This dissertation undertakes a comprehensive investigation into the health information behaviours and health service requirements of immigrants, asylum seekers, and refugees across Nordic countries of Norway, Finland, and Sweden. The study presents valuable findings concerning the complex interplay among cultural factors, social networks, and personal experiences, thereby deepening our current understanding of the health behaviours displayed by these communities. This study explicitly includes immigrants, asylum seekers, and those denied asylum, acknowledging that the circumstances and contexts in which people experience health information needs might then differ.
This thesis integrates data obtained from six academic articles and employs diverse research methodologies to investigate this intricate subject matter. The research employs various qualitative and quantitative methodologies, such as systematic literature reviews, semi-structured interviews, and structured surveys. The use of mixed methodologies ensures comprehensive and rigorous approach to the investigation.
Rather than focusing on particular mental or physical health conditions, the studies included in this analysis take a broader perspective by assessing the overall well-being of the populations being studied. This approach enables the integration of various perspectives towards health-related behaviours and needs of these communities, thereby augmenting the scope and depth of scholarly comprehension in this domain. Furthermore, this thesis addresses the influence of cultural, traditional, and social factors on health beliefs and healthseeking behaviours among asylum seekers and refugees.
Understanding health susceptibility perceptions among asylum seekers and those denied asylum in Finland, Norway, and Sweden, offers a novel perspective on this issue. The thesis identifies a variety of internal and external cues that motivate health-related behaviour in these populations.
The proposed conceptual model that investigates the impact of health beliefs, information access, and cultural influences on health behaviours and outcomes among immigrants in Nordic countries is a significant contribution to this dissertation. This paradigm captures the complexity of these factors and promotes a more context-aware, user-centred design approach. It corresponds with the person-in-context perspective and the social determinants of health framework, advocating for the indispensable role of information professionals in providing culturally appropriate health information.
The theoretical underpinning of this thesis spans on multiple interdisciplinary fields, including information system design, service design, behavioural studies, social science, human-computer interaction (HCI), user experience (UX) design, patient-centred design, human-centred design methods, and designing for health equity, among others.
The findings of this thesis provide policymakers, healthcare providers, and information professionals involved in devising and delivering health services for immigrant populations with invaluable insights. It requires the implementation of user-centred design principles, cultural sensitivity, and inclusive approaches in the creation of information systems and services, highlighting strategies to integrate health information services into broader social and cultural contexts. This strategy promotes health information equity and has the potential to enhance immigrant populations' health outcomes.