Acculturation and health-related quality of life: results from the German National Cohort migrant feasibility study
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Acculturation and health-related quality of life: results from the German National Cohort migrant feasibility study. / Brand, Tilman; Samkange-Zeeb, Florence; Ellert, Ute; Keil, Thomas; Krist, Lilian; Dragano, Nico; Jöckel, Karl-Heinz; Razum, Oliver; Reiss, Katharina; Greiser, Karin Halina; Zimmermann, Heiko; Becher, Heiko; Zeeb, Hajo.
In: INT J PUBLIC HEALTH, Vol. 62, No. 5, 06.2017, p. 521-529.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Acculturation and health-related quality of life: results from the German National Cohort migrant feasibility study
AU - Brand, Tilman
AU - Samkange-Zeeb, Florence
AU - Ellert, Ute
AU - Keil, Thomas
AU - Krist, Lilian
AU - Dragano, Nico
AU - Jöckel, Karl-Heinz
AU - Razum, Oliver
AU - Reiss, Katharina
AU - Greiser, Karin Halina
AU - Zimmermann, Heiko
AU - Becher, Heiko
AU - Zeeb, Hajo
PY - 2017/6
Y1 - 2017/6
N2 - 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.
AB - 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.
U2 - 10.1007/s00038-017-0957-6
DO - 10.1007/s00038-017-0957-6
M3 - SCORING: Journal article
C2 - 28255647
VL - 62
SP - 521
EP - 529
JO - INT J PUBLIC HEALTH
JF - INT J PUBLIC HEALTH
SN - 1661-8556
IS - 5
ER -
