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. 2026 Jul 13;14:1857565. doi: 10.3389/fpubh.2026.1857565

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Copyright © 2026 Wang, Zhu, Ma, Li and Wang.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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Path diagram illustrating relationships among eHealth literacy, self-efficacy, social support, and health responsibility, with statistically significant path coefficients: eHealth literacy to self-efficacy (0.339), social support (0.188), and health responsibility (0.216); self-efficacy to social support (0.530); social support to health responsibility (0.364); and self-efficacy to health responsibility (0.308). — Serial indirect association model. Values are standardized path coefficients adjusted for age, gender, residence, educational level, marital status, and living arrangement. (^***p < 0.001).