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Published in: International Journal of Public Health 5/2017

01-06-2017 | Original Article

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

Authors: 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, Hajo Zeeb

Published in: International Journal of Public Health | Issue 5/2017

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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.
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Metadata
Title
Acculturation and health-related quality of life: results from the German National Cohort migrant feasibility study
Authors
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
Hajo Zeeb
Publication date
01-06-2017
Publisher
Springer International Publishing
Published in
International Journal of Public Health / Issue 5/2017
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-017-0957-6

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