Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2012

Open Access 01-12-2012 | Research

Challenges in access to health services and its impact on quality of life: a randomised population-based survey within Turkish speaking immigrants in London

Authors: Kenan Topal, Erhan Eser, Ismail Sanberk, Elizabeth Bayliss, Esra Saatci

Published in: Health and Quality of Life Outcomes | Issue 1/2012

Login to get access

Abstract

Background and aim

There are a significant number of Turkish speaking immigrants living in London. Their special health issues including women's health, mental health, and alcohol and smoking habits has been assessed. The aim of this study was to explore the ongoing challenges in access to health care services and its impact on Quality of Life of immigrants.

Material and methods

This cross-sectional population-based study was conducted between March and August 2010 with Turkish immigrants (n = 416) living in London. Of these, 308 (74%) were Turkish and 108 (26%) were Turkish Cypriots. All healthy or unhealthy adults of 17-65 years of age were enrolled. A structured questionnaire with 44 items in five subcategories and 26-items WHOQOL BREF were used.

Results

Mean duration of stay for Turkish Cypriots (26.9 ± 13.9 years) was significantly longer than Turkish immigrants (13.3 ± 7.5) (p < 0.001). Turkish immigrants (n = 108, 36.5%) need interpretation more often when using health services than Turkish Cypriots (n = 16, 15%) (p < 0.001). Multivariate analyses suggested significant effects of older age, non-homeownership, low socioeconomic class, poor access to health services, being ill, poor community integration and being obese on physical well-being and also significant effects of low income and poor community integration on perceived overall Quality of Life (WHOQOL) of the participants.

