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Open Access 01-03-2007 | Risk Factors

Behavioural risk factors in two generations of non-Western migrants: do trends converge towards the host population?

Authors: Karen Hosper, Vera Nierkens, Mary Nicolaou, Karien Stronks

Published in: European Journal of Epidemiology | Issue 3/2007

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Abstract

Migrant mortality does not conform to a single pattern of convergence towards prevalence rates in the host population. To understand better how migrant mortality develops, it is necessary to further investigate how the underlying behavioural determinants change following migration. We studied whether the prevalence of behavioural risk factors over two generations of Turkish and Moroccan migrants converge towards the prevalence rates in the Dutch population. From a random sample from the population register of Amsterdam, 291 Moroccan and 505 Turkish migrants, aged 15–30, participated in a structured interview that included questions on smoking, alcohol consumption, physical inactivity and weight/height. Data from the Dutch population were available from Statistics Netherlands. By calculating age-adjusted Odds Ratio’s, prevalence rates among both generations were compared with prevalence rates in the host population for men and women separately. We found indications of convergence across generations towards the prevalence rates in the host population for smoking in Turkish men, for overweight in Turkish and Moroccan women and for physical inactivity in Turkish women. Alcohol consumption, however, remained low in all subgroups and did not converge towards the higher rates in the host population. In addition, we found a reversed trend among Turkish women regarding smoking: the second generation smoked significantly more, while the first generation did not differ from ethnic Dutch. In general, behavioural risk factors in two generations of non-Western migrants in the Netherlands seem to converge towards the prevalence rates in the Dutch population. However, some subgroups and risk factors showed a different pattern.
Literature
1.
go back to reference Mckay L, Macintyre S, Ellaway A. Migration and health: A review of the international literature, in MRC Social and Public health Sciences Unit, Occasional paper. Glasgow, 2003 Mckay L, Macintyre S, Ellaway A. Migration and health: A review of the international literature, in MRC Social and Public health Sciences Unit, Occasional paper. Glasgow, 2003
2.
go back to reference Razum O, Zeeb H, Gerhardus A (1998) Cardiovascular mortality of Turkish nationals residing in West Germany. Ann Epidemiol, 8(5): 334–41CrossRefPubMed Razum O, Zeeb H, Gerhardus A (1998) Cardiovascular mortality of Turkish nationals residing in West Germany. Ann Epidemiol, 8(5): 334–41CrossRefPubMed
3.
go back to reference Bos V (2005) Ethnic Inequalities in Mortality in the Netherlands and the Role of Socioeconomic Status. Erasmus MC, University Medical Center Rotterdam, Rotterdam Bos V (2005) Ethnic Inequalities in Mortality in the Netherlands and the Role of Socioeconomic Status. Erasmus MC, University Medical Center Rotterdam, Rotterdam
4.
go back to reference Gadd M, Johansson SE, Sundquist J, Wandell P (2005) The trend of cardiovascular disease in immigrants in Sweden. Eur J Epidemiol, 20(9): 755–60CrossRefPubMed Gadd M, Johansson SE, Sundquist J, Wandell P (2005) The trend of cardiovascular disease in immigrants in Sweden. Eur J Epidemiol, 20(9): 755–60CrossRefPubMed
5.
go back to reference Bennett SA (1993) Inequalities in risk factors and cardiovascular mortality among Australia’s immigrants. Aust J Public Health 17(3): 251–61PubMedCrossRef Bennett SA (1993) Inequalities in risk factors and cardiovascular mortality among Australia’s immigrants. Aust J Public Health 17(3): 251–61PubMedCrossRef
6.
go back to reference Uitewaal PJ, Manna DR, Bruijnzeels MA, Hoes AW, Thomas S (2004) Prevalence of type 2 diabetes mellitus, other cardiovascular risk factors, and cardiovascular disease in Turkish and Moroccan immigrants in North West Europe: A systematic review. Prev Med 39(6): 1068–076CrossRefPubMed Uitewaal PJ, Manna DR, Bruijnzeels MA, Hoes AW, Thomas S (2004) Prevalence of type 2 diabetes mellitus, other cardiovascular risk factors, and cardiovascular disease in Turkish and Moroccan immigrants in North West Europe: A systematic review. Prev Med 39(6): 1068–076CrossRefPubMed
7.
