article-title":"Social media usage for health information among undergraduate students: a cross sectional study","volume":"26","author":"Oni","year":"2026","journal-title":"BMC Public Health"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"630268","DOI":"10.3389\/fpsyg.2021.630268","article-title":"An examination of factors contributing to the acceptance of online health misinformation","volume":"12","author":"Pan","year":"2021","journal-title":"Front. Psychol."},{"key":"ref52","doi-asserted-by":"publisher","first-page":"105010","DOI":"10.1016\/j.nedt.2021.105010","article-title":"Factors influencing nursing students\u2019 intention to accept COVID-19 vaccination: a pooled analysis of seven European countries","volume":"104","author":"Patelarou","year":"2021","journal-title":"Nurse Educ. Today"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"6351","DOI":"10.3390\/ijerph17176351","article-title":"Educational interventions for teaching evidence-based practice to undergraduate nursing students: a scoping review","volume":"17","author":"Patelarou","year":"2020","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"590","DOI":"10.1038\/s41586-021-03344-2","article-title":"Shifting attention to accuracy can reduce misinformation online","volume":"592","author":"Pennycook","year":"2021","journal-title":"Nature"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"121","DOI":"10.5993\/AJHB.39.1.13","article-title":"Receptivity to E-cigarette marketing, harm perceptions, and E-cigarette use","volume":"39","author":"Pokhrel","year":"2015","journal-title":"Am. J. Health Behav."},{"key":"ref56","first-page":"97","article-title":"Misinformation and impact on interprofessional healthcare students\u2019 knowledge, attitudes, perceptions, and concerns of COVID-19","volume":"52","author":"Richard","year":"2023","journal-title":"J. Allied Health"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"1007","DOI":"10.1007\/s10389-021-01658-z","article-title":"The impact of fake news on social media and its influence on health during the COVID-19 pandemic: a systematic review","volume":"31","author":"Rocha","year":"2023","journal-title":"J Public Health (Berl.)"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"2150","DOI":"10.3390\/healthcare13172150","article-title":"E-cigarette use among university students: a structured literature review of health risks, Behavioral and social determinants, and nursing implications","volume":"13","author":"Rocha-\u00c1vila","year":"2025","journal-title":"Healthcare"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1057\/s41599-019-0279-9","article-title":"Fake news game confers psychological resistance against online misinformation","volume":"5","author":"Roozenbeek","year":"2019","journal-title":"Palgrave Commun."},{"key":"ref60","doi-asserted-by":"publisher","first-page":"eabo6254","DOI":"10.1126\/sciadv.abo6254","article-title":"Psychological inoculation improves resilience against misinformation on social media","volume":"8","author":"Roozenbeek","year":"2022","journal-title":"Sci. Adv."},{"key":"ref61","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1177\/109019817400200403","article-title":"Historical origins of the health belief model","volume":"2","author":"Rosenstock","year":"1974","journal-title":"Health Educ. Monogr."},{"key":"ref62","doi-asserted-by":"publisher","first-page":"451","DOI":"10.3390\/nu15020451","article-title":"Susceptibility to COVID-19 nutrition misinformation and eating behavior change during lockdowns: an international web-based survey","volume":"15","author":"Ruani","year":"2023","journal-title":"Nutrients"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1007\/s10389-023-02012-1","article-title":"The global prevalence of social media addiction among university students: a systematic review and meta-analysis","volume":"33","author":"Salari","year":"2025","journal-title":"J Public Health (Berl.)"},{"key":"ref64","doi-asserted-by":"publisher","first-page":"2407","DOI":"10.3390\/ijerph18052407","article-title":"Low COVID-19 vaccine acceptance is correlated with conspiracy beliefs among university students in Jordan","volume":"18","author":"Sallam","year":"2021","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref65","doi-asserted-by":"publisher","first-page":"320","DOI":"10.3390\/socsci12060320","article-title":"Dissemination of a \u201cfake miracle cure\u201d against COVID-19 on twitter: the case of chlorine dioxide","volume":"12","author":"Sauvayre","year":"2023","journal-title":"Soc. Sci."},{"key":"ref66","doi-asserted-by":"publisher","first-page":"1799","DOI":"10.1080\/10826084.2025.2519403","article-title":"News-finds-me perception, substance use misinformation beliefs, and nonmedical prescription drug use: the moderating effect of gender","volume":"60","author":"Seo","year":"2025","journal-title":"Subst. Use Misuse"},{"key":"ref67","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1016\/j.vaccine.2017.12.043","article-title":"The vaccine hesitancy scale: psychometric properties and validation","volume":"36","author":"Shapiro","year":"2018","journal-title":"Vaccine"},{"key":"ref68","first-page":"51","article-title":"Rising screen time in the digital era: a comparative review of trends, health impacts, and prevention strategies across age groups and countries","volume":"2","author":"Singh","year":"2026","journal-title":"JSIAR"},{"key":"ref69","doi-asserted-by":"publisher","first-page":"e70149","DOI":"10.1002\/rmv.70149","article-title":"Global vaccine confidence at a crossroads: immunisation coverage declines, misinformation, and the future of vaccine policy","volume":"36","author":"Sophian","year":"2026","journal-title":"Rev. Med. Virol."