IDEAS home Printed from https://ideas.repec.org/a/spr/ijphth/v62y2017i5d10.1007_s00038-017-0957-6.html
   My bibliography  Save this article

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
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s00038-017-0957-6
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s00038-017-0957-6?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    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. 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.
    3. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    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. Jihyoung Kim, 2024. "Pathways Linking Acculturation Profiles to Health Trajectories of Married Immigrant Women in South Korea," IJERPH, MDPI, vol. 21(11), pages 1-13, October.
    4. 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.
    5. 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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jonathan Zufferey, 2016. "Investigating the migrant mortality advantage at the intersections of social stratification in Switzerland," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 34(32), pages 899-926.
    2. Evans, Clare R. & Erickson, Natasha, 2019. "Intersectionality and depression in adolescence and early adulthood: A MAIHDA analysis of the national longitudinal study of adolescent to adult health, 1995–2008," Social Science & Medicine, Elsevier, vol. 220(C), pages 1-11.
    3. Terriquez, Veronica & Joseph, Tiffany D., 2016. "Ethnoracial inequality and insurance coverage among Latino young adults," Social Science & Medicine, Elsevier, vol. 168(C), pages 150-158.
    4. Ro, Annie & Bostean, Georgiana, 2015. "Duration of U.S. stay and body mass index among Latino and Asian immigrants: A test of theoretical pathways," Social Science & Medicine, Elsevier, vol. 144(C), pages 39-47.
    5. Acevedo-Garcia, Dolores & Sanchez-Vaznaugh, Emma V. & Viruell-Fuentes, Edna A. & Almeida, Joanna, 2012. "Integrating social epidemiology into immigrant health research: A cross-national framework," Social Science & Medicine, Elsevier, vol. 75(12), pages 2060-2068.
    6. Kagawa Singer, M. & Dressler, W. & George, S., 2016. "Culture: The missing link in health research," Social Science & Medicine, Elsevier, vol. 170(C), pages 237-246.
    7. Allen, Jennifer Dacey & Caspi, Caitlin & Yang, May & Leyva, Bryan & Stoddard, Anne M. & Tamers, Sara & Tucker-Seeley, Reginald D. & Sorensen, Glorian C., 2014. "Pathways between acculturation and health behaviors among residents of low-income housing: The mediating role of social and contextual factors," Social Science & Medicine, Elsevier, vol. 123(C), pages 26-36.
    8. Jennifer Van Hook & Susana Quiros & Michelle L. Frisco & Emnet Fikru, 2016. "It is Hard to Swim Upstream: Dietary Acculturation Among Mexican-Origin Children," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 35(2), pages 177-196, April.
    9. Martin, Molly A. & Van Hook, Jennifer L. & Quiros, Susana, 2015. "Is socioeconomic incorporation associated with a healthier diet? Dietary patterns among Mexican-origin children in the United States," Social Science & Medicine, Elsevier, vol. 147(C), pages 20-29.
    10. Miao, Siyu & Xiao, Yang, 2020. "Does acculturation really matter for internal migrants’ health?Evidence from eight cities in China," Social Science & Medicine, Elsevier, vol. 260(C).
    11. Lise G. M. Hanssens & Jens Detollenaere & Wim Hardyns & Sara J. T. Willems, 2016. "Access, treatment and outcomes of care: a study of ethnic minorities in Europe," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(4), pages 443-454, May.
    12. Yeeun Lee & Subin Park, 2018. "The mental health of married immigrant women in South Korea and its risk and protective factors: A literature review," International Journal of Social Psychiatry, , vol. 64(1), pages 80-91, February.
    13. Daniel Demant & Oscar Oviedo-Trespalacios & Julie-Anne Carroll & Jason A. Ferris & Larissa Maier & Monica J. Barratt & Adam R. Winstock, 2018. "Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(5), pages 621-630, June.
    14. Silvia Loi & Peng Li & Mikko Myrskylä, 2022. "At the intersection of adverse life course pathways: the effects on health by nativity," MPIDR Working Papers WP-2022-018, Max Planck Institute for Demographic Research, Rostock, Germany.
    15. Bijou, Christina & Colen, Cynthia G, 2022. "Shades of health: Skin color, ethnicity, and mental health among Black Americans," Social Science & Medicine, Elsevier, vol. 313(C).
    16. Tomasz Rokicki & Aleksandra Perkowska & Marcin Ratajczak, 2020. "Differentiation in Healthcare Financing in EU Countries," Sustainability, MDPI, vol. 13(1), pages 1-17, December.
    17. Patrick Brzoska & Fabian Erdsiek & Tuğba Aksakal & Maria Mader & Sabahat Ölcer & Munzir Idris & Kübra Altinok & Diana Wahidie & Dennis Padberg & Yüce Yilmaz-Aslan, 2022. "Pictorial Assessment of Health-Related Quality of Life. Development and Pre-Test of the PictoQOL Questionnaire," IJERPH, MDPI, vol. 19(3), pages 1-14, January.
    18. Chapman, Mimi V. & Hall, William J. & Lee, Kent & Colby, Robert & Coyne-Beasley, Tamera & Day, Steve & Eng, Eugenia & Lightfoot, Alexandra F. & Merino, Yesenia & Simán, Florence M. & Thomas, Tainayah , 2018. "Making a difference in medical trainees' attitudes toward Latino patients: A pilot study of an intervention to modify implicit and explicit attitudes," Social Science & Medicine, Elsevier, vol. 199(C), pages 202-208.
    19. Ingwersen, Kai & Thomsen, Stephan L., 2020. "An Empirical Assessment of Workload and Migrants' Health in Germany," IZA Discussion Papers 13962, Institute of Labor Economics (IZA).
    20. Sangaramoorthy, Thurka & Benton, Adia, 2022. "Intersectionality and syndemics: A commentary," Social Science & Medicine, Elsevier, vol. 295(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:ijphth:v:62:y:2017:i:5:d:10.1007_s00038-017-0957-6. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.