go back to reference Lara M, Gamboa C, Kahramanian MI, Morales LS, Bautista DE (2005) Acculturation and Latino health in the United States: A review of the literature and its sociopolitical context. Annu Rev Public Health 26:367–97CrossRefPubMed Lara M, Gamboa C, Kahramanian MI, Morales LS, Bautista DE (2005) Acculturation and Latino health in the United States: A review of the literature and its sociopolitical context. Annu Rev Public Health 26:367–97CrossRefPubMed
8.
go back to reference Gomez SL, Kelsey JL, Glaser SL, Lee MM, Sidney S (2004) Immigration and acculturation in relation to health and health-related risk factors among specific Asian subgroups in a health maintenance organization. Am J Public Health 94(11): 1977–984CrossRefPubMed Gomez SL, Kelsey JL, Glaser SL, Lee MM, Sidney S (2004) Immigration and acculturation in relation to health and health-related risk factors among specific Asian subgroups in a health maintenance organization. Am J Public Health 94(11): 1977–984CrossRefPubMed
9.
go back to reference Abraido-Lanza AF, Chao MT, Florez KR (2005) Do healthy behaviors decline with greater acculturation? Implications for the Latino mortality paradox. Soc Sci Med 61(6): 1243–255CrossRefPubMed Abraido-Lanza AF, Chao MT, Florez KR (2005) Do healthy behaviors decline with greater acculturation? Implications for the Latino mortality paradox. Soc Sci Med 61(6): 1243–255CrossRefPubMed
10.
go back to reference U.S. Department of Health and Human Services. Physical activity and health: A report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, 1996 U.S. Department of Health and Human Services. Physical activity and health: A report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, 1996
11.
go back to reference WHO (2002) The World Health Report 2002. WHO, Geneva WHO (2002) The World Health Report 2002. WHO, Geneva
12.
go back to reference Baluja KF, Park J, Myers D (2003) Inclusion of immigrant status in smoking prevalence statistics. Am J Public Health 93(4): 642–46CrossRefPubMed Baluja KF, Park J, Myers D (2003) Inclusion of immigrant status in smoking prevalence statistics. Am J Public Health 93(4): 642–46CrossRefPubMed
13.
go back to reference Acevedo-Garcia D, Pan J, Jun HJ, Osypuk TL, Emmons KM (2005) The effect of immigrant generation on smoking. Soc Sci Med 61(6): 1223–242CrossRefPubMed Acevedo-Garcia D, Pan J, Jun HJ, Osypuk TL, Emmons KM (2005) The effect of immigrant generation on smoking. Soc Sci Med 61(6): 1223–242CrossRefPubMed
14.
go back to reference Wilkinson AV, Spitz MR, Strom SS, Prokhorov AV, Barcenas CH, Cao Y, et␣al (2005) Effects of nativity, age at migration, and acculturation on smoking among adult Houston residents of Mexican descent. Am J Public Health 95(6): 1043–049CrossRefPubMed Wilkinson AV, Spitz MR, Strom SS, Prokhorov AV, Barcenas CH, Cao Y, et␣al (2005) Effects of nativity, age at migration, and acculturation on smoking among adult Houston residents of Mexican descent. Am J Public Health 95(6): 1043–049CrossRefPubMed
15.
go back to reference Lay C, Verkuyten M (1999) Ethnic identity and its relation to personal self-esteem: A comparison of Canadian-born and foreign-born Chinese adolescents. J Soc Psychol 139(3): 288–99PubMedCrossRef Lay C, Verkuyten M (1999) Ethnic identity and its relation to personal self-esteem: A comparison of Canadian-born and foreign-born Chinese adolescents. J Soc Psychol 139(3): 288–99PubMedCrossRef
16.
go back to reference Clement R, Singh SS, Gaudet S (2006) Identity and adaptation among minority indo-Guyanese: Influence of generational status, gender, reference group and situation. Group Process Intergroup Relat 9(2): 289–04CrossRef Clement R, Singh SS, Gaudet S (2006) Identity and adaptation among minority indo-Guyanese: Influence of generational status, gender, reference group and situation. Group Process Intergroup Relat 9(2): 289–04CrossRef
17.
go back to reference Marin G, Marin BV (1991) Research with Hispanics. Sage, Newbury Park, CA Marin G, Marin BV (1991) Research with Hispanics. Sage, Newbury Park, CA
18.
