International Journal of Public Health
Volume 62, Issue 5, 2017, Pages 521-529

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

Brand T.* , Samkange-Zeeb F. , Ellert U. , Keil T. , Krist L. , Dragano N. , Jöckel K.-H. , Razum O. , Reiss K. , Greiser K.H. , Zimmermann H. , Becher H. , Zeeb H.
  • a Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology—BIPS, Achterstr. 30, Bremen, 28359, Germany
  • b Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology—BIPS, Achterstr. 30, Bremen, 28359, Germany
  • c Robert Koch Institute, Berlin, Germany
  • d Institute of Social Medicine, Epidemiology and Health Economics, Charité Universitätsmedizin, Berlin, Germany
  • e Institute of Social Medicine, Epidemiology and Health Economics, Charité Universitätsmedizin, Berlin, Germany
  • f Institute for Medical Sociology, Centre for Health and Society, Medical Faculty, University of Duesseldorf, Duesseldorf, Germany
  • g Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), University Hospital Essen, Essen, Germany
  • h Department of Epidemiology and International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, Bielefeld, Germany
  • i Department of Epidemiology and International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, Bielefeld, Germany, AID Information Service: Food, Agriculture, Consumer Protection, Bonn, Germany
  • j German Cancer Research Center (DKFZ), Heidelberg, Germany
  • k Institute of Public Health, University Hospital Heidelberg, Heidelberg, Germany
  • l Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
  • m Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology—BIPS, Achterstr. 30, Bremen, 28359, Germany, Health Sciences Bremen, University of Bremen, Bremen, Germany

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. © 2017, Swiss School of Public Health (SSPH+).

Author Keywords

Health-related quality of life immigrants Turkey Germany Acculturation

Index Keywords

Germany mental health human epidemiology middle aged statistics and numerical data Aged Feasibility Studies ethnology health quality of life Humans Adolescent male Acculturation female cultural factor feasibility study adult migration Turkey Linear Models statistical model Transients and Migrants
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85014099871&doi=10.1007%2fs00038-017-0957-6&partnerID=40&md5=bcce3b3893effe44cdf91e9ec721a21d
DOI: 10.1007/s00038-017-0957-6
ISSN: 16618556
Cited by: 10
Original Language: English