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Acculturation and health-related quality of life: results from the German National Cohort migrant feasibility study

Author

Listed:
  • Tilman Brand

    (Leibniz Institute for Prevention Research and Epidemiology—BIPS)

  • Florence Samkange-Zeeb

    (Leibniz Institute for Prevention Research and Epidemiology—BIPS)

  • Ute Ellert

    (Robert Koch Institute)

  • Thomas Keil

    (Charité Universitätsmedizin)

  • Lilian Krist

    (Charité Universitätsmedizin)

  • Nico Dragano

    (University of Duesseldorf)

  • Karl-Heinz Jöckel

    (University Hospital Essen)

  • Oliver Razum

    (Bielefeld University)

  • Katharina Reiss

    (Bielefeld University
    AID Information Service: Food, Agriculture, Consumer Protection)

  • Karin Halina Greiser

    (German Cancer Research Center (DKFZ))

  • Heiko Zimmermann

    (University Hospital Heidelberg)

  • Heiko Becher

    (University Medical Center Hamburg-Eppendorf)

  • Hajo Zeeb

    (Leibniz Institute for Prevention Research and Epidemiology—BIPS
    University of Bremen)

Abstract

Objectives We assessed the association between acculturation and health-related quality of life (HRQoL) among persons with a Turkish migrant background in Germany. Methods 1226 adults of Turkish origin were recruited in four German cities. Acculturation was assessed using the Frankfurt Acculturation Scale resulting in four groups (integration, assimilation, separation and marginalization). Short Form-8 physical and mental components were used to assess the HRQoL. Associations were analysed with linear regression models. Results Of the respondents, 20% were classified as integrated, 29% assimilated, 29% separated and 19% as marginalized. Separation was associated with poorer physical and mental health (linear regression coefficient (RC) = −2.3, 95% CI −3.9 to −0.8 and RC = −2.4, 95% CI −4.4 to −0.5, respectively; reference: integration). Marginalization was associated with poorer mental health in descendants of migrants (RC = −6.4, 95% CI −12.0 to −0.8; reference: integration). Conclusions Separation and marginalization are associated with a poorer HRQoL. Policies should support the integration of migrants, and health promotion interventions should target separated and marginalized migrants to improve their HRQoL.

Suggested Citation

  • Tilman Brand & Florence Samkange-Zeeb & Ute Ellert & Thomas Keil & Lilian Krist & Nico Dragano & Karl-Heinz Jöckel & Oliver Razum & Katharina Reiss & Karin Halina Greiser & Heiko Zimmermann & Heiko Be, 2017. "Acculturation and health-related quality of life: results from the German National Cohort migrant feasibility study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(5), pages 521-529, June.
    • Handle: RePEc:spr:ijphth:v:62:y:2017:i:5:d:10.1007_s00038-017-0957-6
    DOI: 10.1007/s00038-017-0957-6
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    References listed on IDEAS

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    1. Viruell-Fuentes, Edna A. & Miranda, Patricia Y. & Abdulrahim, Sawsan, 2012. "More than culture: Structural racism, intersectionality theory, and immigrant health," Social Science & Medicine, Elsevier, vol. 75(12), pages 2099-2106.
    2. Hunt, L.M.Linda M. & Schneider, Suzanne & Comer, Brendon, 2004. "Should "acculturation" be a variable in health research? A critical review of research on US Hispanics," Social Science & Medicine, Elsevier, vol. 59(5), pages 973-986, September.
    3. Patrick Brzoska & Ute Ellert & Ahmet Kimil & Oliver Razum & Anke-Christine Sass & Ramazan Salman & Hajo Zeeb, 2015. "Reviewing the topic of migration and health as a new national health target for Germany," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(1), pages 13-20, January.
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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.
    3. Verena Krobisch & Pimrapat Gebert & Kübra Gül & Liane Schenk, 2021. "Women bear a burden: gender differences in health of older migrants from Turkey," European Journal of Ageing, Springer, vol. 18(4), pages 467-478, December.
    4. 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.

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