go back to reference Schwartz SJ, Pantin H, Sullivan S, Prado G, Szapocznik J (2006) Nativity and years in the receiving culture as markers of acculturation in ethnic enclaves. J Cross Cult Psychol 37(3): 345–53CrossRefPubMed Schwartz SJ, Pantin H, Sullivan S, Prado G, Szapocznik J (2006) Nativity and years in the receiving culture as markers of acculturation in ethnic enclaves. J Cross Cult Psychol 37(3): 345–53CrossRefPubMed
19.
go back to reference Koycu B, Kara T, Camlidag O, Aydinli R, Verschuren WMM, Van Montfrans GA (1997) Risicofactoren voor hart-en vaatziekten bij Turken in Amsterdam en in Ankara [Risk factors for cardiovascular diseases in Turks and Moroccans in Amsterdam and Ankara]. Ned Tijdschr Geneeskund 3(141): 882–88 Koycu B, Kara T, Camlidag O, Aydinli R, Verschuren WMM, Van Montfrans GA (1997) Risicofactoren voor hart-en vaatziekten bij Turken in Amsterdam en in Ankara [Risk factors for cardiovascular diseases in Turks and Moroccans in Amsterdam and Ankara]. Ned Tijdschr Geneeskund 3(141): 882–88
20.
go back to reference Dijkshoorn H, Uitenbroek DG, Middelkoop BJ (2003) [Prevalence of diabetes mellitus and cardiovascular disease among immigrants from Turkey and Morocco and the indigenous Dutch population]. Ned Tijdschr Geneeskd 147(28): 1362–366PubMed Dijkshoorn H, Uitenbroek DG, Middelkoop BJ (2003) [Prevalence of diabetes mellitus and cardiovascular disease among immigrants from Turkey and Morocco and the indigenous Dutch population]. Ned Tijdschr Geneeskd 147(28): 1362–366PubMed
21.
go back to reference Daryani A, Berglund L, Andersson A, Kocturk T, Becker W, Vessby B (2005) Risk factors for coronary heart disease among immigrant women from Iran and Turkey, compared to women of Swedish ethnicity. Ethn Dis 15(2): 213–20PubMed Daryani A, Berglund L, Andersson A, Kocturk T, Becker W, Vessby B (2005) Risk factors for coronary heart disease among immigrant women from Iran and Turkey, compared to women of Swedish ethnicity. Ethn Dis 15(2): 213–20PubMed
22.
go back to reference Pudaric S, Sundquist J, Johansson SE (2000) Major risk factors for cardiovascular disease in elderly migrants in Sweden. Ethn Health 5(2): 137–50CrossRefPubMed Pudaric S, Sundquist J, Johansson SE (2000) Major risk factors for cardiovascular disease in elderly migrants in Sweden. Ethn Health 5(2): 137–50CrossRefPubMed
23.
go back to reference Gadd M, Sundquist J, Johansson SE, Wandell P (2005) Do immigrants have an increased prevalence of unhealthy behaviours and risk factors for coronary heart disease? Eur J Cardiovasc Prev Rehabil 12(6): 535–41CrossRefPubMed Gadd M, Sundquist J, Johansson SE, Wandell P (2005) Do immigrants have an increased prevalence of unhealthy behaviours and risk factors for coronary heart disease? Eur J Cardiovasc Prev Rehabil 12(6): 535–41CrossRefPubMed
24.
go back to reference Wanner P (2002) Migration Trends in Europe. European Population Committee, Council of Europe Wanner P (2002) Migration Trends in Europe. European Population Committee, Council of Europe
25.
go back to reference Manco U (2004) Turks in Western Europe. University of Gent, Belgium Manco U (2004) Turks in Western Europe. University of Gent, Belgium
26.
go back to reference Bocker A (2000) Paving the way to a better future Turks in the Netherlands. In: Vermeulen H, Penninx R (eds) Immigrant Integration. The Dutch Case. Het Spinhuis, Amsterdam, pp. 153–77 Bocker A (2000) Paving the way to a better future Turks in the Netherlands. In: Vermeulen H, Penninx R (eds) Immigrant Integration. The Dutch Case. Het Spinhuis, Amsterdam, pp. 153–77
27.
