Acculturation and health-related quality of life: results from the German National Cohort migrant feasibility study
- 1.4k Downloads
We assessed the association between acculturation and health-related quality of life (HRQoL) among persons with a Turkish migrant background in Germany.
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.
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).
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.
KeywordsHealth-related quality of life Immigrants Acculturation Turkey Germany
This study was part of the feasibility studies in preparation for the German National Cohort and was funded by the Federal Ministry of Education and Research (German: Bundesministerium für Bildung und Forschung) under Grant Number: 01ER1001B; Beneficiary: Freiburg University.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
This study was approved by the respective ethical committees of all four recruitment centres.
- Bade KJ (1992) Deutsche im Ausland—Fremde in Deutschland: migration in Geschichte und Gegenwart. Beck, MünchenGoogle Scholar
- Berry JW (1980) Acculturation as varieties of adaptation. In: Padilla AM (ed) Acculturation: theory, models, and some new findings. Westview, Boulder, pp 9–25Google Scholar
- Dempster AP, Laird NM, Rubin DB (1977) Maximum likelihood from incomplete data via the EM algorithm. J R Stat Soc B 39(1):1–38Google Scholar
- Gordon M (1964) Assimilation in American life. Oxford University Press, New YorkGoogle Scholar
- IOM, WHO, United Nations Human Rights (2013) International migration, health and human rights. International Organization of Migration, GenevaGoogle Scholar
- Statistisches Bundesamt (2015) Bevölkerung und Erwerbstätigkeit. Bevölkerung mit MIgrationshintergrund. Statistisches Bundesamt, WiesbadenGoogle Scholar
- Ware J, Kosinski M, Dewey J, Gandek B (2001) How to score and interpret single-item health status measures: A manual for users of the SF-8 health survey. QualyMetric, LincolnGoogle Scholar
- WHO (1997) WHOQOL—measuring quality of life. WHO, GenevaGoogle Scholar