杂志文章@ 2369-2960 I JMIR出版物V 5% N 3% 卡塔尔世界杯8强波胆分析P e11998 T与移民相关的用户因素和自我保健电子健康活动之间的关联:挪威奥斯陆地区来自巴基斯坦的第一代移民案例%A Tatara,Naoe %A Hammer,Hugo Lewi %A Mirkovic,Jelena %A Kjøllesdal,Marte Karoline Råberg %A Andreassen,Hege Kristin %+奥斯陆都市大学技术艺术与设计学院计算机科学系,Postboks 4, St. Olavs plass, Oslo, 0130, Norway, 47 67 23 86 79,naoe.tatara@oslomet.no %K移民%K 2型糖尿病%K自我护理%K信息寻求行为%K读写能力%K语言%D 2019 %7 16.08.2019 %9原始论文%J JMIR公共卫生监测%G英语%X背景:移民人口经常受到2型糖尿病(T2DM)等慢性病的影响。信息和通信技术(ICT)的使用是改善2型糖尿病患者自我护理以减轻社会健康不平等的一种有前途的方法,如果设计用于更广泛的人群。然而,特别是在欧洲国家,对移民群体用于自我保健的各种电子健康活动知之甚少。目的:针对挪威奥斯陆地区来自巴基斯坦的第一代移民目标群体,我们旨在了解他们在与移民相关的特定用户因素相关的T2DM自我保健的各种电子健康活动:相关语言(乌尔都语、挪威语、英语)的熟练程度,在挪威居住的时间,与一般用户因素(年龄、性别、教育程度和数字技能,以及自我评估的健康状况)相比,T2DM的诊断。方法:数据来自2015-2016年对目标人群(N=176)的调查。使用逻辑回归,我们分析了在过去12个月里,用户因素与以下每一项用于T2DM自我护理的电子健康活动的体验之间的关联:首先,通过(1)搜索引擎和(2)门户网站或电子邮件订阅寻求信息;二是交流和咨询(1)利用信息通信技术和(2)通过社交网络服务与少数熟人进行闭门交谈;第三,通过使用应用程序(1)跟踪健康信息和(2)自我评估健康状况来积极决策。 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. Results: 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). Conclusions: 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. International Registered Report: RR2-DOI 10.2196/resprot.5468 %M 31420957 %R 10.2196/11998 %U http://publichealth.www.mybigtv.com/2019/3/e11998/ %U https://doi.org/10.2196/11998 %U http://www.ncbi.nlm.nih.gov/pubmed/31420957
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