go back to reference Nelissen C, Buijs F (2000) Between continuity and change Moroccans in the Netherlands. In: Vermeulen H, Penninx R (eds) Immigrant Integration. The Dutch Case. Het Spinhuis, Amsterdam, pp. 178–01 Nelissen C, Buijs F (2000) Between continuity and change Moroccans in the Netherlands. In: Vermeulen H, Penninx R (eds) Immigrant Integration. The Dutch Case. Het Spinhuis, Amsterdam, pp. 178–01
28.
go back to reference Flay BR, D’Avernes JR, Best JA, Kersell MW, Ryan KB (1983) Cigarette smoking: Why young people do it and ways of preventing it. In: McGrath P, Firestone P (eds) Pediatric and Adolescent Behavioral Medicine. Springer-Verlag, New York Flay BR, D’Avernes JR, Best JA, Kersell MW, Ryan KB (1983) Cigarette smoking: Why young people do it and ways of preventing it. In: McGrath P, Firestone P (eds) Pediatric and Adolescent Behavioral Medicine. Springer-Verlag, New York
29.
go back to reference U.S. Department of Health and Human Services. Preventing Tobacco Use among Young People: A Report of the Surgeon General. Atlanta, Georgia: U.S. Department on Health and Human Services, 1994 U.S. Department of Health and Human Services. Preventing Tobacco Use among Young People: A Report of the Surgeon General. Atlanta, Georgia: U.S. Department on Health and Human Services, 1994
30.
go back to reference Wendel-Vos GC, Schuit AJ, Saris WH, Kromhout D (2003) Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity. J Clin Epidemiol 56(12): 1163–169CrossRefPubMed Wendel-Vos GC, Schuit AJ, Saris WH, Kromhout D (2003) Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity. J Clin Epidemiol 56(12): 1163–169CrossRefPubMed
31.
go back to reference Ainsworth BE, Haskell WL, Leon AS, Jacobs DR Jr, Montoye HJ, Sallis JF, et␣al (1993) Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc 25(1): 71–0CrossRefPubMed Ainsworth BE, Haskell WL, Leon AS, Jacobs DR Jr, Montoye HJ, Sallis JF, et␣al (1993) Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc 25(1): 71–0CrossRefPubMed
32.
go back to reference Kemper HC, Ooijendijk WTM, Stiggelbout M (2000) Consensus over de Nederlandse Norm Gezond Bewegen [Consensus about the Dutch guideline for healthy physical activity]. Tijdschr Soc Geneeskd 78:180–83 Kemper HC, Ooijendijk WTM, Stiggelbout M (2000) Consensus over de Nederlandse Norm Gezond Bewegen [Consensus about the Dutch guideline for healthy physical activity]. Tijdschr Soc Geneeskd 78:180–83
33.
go back to reference Cole TJ, Bellizzi MC, Flegal KM, Dietz WH (2000) Establishing a standard definition for child overweight and obesity worldwide: International survey. Br Med J 320(7244):1240–243CrossRef Cole TJ, Bellizzi MC, Flegal KM, Dietz WH (2000) Establishing a standard definition for child overweight and obesity worldwide: International survey. Br Med J 320(7244):1240–243CrossRef
34.
go back to reference CBS [Statistics Netherlands]. Periodiek Onderzoek Leef-Situatie. POLS-enquete 2003/2004. 2004 CBS [Statistics Netherlands]. Periodiek Onderzoek Leef-Situatie. POLS-enquete 2003/2004. 2004
35.
go back to reference Elgar FJ, Roberts C, Tudor-Smith C, Moore L (2005) Validity of self-reported height and weight and predictors of bias in adolescents. J Adolesc Health 37(5): 371–75CrossRefPubMed Elgar FJ, Roberts C, Tudor-Smith C, Moore L (2005) Validity of self-reported height and weight and predictors of bias in adolescents. J Adolesc Health 37(5): 371–75CrossRefPubMed
36.
go back to reference Spencer EA, Appleby PN, Davey GK, Key TJ (2002) Validity of self-reported height and weight in 4808 EPIC-Oxford participants. Public Health Nutr 5(4): 561–65CrossRefPubMed Spencer EA, Appleby PN, Davey GK, Key TJ (2002) Validity of self-reported height and weight in 4808 EPIC-Oxford participants. Public Health Nutr 5(4): 561–65CrossRefPubMed
37.
