Tilman Brand1, Florence Samkange-Zeeb2, Ute Ellert3, Thomas Keil4, Lilian Krist4, Nico Dragano5, Karl-Heinz Jöckel6, Oliver Razum7, Katharina Reiss7,8, Karin Halina Greiser9, Heiko Zimmermann10, Heiko Becher11, Hajo Zeeb2,12. 1. Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstr. 30, 28359, Bremen, Germany. brand@bips.uni-bremen.de. 2. Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstr. 30, 28359, Bremen, Germany. 3. Robert Koch Institute, Berlin, Germany. 4. Institute of Social Medicine, Epidemiology and Health Economics, Charité Universitätsmedizin, Berlin, Germany. 5. Institute for Medical Sociology, Centre for Health and Society, Medical Faculty, University of Duesseldorf, Duesseldorf, Germany. 6. Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), University Hospital Essen, Essen, Germany. 7. Department of Epidemiology and International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, Bielefeld, Germany. 8. AID Information Service: Food, Agriculture, Consumer Protection, Bonn, Germany. 9. German Cancer Research Center (DKFZ), Heidelberg, Germany. 10. Institute of Public Health, University Hospital Heidelberg, Heidelberg, Germany. 11. Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. 12. 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.
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.
Entities:
Keywords:
Acculturation; Germany; Health-related quality of life; Immigrants; Turkey
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