Background: College students actively seek online health information and use Instagram, an image- and video-based social networking website, to build social networks grounded in trust and behavioral norms (social capital), which have the potential to prevent chronic disease.

Purpose: This study aimed to: (1) examine how intensity of Instagram use moderates the relationship between eHealth Literacy and online social capital in college students, and (2) discuss how Instagram can be used as a social awareness platform for chronic disease prevention among college students.

Methods: Hierarchical regression analyses were conducted to analyze web-based survey data from a random sample of college students (=327).

Results: Online bridging social capital was associated with greater eHealth Literacy (<.05) and intensity of Instagram use (<.001), when controlling for socio-demographic variables. The relationship between eHealth Literacy and online bridging social capital was strongest among respondents' with average (<.01) and high (<.01) intensity Instagram use, as compared to low Instagram intensity.

Discussion: High intensity of Instagram may strengthen college students' low eHealth Literacy, especially when interacting with heterogeneous connections with weaker ties.

Translation To Health Education Practice: Health education specialists should continue to explore how college students' intensity of Instagram use can be strengthened to build bridging online social capital, and ultimately prevent chronic disease.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5687578PMC
http://dx.doi.org/10.1080/19325037.2017.1316693DOI Listing

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