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Association of Acculturation Status with Longitudinal Changes in Health-Related Quality of Life—Results from a Cohort Study of Adults with Turkish Origin in Germany

Author

Listed:
  • Lilian Krist

    (Institute for Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany)

  • Christina Dornquast

    (Institute for Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany
    German Center for Neurodegenerative Diseases (DZNE), 17489 Greifswald, Germany)

  • Thomas Reinhold

    (Institute for Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany)

  • Heiko Becher

    (Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany)

  • Karl-Heinz Jöckel

    (Institute for Medical Informatics, Biometry und Epidemiology, University Hospital Essen, University Duisburg-Essen, 45122 Essen, Germany)

  • Börge Schmidt

    (Institute for Medical Informatics, Biometry und Epidemiology, University Hospital Essen, University Duisburg-Essen, 45122 Essen, Germany)

  • Sara Schramm

    (Institute for Medical Informatics, Biometry und Epidemiology, University Hospital Essen, University Duisburg-Essen, 45122 Essen, Germany)

  • Katja Icke

    (Institute for Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany)

  • Ina Danquah

    (Institute for Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany
    Institute of Global Health (HIGH), Heidelberg University Hospital, 69120 Heidelberg, Germany)

  • Stefan N. Willich

    (Institute for Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany)

  • Thomas Keil

    (Institute for Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany
    Institute for Clinical Epidemiology and Biometry, University of Würzburg, 97070 Würzburg, Germany
    State Institute of Health, Bavarian Health and Food Safety Authority, 97688 Bad Kissingen, Germany)

  • Tilman Brand

    (Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology—BIPS, 28359 Bremen, Germany)

Abstract

Health-related quality of life (HRQL) among migrant populations can be associated with acculturation (i.e., the process of adopting, acquiring and adjusting to a new cultural environment). Since there is a lack of longitudinal studies, we aimed to describe HRQL changes among adults of Turkish descent living in Berlin and Essen, Germany, and their association with acculturation. Participants of a population-based study were recruited in 2012–2013 and reinvited six years later to complete a questionnaire. Acculturation was assessed at baseline using the Frankfurt acculturation scale (integration, assimilation, separation and marginalization). HRQL was assessed at baseline (SF-8) and at follow-up (SF-12) resulting in a physical (PCS) and mental (MCS) sum score. Associations with acculturation and HRQL were analyzed with linear regression models using a time-by-acculturation status interaction term. In the study 330 persons were included (65% women, mean age ± standard deviation 43.3 ± 11.8 years). Over the 6 years, MCS decreased, while PCS remained stable. While cross-sectional analyses showed associations of acculturation status with both MCS and PCS, temporal changes including the time interaction term did not reveal associations of baseline acculturation status with HRQL. When investigating HRQL in acculturation, more longitudinal studies are needed to take changes in both HRQL and acculturation status into account.

Suggested Citation

  • Lilian Krist & Christina Dornquast & Thomas Reinhold & Heiko Becher & Karl-Heinz Jöckel & Börge Schmidt & Sara Schramm & Katja Icke & Ina Danquah & Stefan N. Willich & Thomas Keil & Tilman Brand, 2021. "Association of Acculturation Status with Longitudinal Changes in Health-Related Quality of Life—Results from a Cohort Study of Adults with Turkish Origin in Germany," IJERPH, MDPI, vol. 18(6), pages 1-12, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:2827-:d:514465
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    References listed on IDEAS

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    1. Eva Morawa & Yesim Erim, 2014. "Acculturation and Depressive Symptoms among Turkish Immigrants in Germany," IJERPH, MDPI, vol. 11(9), pages 1-19, September.
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    Cited by:

    1. Alfonso Urzúa & Diego Henríquez & Alejandra Caqueo-Urízar & Rodrigo Landabur, 2021. "Ethnic Identity and Collective Self-Esteem Mediate the Effect of Anxiety and Depression on Quality of Life in a Migrant Population," IJERPH, MDPI, vol. 19(1), pages 1-11, December.
    2. Görkem Anapa & Mandy Roheger & Ümran Sema Seven & Hannah Liebermann-Jordanidis & Oezguer A. Onur & Josef Kessler & Elke Kalbe, 2021. "Effects of Sociodemographic Variables and Depressive Symptoms on MoCA Test Performance in Native Germans and Turkish Migrants in Germany," IJERPH, MDPI, vol. 18(12), pages 1-10, June.

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