go back to reference Uitenbroek DG, Ujcic-Voortman JK, Janssen AP, Tichelman PJ, Verhoeff AP. Gezond Zijn en Gezond Leven in Amsterdam. Amsterdamse Gezondheidsmonitor. Gezondheidsonderzoek 2004. Amsterdam: GGD Amsterdam, cluster Epidemiologie, 2006 Uitenbroek DG, Ujcic-Voortman JK, Janssen AP, Tichelman PJ, Verhoeff AP. Gezond Zijn en Gezond Leven in Amsterdam. Amsterdamse Gezondheidsmonitor. Gezondheidsonderzoek 2004. Amsterdam: GGD Amsterdam, cluster Epidemiologie, 2006
38.
go back to reference Ali Albar M (1988) The problem of alcohol dependence and it’s solution in Islam. Saudi Med J 9(1): 1– Ali Albar M (1988) The problem of alcohol dependence and it’s solution in Islam. Saudi Med J 9(1): 1–
39.
go back to reference Dotinga A. Drinking in a dry culture. Alcohol use among second-generation Turks and Moroccans: Measurements and results. Rotterdam University, 2005 Dotinga A. Drinking in a dry culture. Alcohol use among second-generation Turks and Moroccans: Measurements and results. Rotterdam University, 2005
40.
go back to reference Dawson AJ, Sundquist J, Johansson SE (2005) The influence of ethnicity and length of time since immigration on physical activity. Ethn Health 10(4): 293–09CrossRefPubMed Dawson AJ, Sundquist J, Johansson SE (2005) The influence of ethnicity and length of time since immigration on physical activity. Ethn Health 10(4): 293–09CrossRefPubMed
41.
go back to reference Gadd M, Sundquist J, Johansson SE, Wandell P (2005) Do immigrants have an increased prevalence of unhealthy behaviours and risk factors for coronary heart disease? Eur J Cardiovasc Prev Rehabil 12(6): 535–41CrossRefPubMed Gadd M, Sundquist J, Johansson SE, Wandell P (2005) Do immigrants have an increased prevalence of unhealthy behaviours and risk factors for coronary heart disease? Eur J Cardiovasc Prev Rehabil 12(6): 535–41CrossRefPubMed
42.
go back to reference Lindstrom M, Sundquist K (2005) The impact of country of birth and time in Sweden on overweight and obesity: A population-based study. Scand J Public Health 33(4): 276–84CrossRefPubMed Lindstrom M, Sundquist K (2005) The impact of country of birth and time in Sweden on overweight and obesity: A population-based study. Scand J Public Health 33(4): 276–84CrossRefPubMed
43.
go back to reference Wandell PE, Ponzer S, Johansson SE, Sundquist K, Sundquist J (2004) Country of birth and body mass index: A national study of 2,000 immigrants in Sweden. Eur J Epidemiol 19(11): 1005–010CrossRefPubMed Wandell PE, Ponzer S, Johansson SE, Sundquist K, Sundquist J (2004) Country of birth and body mass index: A national study of 2,000 immigrants in Sweden. Eur J Epidemiol 19(11): 1005–010CrossRefPubMed
44.
go back to reference Nierkens V (2006) Smoking in a Multicultural Society: Implications for Prevention. Smoking Behaviour and its Correlates among Turkish, Moroccan and Surinamese People Aged 35–0 in the Netherlands. Academic Medical Center, University of Amsterdam Nierkens V (2006) Smoking in a Multicultural Society: Implications for Prevention. Smoking Behaviour and its Correlates among Turkish, Moroccan and Surinamese People Aged 35–0 in the Netherlands. Academic Medical Center, University of Amsterdam
45.
go back to reference Crespo CJ, Smit E, Carter-Pokras O, Andersen R (2001) Acculturation and leisure-time physical inactivity in Mexican American adults: results from NHANES III, 1988–994. Am J Public Health 91(8): 1254–257CrossRefPubMed Crespo CJ, Smit E, Carter-Pokras O, Andersen R (2001) Acculturation and leisure-time physical inactivity in Mexican American adults: results from NHANES III, 1988–994. Am J Public Health 91(8): 1254–257CrossRefPubMed
46.
go back to reference Sundquist J, Winkleby M (2000) Country of birth, acculturation status and abdominal obesity in a national sample of Mexican-American women and men. Int J Epidemiol 29(3):470–77CrossRefPubMed Sundquist J, Winkleby M (2000) Country of birth, acculturation status and abdominal obesity in a national sample of Mexican-American women and men. Int J Epidemiol 29(3):470–77CrossRefPubMed
47.
