{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T05:47:34Z","timestamp":1785822454201,"version":"3.56.0"},"reference-count":61,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"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. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Digital health technologies are increasingly used in chronic disease management, but their effective use requires adequate digital health literacy (DHL). Because an overall DHL score may mask heterogeneity across its multiple dimensions, this study aimed to identify latent profiles of DHL among young and middle-aged adults with diabetes and to examine factors associated with profile membership, thereby informing individualized health education and stratified health promotion strategies for diabetes management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Guided by the health ecology model, a cross-sectional study was conducted among 504 hospitalized patients with diabetes aged 18\u201359\u202fyears from two tertiary hospitals in Anhui Province, China, between June 2025 and March 2026. Data were collected using a general information questionnaire, the Digital Health Literacy Instrument, the Diabetes Self-Management Questionnaire, the Technophobia Scale, and the Social Support Rating Scale. Latent profile analysis (LPA) was used to identify DHL profiles. LASSO regression was applied to screen candidate variables, and multinomial logistic regression was used to examine factors associated with profile membership.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean DHLI score was 2.02\u202f\u00b1\u202f0.61. LPA identified four profiles: limited DHL profile, basic application-low navigation profile, operational strength-limited critical appraisal profile, and high-level comprehensive DHL profile. Multinomial logistic regression showed that age, educational level, residence, complications, mobile health tool use, daily internet use, online health information seeking, diversity of information sources, technophobia, and social support were significantly associated with DHL profile membership (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>DHL among young and middle-aged adults with diabetes showed distinct profile characteristics in information access, appraisal, interaction, and privacy protection. These findings provide a basis for individualized health education and stratified health promotion strategies based on patients\u2019 DHL profiles in diabetes management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1865183","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T05:38:44Z","timestamp":1785821924000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Latent profiles analysis and associated factors of digital health literacy among young and middle-aged adults with diabetes"],"prefix":"10.3389","volume":"14","author":[{"given":"Jingwen","family":"Song","sequence":"first","affiliation":[{"name":"School of Nursing, Anhui University of Chinese Medicine","place":["Hefei, China"]},{"name":"Laboratory of Geriatric Nursing and Health, Anhui University of Chinese Medicine","place":["Hefei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Di","family":"Zhou","sequence":"additional","affiliation":[{"name":"School of Nursing, Anhui University of Chinese Medicine","place":["Hefei, China"]},{"name":"Laboratory of Geriatric Nursing and Health, Anhui University of Chinese Medicine","place":["Hefei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenli","family":"Tao","sequence":"additional","affiliation":[{"name":"School of Nursing, Anhui University of Chinese Medicine","place":["Hefei, China"]},{"name":"Laboratory of Geriatric Nursing and Health, Anhui University of Chinese Medicine","place":["Hefei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunyan","family":"Li","sequence":"additional","affiliation":[{"name":"School of Nursing, Anhui University of Chinese Medicine","place":["Hefei, China"]},{"name":"Laboratory of Geriatric Nursing and Health, Anhui University of Chinese Medicine","place":["Hefei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Yuan","sequence":"additional","affiliation":[{"name":"School of Nursing, Anhui University of Chinese Medicine","place":["Hefei, China"]},{"name":"Laboratory of Geriatric Nursing and Health, Anhui University of Chinese Medicine","place":["Hefei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"ref1","year":"2025"},{"key":"ref2","year":"2020"},{"key":"ref3","year":"2018"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1016\/S2213-8587(25)00299-2","article-title":"11th edition of the IDF diabetes atlas: global, regional, and national diabetes prevalence estimates for 2024 and projections for 2050","volume":"14","author":"Genitsaridi","year":"2025","journal-title":"Lancet Diabetes Endocrinol"},{"key":"ref5","year":""},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1297","DOI":"10.1111\/dme.13680","article-title":"Diabetes-related lower-extremity complications are a leading cause of the global burden of disability","volume":"35","author":"Lazzarini","year":"2018","journal-title":"Diabet Med"},{"key":"ref7","year":""},{"key":"ref8","doi-asserted-by":"publisher","first-page":"108072","DOI":"10.1016\/j.diabres.2020.108072","article-title":"Global and regional estimates and projections of diabetes-related health expenditure: results from the international diabetes federation diabetes atlas, 9th edition","volume":"162","author":"Williams","year":"2020","journal-title":"Diabetes Res Clin Pract"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1097\/CM9.0000000000003207","article-title":"Trends of diabetes in Beijing, China","volume":"138","author":"Ma","year":"2025","journal-title":"Chin Med J"},{"key":"ref10","first-page":"864","article-title":"Guidelines for the prevention and control of diabetes in China (2024 edition) (excerpt