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

Tilman Brand (), Florence Samkange-Zeeb, Ute Ellert, Thomas Keil, Lilian Krist, Nico Dragano, Karl-Heinz Jöckel, Oliver Razum, Katharina Reiss, Karin Halina Greiser, Heiko Zimmermann, Heiko Becher and Hajo Zeeb
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Tilman Brand: Leibniz Institute for Prevention Research and Epidemiology—BIPS
Florence Samkange-Zeeb: Leibniz Institute for Prevention Research and Epidemiology—BIPS
Ute Ellert: Robert Koch Institute
Thomas Keil: Charité Universitätsmedizin
Lilian Krist: Charité Universitätsmedizin
Nico Dragano: University of Duesseldorf
Karl-Heinz Jöckel: University Hospital Essen
Oliver Razum: Bielefeld University
Katharina Reiss: Bielefeld University
Karin Halina Greiser: German Cancer Research Center (DKFZ)
Heiko Zimmermann: University Hospital Heidelberg
Heiko Becher: University Medical Center Hamburg-Eppendorf
Hajo Zeeb: Leibniz Institute for Prevention Research and Epidemiology—BIPS

International Journal of Public Health, 2017, vol. 62, issue 5, No 1, 529 pages

Abstract: 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.

Keywords: Health-related quality of life; Immigrants; Acculturation; Turkey; Germany (search for similar items in EconPapers)
Date: 2017
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Citations: View citations in EconPapers (5)

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DOI: 10.1007/s00038-017-0957-6

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