},{"key":"ref70","doi-asserted-by":"publisher","first-page":"26","DOI":"10.34297\/AJBSR.2022.17.002365","article-title":"Miracle treatments profiting from Covid-19 pandemic misinformation: chlorine dioxide","volume":"17","author":"Soto Vega","year":"2022","journal-title":"AJBSR"},{"key":"ref71","doi-asserted-by":"publisher","first-page":"1528","DOI":"10.1038\/s41562-021-01115-7","article-title":"Trust in science, social consensus and vaccine confidence","volume":"5","author":"Sturgis","year":"2021","journal-title":"Nat. Hum. Behav."},{"key":"ref72","doi-asserted-by":"publisher","first-page":"e17187","DOI":"10.2196\/17187","article-title":"Prevalence of health misinformation on social media: systematic review","volume":"23","author":"Suarez-Lledo","year":"2021","journal-title":"J. Med. Internet Res."},{"key":"ref73","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1146\/annurev-publhealth-040119-094127","article-title":"Public health and online misinformation: challenges and recommendations","volume":"41","author":"Swire-Thompson","year":"2020","journal-title":"Annu. Rev. Public Health"},{"key":"ref74","first-page":"1551905","article-title":"Assessment of the effect of social media use on medical students\u2019 academic performance: cross-sectional study from Jordan","volume-title":"Front. Public Health","author":"Taha","year":"2025"},{"key":"ref75","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1080\/07370016.2020.1809857","article-title":"Effectiveness of an educational intervention to increase human papillomavirus knowledge and attitude in staff and nursing students","volume":"37","author":"Torabizadeh","year":"2020","journal-title":"J. Community Health Nurs."},{"key":"ref76","doi-asserted-by":"publisher","first-page":"101736","DOI":"10.1016\/j.copsyc.2023.101736","article-title":"The illusory truth effect: a review of how repetition increases belief in misinformation","volume":"56","author":"Udry","year":"2024","journal-title":"Curr. Opin. Psychol."},{"key":"ref77","doi-asserted-by":"publisher","first-page":"460","DOI":"10.1038\/s41591-022-01713-6","article-title":"Misinformation: susceptibility, spread, and interventions to immunize the public","volume":"28","author":"van der Linden","year":"2022","journal-title":"Nat. Med."},{"key":"ref78","doi-asserted-by":"publisher","first-page":"e1840","DOI":"10.2196\/jmir.1840","article-title":"Does the eHealth literacy scale (eHEALS) measure what it intends to measure? Validation of a Dutch version of the eHEALS in two adult populations","volume":"13","author":"van der Vaart","year":"2011","journal-title":"J. Med. Internet Res."},{"key":"ref79","doi-asserted-by":"publisher","first-page":"8045","DOI":"10.1038\/s41598-022-11488-y","article-title":"Examining the impact of sharing COVID-19 misinformation online on mental health","volume":"12","author":"Verma","year":"2022","journal-title":"Sci. Rep."},{"key":"ref80","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"370","author":"von Elm","year":"2007","journal-title":"Lancet"},{"key":"ref81","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1186\/s12966-018-0719-8","article-title":"Changes in diet through adolescence and early adulthood: longitudinal trajectories and association with key life transitions","volume":"15","author":"Winpenny","year":"2018","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref82","doi-asserted-by":"publisher","first-page":"661","DOI":"10.1007\/s41347-024-00474-y","article-title":"Time spent on social media and associations with mental health in young adults: examining TikTok, twitter, Instagram, Facebook, Youtube, snapchat, and reddit","volume":"10","author":"Woodward","year":"2025","journal-title":"J. Technol. Behav. Sci."},{"key":"ref83","doi-asserted-by":"publisher","first-page":"2191","DOI":"10.1001\/jama.2013.281053","article-title":"World medical association declaration of Helsinki: ethical principles for medical research involving human subjects","volume":"310","year":"2013","journal-title":"JAMA"},{"key":"ref84","doi-asserted-by":"publisher","first-page":"117136","DOI":"10.1016\/j.socscimed.2024.117136","article-title":"Mitigating the influence of message features on health misinformation sharing intention in social media: experimental evidence for accuracy-nudge intervention","volume":"356","author":"Xue","year":"2024","journal-title":"Soc. Sci. Med."},{"key":"ref85","doi-asserted-by":"publisher","first-page":"2281121","DOI":"10.1080\/19932820.2023.2281121","article-title":"Efficiency of an intervention study on nursing students\u2019 knowledge and practices regarding nutrition and dietary habits","volume":"18","author":"Zaghamir","year":"2023","journal-title":"Libyan J. Med."},{"key":"ref86","doi-asserted-by":"publisher","first-page":"e34790","DOI":"10.2196\/34790","article-title":"Online health information seeking behaviors among older adults: systematic scoping review","volume":"24","author":"Zhao","year":"2022","journal-title":"J. Med. 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