I)","volume":"45","year":"2025","journal-title":"Chin J Pract Intern Med"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"341","DOI":"10.3122\/jabfm.2022.02.210223","article-title":"All in the family: a qualitative study of the early experiences of adults with younger onset type 2 diabetes","volume":"35","author":"Gopalan","year":"2022","journal-title":"J Am Board Fam Med"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"e15229","DOI":"10.1111\/dme.15229","article-title":"Identifying barriers and facilitators to self care in young adults with type 2 diabetes","volume":"41","author":"Wong","year":"2024","journal-title":"Diabet Med: J Br Diabet Assoc"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1038\/s41746-025-02076-1","article-title":"Ten-year trends of the digital divides and its effect on healthy aging among older adults in China from 2011 to 2020","volume":"8","author":"Li","year":"2025","journal-title":"npj Digital Med"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"16","DOI":"10.3760\/cma.j.cn115791-20241203-60000705","article-title":"Guidelines for the prevention and control of diabetes in China (2024 599 edition)","volume":"17","year":"2025","journal-title":"Chin J Diabetes Mellit"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"775","DOI":"10.1177\/19322968221081133","article-title":"Role of telemedicine in diabetes management","volume":"17","author":"Dhediya","year":"2023","journal-title":"J Diabetes Sci Technol"},{"key":"ref16","year":"2021"},{"key":"ref17","first-page":"5","volume-title":"NLM Pub.","author":"Ratzan","year":"2008"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"e9","DOI":"10.2196\/jmir.8.2.e9","article-title":"eHealth literacy: essential skills for consumer health in a networked 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comparison","volume":"11","author":"\u00c7etin","year":"2023","journal-title":"Front Public Health"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"e66631","DOI":"10.2196\/66631","article-title":"Determinants of digital health literacy: international cross-sectional study","volume":"27","author":"Qiu","year":"2025","journal-title":"J Med Internet Res"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"1608067","DOI":"10.3389\/ijph.2025.1608067","article-title":"Type 2 diabetes self-management behaviors and glycemic control under China\u2019s diabetes prevention and control action program","volume":"70","author":"Gu","year":"2025","journal-title":"Int J Public Health"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"3011","DOI":"10.1111\/jocn.70291","article-title":"The association between self-care and health literacy in patients with chronic diseases: a systematic review and meta-analysis","volume":"35","author":"Magi","year":"2026","journal-title":"J 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people with type 2 diabetes: an exploratory study","volume":"15","author":"Cravo","year":"2023","journal-title":"Cureus"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"1041","DOI":"10.1016\/j.jclinepi.2012.05.005","article-title":"Cumulative complexity: a functional, patient-centered model of patient complexity can improve research and practice","volume":"65","author":"Shippee","year":"2012","journal-title":"J Clin Epidemiol"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"352","DOI":"10.1186\/s12875-024-02586-z","article-title":"Treatment burden in multimorbidity: an integrative review","volume":"25","author":"Lee","year":"2024","journal-title":"BMC Prim Care"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"4059","DOI":"10.1038\/s41598-025-34194-x","article-title":"Association between health literacy and chronic diseases in Anhui province: findings from a province-wide cross-sectional survey of 16,067 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Sci Eng"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1007\/s10935-024-00821-y","article-title":"Sociodemographics and digital health literacy in using wearables for health promotion and disease prevention: cross-sectional nationwide survey in Germany","volume":"46","author":"Pan","year":"2025","journal-title":"J Prev"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"S146","DOI":"10.2337\/dc25-S007","article-title":"7. Diabetes technology: standards of care in diabetes-2025","volume":"48","year":"2025","journal-title":"Diabetes Care"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"102109","DOI":"10.1016\/j.japh.2024.102109","article-title":"Health literacy of patients using continuous glucose monitoring","volume":"64","author":"Evans","year":"2024","journal-title":"J Am Pharm Assoc"},{"key":"ref59","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1416620","article-title":"The mediating effect of e-health literacy on social support and behavioral decision-making on glycemic management in pregnant women with gestational diabetes: a cross-sectional study","volume":"12","author":"Yumei","year":"2024","journal-title":"Front Public Health"},{"key":"ref60","volume-title":"Work Stress and social Support","author":"House","year":"1981"},{"key":"ref61","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1568043","article-title":"Determinants of digital health literacy among older adult patients with chronic diseases: a qualitative study","volume":"13","author":"Shao","year":"2025","journal-title":"Front Public Health"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1865183\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T05:38:48Z","timestamp":1785821928000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1865183\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,4]]},"references-count":61,"alternative-id":["10.3389\/fpubh.2026.1865183"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1865183","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,4]]},"article-number":"1865183"}}