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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">zdme</journal-id><journal-title-group><journal-title xml:lang="ru">Здоровье мегаполиса</journal-title><trans-title-group xml:lang="en"><trans-title>City Healthcare</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2713-2617</issn><publisher><publisher-name>ГБУ «НИИОЗММ ДЗМ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.47619/2713-2617.zm.2026.v.7i3;189-197</article-id><article-id custom-type="elpub" pub-id-type="custom">zdme-441</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ТЕНДЕНЦИИ И АНАЛИТИКА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>TRENDS AND ANALYTICS</subject></subj-group></article-categories><title-group><article-title>Анализ влияния информационной среды и уровня цифровой грамотности населения на поведенческие установки в сфере здоровья</article-title><trans-title-group xml:lang="en"><trans-title>Analysis of the Information Environment Impact and Population Digital Literacy on Health Behavior Patterns</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6399-8945</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гурцкой</surname><given-names>Л. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Gurtskoy</surname><given-names>L. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гурцкой Лев Дмитриевич канд. экон. наук, старший научный сотрудник </p><p>105064, г. Москва, ул. Воронцово Поле, д. 12</p></bio><bio xml:lang="en"><p>Lev D. Gurtskoy Candi. Sci. in Economics, Senior Researcher</p><p>12, Vorontsovo Pole ul., 105064, Moscow</p></bio><email xlink:type="simple">levang@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Национальный научно-исследовательский институт общественного здоровья имени Н.А. Семашко</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.A. Semashko National Research Institute of Public Health</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>11</day><month>10</month><year>2026</year></pub-date><volume>7</volume><issue>3</issue><fpage>189</fpage><lpage>197</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Гурцкой Л.Д., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Гурцкой Л.Д.</copyright-holder><copyright-holder xml:lang="en">Gurtskoy L.D.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.city-healthcare.com/jour/article/view/441">https://www.city-healthcare.com/jour/article/view/441</self-uri><abstract><sec><title>Введение</title><p>Введение. Цифровая трансформация здравоохранения и распространение информационно-комму­никационных технологий принципиально изменили модели получения информации о здоровье. Ин­тенсификация информационных потоков создала феномен инфодемии, при котором избыток и про­тиворечивость информации о здоровье формируют новые вызовы для общественного здоровья.</p></sec><sec><title>Цель исследования</title><p>Цель исследования. Систематический анализ современных научных представлений о влиянии цифровой грамотности населения и характеристик информационной среды на формирование поведенческих установок в сфере здоровья.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Проведен поиск и анализ литературы в базах дан­ных PubMed, Scopus, WoS, eLibrary, CyberLeninka за период 2019-2025 гг. по ключевым словам «цифро­вая грамотность в сфере здоровья», «поведенческие установки», «киберхондрия», «информационная среда», eHealth literacy.</p></sec><sec><title>Результаты</title><p>Результаты. Выявлены валидизированные инструменты оценки цифровой грамотности, установлена взаимосвязь между цифровой грамотностью и экономическими аспектами поведения в отношении здоровья. Обнаружен парадокс киберхондрии положительная связь циф­ровой грамотности с тревожными состояниями, связанными со здоровьем. Установлены эффекты цифрового неравенства (1, 2 и 3-го уровней), а также культурная специфика восприятия цифровых медицинских рекомендаций.</p></sec><sec><title>Заключение</title><p>Заключение. Цифровая грамотность является значимым, но нелиней­ным фактором формирования здоровье-ориентированного поведения, эффект которого сглаживается социально-экономическими и институциональными условиями.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Background</title><p>Background. The digital transformation of healthcare and the widespread adoption of information and communication technologies have fundamentally reshaped the access to health-related information. Intense information flows have given rise to the “infodemic” phenomenon, where the overwhelming and conflicting health information creates new challenges for the public health.</p><p>The aim of the study was to provide a sys­tematic review of current scientific evidence on the influence of population digital literacy and the charac­teristics of the information environment on health behavioral patterns.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. A literature search was conducted in PubMed, Scopus, WoS, eLibrary, and CyberLeninka databases for the period 2019­2025.</p></sec><sec><title>Results</title><p>Results. Validated tools for assessing digital literacy were identified; the relationship between digital literacy and economic aspects of medical behavior was established. The “cyberchondria paradox”, that is a positive association between digital literacy and health-related anxiety, was revealed. The effects of first-, second-, third-level digital divide, as well as culturally specific perception of digital health recommendations were documented.</p></sec><sec><title>Conclusion</title><p>Conclusion. Digital literacy is a significant yet non-linear factor shaping health-oriented behavior; its effect is managed by socioeconomic and institutional conditions.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>цифровая грамотность</kwd><kwd>поведенческие установки</kwd><kwd>киберхондрия</kwd><kwd>информационная среда</kwd><kwd>цифровое неравенство</kwd><kwd>общественное здоровье</kwd></kwd-group><kwd-group xml:lang="en"><kwd>digital literacy</kwd><kwd>behavior attitudes</kwd><kwd>cyberchondria</kwd><kwd>information environment</kwd><kwd>digital divide</kwd><kwd>public health</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Kayser L., Kushniruk A.W., Osborne R.H. et al. Enhancing the effectiveness of consumer-focused health information technology systems through eHealth literacy: a framework for understanding users’ needs. 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