Acculturation and Health-related Quality of Life: Results from the German National Cohort Migrant Feasibility Study

Overview

Journal Int J Public Health

Specialty Public Health

Date 2017 Mar 4

PMID 28255647

Citations 20

Authors

Tilman Brand

Florence Samkange-Zeeb

Ute Ellert

Thomas Keil

Lilian Krist

Nico Dragano

Karl-Heinz Jockel

Oliver Razum

Katharina Reiss

Karin Halina Greiser

Heiko Zimmermann

Heiko Becher

Hajo Zeeb

Affiliations

Soon will be listed here.

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.

Citing Articles

Pathways Linking Acculturation Profiles to Health Trajectories of Married Immigrant Women in South Korea.

Kim J Int J Environ Res Public Health. 2024; 21(11).

PMID: 39595683 PMC: 11593338. DOI: 10.3390/ijerph21111416.

Segmented assimilation trajectories of physician trust among internal migrants in Shanghai, China: A cross-sectional study.

Dong E, Xu T, Yan Y, Ji S, Shi J, Zhou H Heliyon. 2024; 10(19):e37833.

PMID: 39403471 PMC: 11472076. DOI: 10.1016/j.heliyon.2024.e37833.

Workload disparities and their role in the health of migrants and natives in Germany.

Ingwersen K, Thomsen S BMC Public Health. 2024; 24(1):2164.

PMID: 39123183 PMC: 11316351. DOI: 10.1186/s12889-024-19606-3.

Ethnic differences in metabolic syndrome in high-income countries: A systematic review and meta-analysis.

Adjei N, Samkange-Zeeb F, Boakye D, Saleem M, Christianson L, Kebede M Rev Endocr Metab Disord. 2024; 25(4):727-750.

PMID: 38598068 PMC: 11294386. DOI: 10.1007/s11154-024-09879-9.

Beyond Borders: Exploring the Quality of Life, Health-Seeking Behavior, and Perceived Barriers in Health Services Utilization Among Sudanese Immigrants in Egypt.

Hamdy Sr S Cureus. 2024; 16(1):e52442.

PMID: 38371136 PMC: 10871056. DOI: 10.7759/cureus.52442.

References

Alegria M, Canino G, Shrout P, Woo M, Duan N, Vila D . Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups. Am J Psychiatry. 2008; 165(3):359-69. PMC: 2712949. DOI: 10.1176/appi.ajp.2007.07040704. View

Viruell-Fuentes E, Miranda P, Abdulrahim S . More than culture: structural racism, intersectionality theory, and immigrant health. Soc Sci Med. 2012; 75(12):2099-106. DOI: 10.1016/j.socscimed.2011.12.037. View

Lampert T, Kroll L, Muters S, Stolzenberg H . [Measurement of socioeconomic status in the German Health Interview and Examination Survey for Adults (DEGS1)]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013; 56(5-6):631-6. DOI: 10.1007/s00103-012-1663-4. View

Jang Y, Chiriboga D . Living in a different world: acculturative stress among Korean American elders. J Gerontol B Psychol Sci Soc Sci. 2009; 65B(1):14-21. PMC: 2794888. DOI: 10.1093/geronb/gbp019. View

Spallek J, Zeeb H, Razum O . What do we have to know from migrants' past exposures to understand their health status? a life course approach. Emerg Themes Epidemiol. 2011; 8(1):6. PMC: 3169503. DOI: 10.1186/1742-7622-8-6. View

Kim J, Ashing-Giwa K, Kagawa Singer M, Tejero J . Breast cancer among Asian Americans: is acculturation related to health-related quality of life?. Oncol Nurs Forum. 2006; 33(6):E90-9. DOI: 10.1188/06.ONF.E90-E99. View

Yang Y, Wang H . Acculturation and health-related quality of life among Vietnamese immigrant women in transnational marriages in Taiwan. J Transcult Nurs. 2011; 22(4):405-13. DOI: 10.1177/1043659611414144. View

Galobardes B, Shaw M, Lawlor D, Lynch J, Davey Smith G . Indicators of socioeconomic position (part 2). J Epidemiol Community Health. 2006; 60(2):95-101. PMC: 2566160. DOI: 10.1136/jech.2004.028092. View

Morawa E, Erim Y . Acculturation and depressive symptoms among Turkish immigrants in Germany. Int J Environ Res Public Health. 2014; 11(9):9503-21. PMC: 4199032. DOI: 10.3390/ijerph110909503. View

10.

Guarnaccia P, Hausmann-Stabile C . Acculturation and Its Discontents: A Case for Bringing Anthropology Back into the Conversation. Sociol Anthropol (Alhambra). 2016; 4(2):114-124. PMC: 5008869. DOI: 10.13189/sa.2016.040209. View

11.

Avis N, Colvin A . Disentangling cultural issues in quality of life data. Menopause. 2007; 14(4):708-16. DOI: 10.1097/gme.0b013e318030c32b. View

12.

Bongard S, Pogge S, Arslaner H, Rohrmann S, Hodapp V . Acculturation and cardiovascular reactivity of second-generation Turkish migrants in Germany. J Psychosom Res. 2002; 53(3):795-803. DOI: 10.1016/s0022-3999(02)00347-1. View

13.

Ellert U, Lampert T, Ravens-Sieberer U . [Measuring health-related quality of life with the SF-8. Normal sample of the German population]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2005; 48(12):1330-7. DOI: 10.1007/s00103-005-1168-5. View

14.

Ranganathan M, Bhopal R . Exclusion and inclusion of nonwhite ethnic minority groups in 72 North American and European cardiovascular cohort studies. PLoS Med. 2005; 3(3):e44. PMC: 1324792. DOI: 10.1371/journal.pmed.0030044. View

15.

Schwartz S, Unger J, Zamboanga B, Szapocznik J . Rethinking the concept of acculturation: implications for theory and research. Am Psychol. 2010; 65(4):237-51. PMC: 3700543. DOI: 10.1037/a0019330. View

16.

Lorenzo-Blanco E, Cortina L . Latino/a depression and smoking: an analysis through the lenses of culture, gender, and ethnicity. Am J Community Psychol. 2012; 51(3-4):332-46. DOI: 10.1007/s10464-012-9553-3. View

17.

Hunt L, Schneider S, Comer B . Should "acculturation" be a variable in health research? A critical review of research on US Hispanics. Soc Sci Med. 2004; 59(5):973-86. DOI: 10.1016/j.socscimed.2003.12.009. View

18.

Reiss K, Dragano N, Ellert U, Fricke J, Greiser K, Keil T . Comparing sampling strategies to recruit migrants for an epidemiological study. Results from a German feasibility study. Eur J Public Health. 2014; 24(5):721-6. DOI: 10.1093/eurpub/cku046. View

19.

Yoon E, Chang C, Kim S, Clawson A, Cleary S, Hansen M . A meta-analysis of acculturation/enculturation and mental health. J Couns Psychol. 2012; 60(1):15-30. DOI: 10.1037/a0030652. View

20.

Brzoska P, Ellert U, Kimil A, Razum O, Sass A, Salman R . Reviewing the topic of migration and health as a new national health target for Germany. Int J Public Health. 2014; 60(1):13-20. DOI: 10.1007/s00038-014-0617-z. View