Show simple item record

dc.contributor.authorTatara, Naoe
dc.contributor.authorHammer, Hugo Lewi
dc.contributor.authorMirkovic, Jelena
dc.contributor.authorKjøllesdal, Marte Karoline Råberg
dc.contributor.authorAndreassen, Hege Kristin
dc.date.accessioned2019-08-29T08:52:13Z
dc.date.available2019-08-29T08:52:13Z
dc.date.issued2019
dc.description.abstract<i>Background</i>: Immigrant populations are often disproportionally affected by chronic diseases, such as type 2 diabetes mellitus (T2DM). Use of information and communication technology (ICT) is one promising approach for better self-care of T2DM to mitigate the social health inequalities, if designed for a wider population. However, knowledge is scarce about immigrant populations’ diverse electronic health (eHealth) activities for self-care, especially in European countries.<p> <p><i>Objective</i>: With a target group of first-generation immigrants from Pakistan in the Oslo area, Norway, we aimed to understand their diverse eHealth activities for T2DM self-care in relation to immigration-related user factors specific to this target group: proficiency in relevant languages (Urdu, Norwegian, English), length of residence in Norway, and diagnosis of T2DM compared with general user factors (age, gender, education and digital skills, and self-rated health status).<p> <p><i>Methods</i>: Data were from a survey among the target population (N=176) conducted in 2015-2016. Using logistic regression, we analyzed associations between user factors and experiences of each of the following eHealth activities for T2DM self-care in the last 12 months: first, information seeking by (1) search engines and (2) Web portals or email subscriptions; second, communication and consultation (1) by closed conversation with a few acquaintances using ICT and (2) on social network services; and third, active decision making by using apps for (1) tracking health information and (2) self-assessment of health status. Using Poisson regression, we also assessed the relationship between user factors and variety of eHealth activities experienced. The Bonferroni correction was used to address the multiple testing problem.<p> <p><i>Results</i>: Regression analyses yielded the following significantly positive associations: between Urdu literacy and (1) information seeking by Web portals or email subscriptions (odds ratio [OR] 2.155, 95% CI 1.388-3.344), (2) communication and consultation on social network services (OR 5.697, 95% CI 2.487-13.053), and (3) variety (estimate=0.350, 95% CI 0.148-0.552); between length of residence in Norway and (1) communication and consultation by closed conversation with a few acquaintances using ICT (OR 1.728, 95% CI 1.193-2.503), (2) communication and consultation on social network services (OR 2.098, 95% CI 1.265-3.480), and (3) variety (estimate=0.270, 95% CI 0.117-0.424); between Norwegian language proficiency and active decision making by using apps for self-assessment of health status (OR 2.285, 95% CI 1.294-4.036); between education and digital skills and active decision making by using apps for tracking health information (OR 3.930, 95% CI 1.627-9.492); and between being a female and communication and consultation by closed conversation with a few acquaintances using ICT (OR 2.883, 95% CI 1.335-6.227).<p> <p><i>Conclusions</i>: This study implies immigration-related factors may confound associations between general user factors and eHealth activities. Further studies are needed to explore the influence of immigration-related user factors for eHealth activities in other immigrant groups and countries.en_US
dc.description.sponsorshipThe Department of Computer Science, the Faculty of Technology, Design and Art, Oslo Metropolitan Universityen_US
dc.descriptionSource at <a href=https://doi.org/10.2196/11998>https://doi.org/10.2196/11998. </a>en_US
dc.identifier.citationTatara, N.,Hammer, H.L., Mirkovic, J., Kjøllesdal, M.K.R. & Andreassen, H.K. (2019). Associations Between Immigration-Related User Factors and eHealth Activities for Self-Care: Case of First-Generation Immigrants From Pakistan in the Oslo Area, Norway. <i>JMIR Public Health and Surveillance, 5</i>(3), e11998. https://doi.org/10.2196/11998en_US
dc.identifier.cristinIDFRIDAID 1716554
dc.identifier.doi10.2196/11998
dc.identifier.issn2369-2960
dc.identifier.urihttps://hdl.handle.net/10037/16031
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.subjectimmigrantsen_US
dc.subjecttype 2 diabetesen_US
dc.subjectself-careen_US
dc.subjectinformation-seeking behavioren_US
dc.subjectliteracyen_US
dc.subjectlanguageen_US
dc.titleAssociations Between Immigration-Related User Factors and eHealth Activities for Self-Care: Case of First-Generation Immigrants From Pakistan in the Oslo Area, Norwayen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record