go back to reference McDonald JT, Kennedy S (2005) Is migration to Canada associated with unhealthy weight gain? Overweight and obesity among Canada’s immigrants. Soc Sci Med 61(12): 2469–481CrossRefPubMed McDonald JT, Kennedy S (2005) Is migration to Canada associated with unhealthy weight gain? Overweight and obesity among Canada’s immigrants. Soc Sci Med 61(12): 2469–481CrossRefPubMed
48.
go back to reference Kandula NR, Lauderdale DS (2005) Leisure time, non-leisure time, and occupational physical activity in Asian Americans. Ann Epidemiol 15(4): 257–65CrossRefPubMed Kandula NR, Lauderdale DS (2005) Leisure time, non-leisure time, and occupational physical activity in Asian Americans. Ann Epidemiol 15(4): 257–65CrossRefPubMed
49.
go back to reference Hubert HB, Snider J, Winkleby MA (2005) Health status, health behaviors, and acculturation factors associated with overweight and obesity in Latinos from a community and agricultural labor camp survey. Prev Med 40(6): 642–51CrossRefPubMed Hubert HB, Snider J, Winkleby MA (2005) Health status, health behaviors, and acculturation factors associated with overweight and obesity in Latinos from a community and agricultural labor camp survey. Prev Med 40(6): 642–51CrossRefPubMed
50.
go back to reference Brindis C, Wolfe AL, McCarter V, Ball S, Starbuck-Morales S (1995) The associations between immigrant status and risk-behavior patterns in Latino adolescents. J Adolesc Health 17(2): 99–05CrossRefPubMed Brindis C, Wolfe AL, McCarter V, Ball S, Starbuck-Morales S (1995) The associations between immigrant status and risk-behavior patterns in Latino adolescents. J Adolesc Health 17(2): 99–05CrossRefPubMed
51.
go back to reference Nierkens V, de Vries H, Stronks K. Smoking in immigrants: Do socio-economic gradients follow the pattern expected from the tobacco epidemic? Tob. Control 2006; 15: 385–91 Nierkens V, de Vries H, Stronks K. Smoking in immigrants: Do socio-economic gradients follow the pattern expected from the tobacco epidemic? Tob. Control 2006; 15: 385–91
52.
go back to reference Ali Albar M (1988) The problem of alcohol dependence and it’s solution in Islam. Saudi Med J 9(1): 1– Ali Albar M (1988) The problem of alcohol dependence and it’s solution in Islam. Saudi Med J 9(1): 1–
53.
go back to reference Evenson KR, Sarmiento OL, Ayala GX (2004) Acculturation and physical activity among North Carolina Latina immigrants. Soc Sci Med 59(12): 2509–522CrossRefPubMed Evenson KR, Sarmiento OL, Ayala GX (2004) Acculturation and physical activity among North Carolina Latina immigrants. Soc Sci Med 59(12): 2509–522CrossRefPubMed
54.
go back to reference Goel MS, McCarthy EP, Phillips RS, Wee CC (2004) Obesity among US immigrant subgroups by duration of residence. JAMA 292(23): 2860–867CrossRefPubMed Goel MS, McCarthy EP, Phillips RS, Wee CC (2004) Obesity among US immigrant subgroups by duration of residence. JAMA 292(23): 2860–867CrossRefPubMed
55.
go back to reference Landrine H, Klonoff EA (2004) Culture change and ethnic-minority health behavior: An operant theory of acculturation. J Behav Med 27(6): 527–55CrossRefPubMed Landrine H, Klonoff EA (2004) Culture change and ethnic-minority health behavior: An operant theory of acculturation. J Behav Med 27(6): 527–55CrossRefPubMed
Metadata
Title
Behavioural risk factors in two generations of non-Western migrants: do trends converge towards the host population?
Authors
Karen Hosper
Vera Nierkens
Mary Nicolaou
Karien Stronks
Publication date
01-03-2007
Publisher
Kluwer Academic Publishers
Published in
European Journal of Epidemiology / Issue 3/2007
Print ISSN: 0393-2990
Electronic ISSN: 1573-7284
DOI
https://doi.org/10.1007/s10654-007-9104-7