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dc.contributor.authorTatara, Naoe
dc.contributor.authorHammer, Hugo Lewi
dc.contributor.authorAndreassen, Hege
dc.contributor.authorMirkovic, Jelena
dc.contributor.authorKjøllesdal, Marte Karoline Råberg
dc.date.accessioned2017-10-12T09:00:03Z
dc.date.available2017-10-12T09:00:03Z
dc.date.issued2017
dc.description.abstractBackground: Sociodemographic and health-related factors are often investigated for their association with the active use of electronic health (eHealth). The importance of such factors has been found to vary, depending on the purpose or means of eHealth and the target user groups. Pakistanis are one of the biggest immigrant groups in the Oslo area, Norway. Due to an especially high risk of developing type 2 diabetes (T2D) among this population, knowledge about their use of eHealth for T2D self-management and prevention (self-care) will be valuable for both understanding this vulnerable group and for developing effective eHealth services. <br>Objective: The aim of this study was to examine how commonly were the nine types of eHealth for T2D self-care being used among our target group, the first-generation Pakistani immigrants living in the Oslo area. The nine types of eHealth use are divided into three broad categories based on their purpose: information seeking, communication, and active self-care. We also aimed to investigate how sociodemographic factors, as well as self-assessment of health status and digital skills are associated with the use of eHealth in this group. <br>Methods: A survey was carried out in the form of individual structured interviews from September 2015 to January 2016 (N=176). For this study, dichotomous data about whether or not an informant had used each of the nine types of eHealth in the last 12 months and the total number of positive answers were used as dependent variables in a regression analysis. The independent variables were age, gender, total years of education, digital skills (represented by frequency of asking for help when using information and communication technology [ICT]), and self-assessment of health status. Principal component analyses were applied to make categories of independent variables to avoid multicollinearity. <br>Results: Principal component analysis yielded three components: knowledge, comprising total years of education and digital skills; health, comprising age and self-assessment of health status; and gender, as being a female. With the exception of closed conversation with a few specific acquaintances about self-care of T2D (negatively associated, P=.02) and the use of ICT for relevant information-seeking by using search engines (not associated, P=.18), the knowledge component was positively associated with all the other dependent variables. The health component was negatively associated with the use of ICT for closed conversation with a few specific acquaintances about self-care of T2D (P=.01) but not associated with the other dependent variables. Gender component showed no association with any of the dependent variables. <br>Conclusions: In our sample, knowledge, as a composite measure of education and digital skills, was found to be the main factor associated with eHealth use regarding T2D self-care. Enhancing digital skills would encourage and support more active use of eHealth for T2D self-care.en_US
dc.descriptionSource at <a href=http://dx.doi.org/10.2196/publichealth.7009> http://dx.doi.org/10.2196/publichealth.7009 </a>en_US
dc.identifier.citationTatara N, Hammer HL, Andreassen HK, Mirkovic J, Kjøllesdal MK. The Association Between Commonly Investigated User Factors and Various Types of eHealth Use for Self-Care of Type 2 Diabetes:Case of First-Generation Immigrants From Pakistan in the Oslo Area, Norway. JMIR Public Health and Surveillance. 2017;3(4)en_US
dc.identifier.issn2369-2960
dc.identifier.otherFRIDAID 1502765
dc.identifier.other10.2196/publichealth.7009
dc.identifier.urihttp://hdl.handle.net/10037/11655
dc.language.isoengen_US
dc.publisherJMIR Publicationsen_US
dc.relation.journalJMIR Public Health and Surveillance
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.titleThe Association Between Commonly Investigated User Factors and Various Types of eHealth Use for Self-Care of Type 2 Diabetes:Case of First-Generation Immigrants From Pakistan in the Oslo Area, Norwayen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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