TY - JOUR AU - Tatara, Naoe AU - Hammer, Hugo Lewi AU - Mirkovic, Jelena AU - Kjøllesdal, Marte Karoline Råberg AU - Andreassen, Hege Kristin PY - 2019 DA - 2019/08/16 TI -移民相关用户因素与自我保健电子健康活动之间的关联:来自巴基斯坦的第一代移民在挪威奥斯陆地区的案例JO - JMIR公共卫生监测SP - e11998 VL - 5 IS - 3kw -移民KW - 2型糖尿病KW -自我保健KW -信息寻求行为KW -读写能力KW -语言AB -背景:移民人群经常受到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。使用泊松回归，我们还评估了用户因素与所经历的各种电子健康活动之间的关系。 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 SN - 2369-2960 UR - http://publichealth.www.mybigtv.com/2019/3/e11998/ UR - https://doi.org/10.2196/11998 UR - http://www.ncbi.nlm.nih.gov/pubmed/31420957 DO - 10.2196/11998 ID - info:doi/10.2196/11998 ER -