Conclusions

The results of this study demonstrate how the health and well-being of members of the Turkish speaking community living in London are affected by social aspects of their lives. Providing culturally competent care and interpretation services and advocacy may improve the accessibility of the health care.
Appendix
Available only for authorised users
Literature
3.
go back to reference Lassetter JH, Callister LC: The impact of migration on the health of voluntary migrants in western societies. J Transcult Nurs 2009, 20(1):93–104.CrossRefPubMed Lassetter JH, Callister LC: The impact of migration on the health of voluntary migrants in western societies. J Transcult Nurs 2009, 20(1):93–104.CrossRefPubMed
4.
go back to reference Aydin MA: Turkish-Speaking Communities and Education: No Delight. London: Fatal Publications; 2001. Aydin MA: Turkish-Speaking Communities and Education: No Delight. London: Fatal Publications; 2001.
5.
go back to reference Cinar F: Primary health care needs of the Turkish speaking community. Copies available at Kings Fund Library; 1995:30. Cinar F: Primary health care needs of the Turkish speaking community. Copies available at Kings Fund Library; 1995:30.
6.
go back to reference Goodyer L, Savage I, Dikmen Z: Inhaler technique in Turkish people with poor English: a case of information discrimination? Pharm World Sci 2006, 28(2):107–14. 10.1007/s11096-006-9019-5CrossRefPubMed Goodyer L, Savage I, Dikmen Z: Inhaler technique in Turkish people with poor English: a case of information discrimination? Pharm World Sci 2006, 28(2):107–14. 10.1007/s11096-006-9019-5CrossRefPubMed
8.
go back to reference Kansu F: Assessing the health needs of Turkish and Kurdish speaking women in Hackney. Copies available at Kings Fund Library; 1997:44. Kansu F: Assessing the health needs of Turkish and Kurdish speaking women in Hackney. Copies available at Kings Fund Library; 1997:44.
9.
go back to reference Ulusahin A, Basoglu M, Paykel ES: A cross-cultural comparative study of depressive Symptoms in British and Turkish clinical samples. Soc Psych Epidemiol 1994, 29: 31–9. Ulusahin A, Basoglu M, Paykel ES: A cross-cultural comparative study of depressive Symptoms in British and Turkish clinical samples. Soc Psych Epidemiol 1994, 29: 31–9.
10.
go back to reference Leavey G, Guvenir T, Casanovas SH, Dein S: Finding help: Turkish-speaking refugees and migrants with a history of psychosis. Transcultural Psychiatry 2007, 44(2):258–74. 10.1177/1363461507077725CrossRefPubMed Leavey G, Guvenir T, Casanovas SH, Dein S: Finding help: Turkish-speaking refugees and migrants with a history of psychosis. Transcultural Psychiatry 2007, 44(2):258–74. 10.1177/1363461507077725CrossRefPubMed
11.
go back to reference Theodorou Z: Alcohol and the invisible communities: needs and attitudes in the Cypriot and Turkish groups. Copies available at Kings Fund Library; 1992:33. Theodorou Z: Alcohol and the invisible communities: needs and attitudes in the Cypriot and Turkish groups. Copies available at Kings Fund Library; 1992:33.
12.
go back to reference Stevens W, Thorogood M, Kayikki S: Cost-effectiveness of a community anti-smoking campaign targeted at a high risk group in London. Health Promot Int 2002, 17(1):43–50. 10.1093/heapro/17.1.43CrossRefPubMed Stevens W, Thorogood M, Kayikki S: Cost-effectiveness of a community anti-smoking campaign targeted at a high risk group in London. Health Promot Int 2002, 17(1):43–50. 10.1093/heapro/17.1.43CrossRefPubMed
13.
go back to reference WHOQOL Group: Development of the WHOQOL: Rationale and current status. Int J Mental Health 1994, 23: 24–56.CrossRef WHOQOL Group: Development of the WHOQOL: Rationale and current status. Int J Mental Health 1994, 23: 24–56.CrossRef
14.
go back to reference WHOQOL Group: Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychol Med 1998, 28(3):551–8.CrossRef WHOQOL Group: Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychol Med 1998, 28(3):551–8.CrossRef
15.
go back to reference Eser E, Fidaner H, Fidaner C, Eser SY, Elbi H, Goker E: Psychometric properties of the WHOQOL-100 and WHOQOL-BREF. 3P Journal 1999, 7(2):23–40. [in Turkish] Eser E, Fidaner H, Fidaner C, Eser SY, Elbi H, Goker E: Psychometric properties of the WHOQOL-100 and WHOQOL-BREF. 3P Journal 1999, 7(2):23–40. [in Turkish]
17.
go back to reference Skevington SM, Lotfy M, O'Connell KA: The World Health Organization's WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial-A report from the WHOQOL group. Qual of Life Res 2004, 13(2):299–310.CrossRef Skevington SM, Lotfy M, O'Connell KA: The World Health Organization's WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial-A report from the WHOQOL group. Qual of Life Res 2004, 13(2):299–310.CrossRef
18.
go back to reference Eser E, Baydur H: The WHOQOL-BREF Questionnaire: Psychometric Properties of the Turkish National Data Pool 2000–2010. In 17th ISOQOL Annual Conference. London; 2010. Abstract book no: 1419 Eser E, Baydur H: The WHOQOL-BREF Questionnaire: Psychometric Properties of the Turkish National Data Pool 2000–2010. In 17th ISOQOL Annual Conference. London; 2010. Abstract book no: 1419
19.
go back to reference Bayram N, Thorburn D, Demirhan H, Bilgel N: Quality of life among Turkish immigrants in Sweden. Qual Life Res 2007, 16: 1319–33. 10.1007/s11136-007-9249-6CrossRefPubMed Bayram N, Thorburn D, Demirhan H, Bilgel N: Quality of life among Turkish immigrants in Sweden. Qual Life Res 2007, 16: 1319–33. 10.1007/s11136-007-9249-6CrossRefPubMed
20.
go back to reference Cruz LN, Polanczyk CA, Camey SA, Hoffmann JF, Fleck MP: Quality of life in Brazil: normative values for the WHOQOL-BREF in a southern general population sample. Qual Life Res 2011, 20(7):1123–9. 10.1007/s11136-011-9845-3CrossRefPubMed Cruz LN, Polanczyk CA, Camey SA, Hoffmann JF, Fleck MP: Quality of life in Brazil: normative values for the WHOQOL-BREF in a southern general population sample. Qual Life Res 2011, 20(7):1123–9. 10.1007/s11136-011-9845-3CrossRefPubMed
21.
go back to reference Noerholm V, Groenvold M, Watt T, Bjorner JB, Rasmussen NA, Bech P: Quality of life in the Danish general population-normative data and validity of WHOQOL-BREF using Rasch and item response theory models. Qual Life Res 2004, 13: 531–40.CrossRefPubMed Noerholm V, Groenvold M, Watt T, Bjorner JB, Rasmussen NA, Bech P: Quality of life in the Danish general population-normative data and validity of WHOQOL-BREF using Rasch and item response theory models. Qual Life Res 2004, 13: 531–40.CrossRefPubMed
22.
go back to reference Baumann C, Erpelding ML, Régat S, Collin JF, Briançon S: The WHOQOL-BREF Questionnaire: French adult population norms for the physical health, psychological health and social relationship dimensions. Rev Epidemiol Sante Publique 2010, 58(1):33–9. 10.1016/j.respe.2009.10.009CrossRefPubMed Baumann C, Erpelding ML, Régat S, Collin JF, Briançon S: The WHOQOL-BREF Questionnaire: French adult population norms for the physical health, psychological health and social relationship dimensions. Rev Epidemiol Sante Publique 2010, 58(1):33–9. 10.1016/j.respe.2009.10.009CrossRefPubMed
23.
go back to reference Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kivircik B, et al.: Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health 2006, 9(6):247.CrossRef Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kivircik B, et al.: Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health 2006, 9(6):247.CrossRef
24.
go back to reference Hoopman R, Terwee CB, Deville W, Knol DL, Aaronson NK: Evaluation of the psychometric properties of the SF-36 health survey for use among Turkish and Moroccan ethnic minority populations in the Netherlands. Qual Life Res 2007, 16: 1319–33. 10.1007/s11136-007-9249-6CrossRef Hoopman R, Terwee CB, Deville W, Knol DL, Aaronson NK: Evaluation of the psychometric properties of the SF-36 health survey for use among Turkish and Moroccan ethnic minority populations in the Netherlands. Qual Life Res 2007, 16: 1319–33. 10.1007/s11136-007-9249-6CrossRef
25.
go back to reference Pala T, Eser E, Ozmen B, Aydemir O, Boyvoda S: The determinants of quality of life including treatment satisfaction in patients with type two diabetes mellitus: Are different generic Qol instruments sensitive to the same determinants? Turkish Journal of Endocrinology and Metabolism 2004, 3: 91–9. [in Turkish] Pala T, Eser E, Ozmen B, Aydemir O, Boyvoda S: The determinants of quality of life including treatment satisfaction in patients with type two diabetes mellitus: Are different generic Qol instruments sensitive to the same determinants? Turkish Journal of Endocrinology and Metabolism 2004, 3: 91–9. [in Turkish]
26.
go back to reference Naumann VJ, Byrne G: WHOQOL-BREF as a measure of quality of life in older patients with depression. Int Psychogeriatr 2004, 16: 159–73. 10.1017/S1041610204000109CrossRefPubMed Naumann VJ, Byrne G: WHOQOL-BREF as a measure of quality of life in older patients with depression. Int Psychogeriatr 2004, 16: 159–73. 10.1017/S1041610204000109CrossRefPubMed
27.
go back to reference Mansyur C, Amick BC, Harrist RB, Franzini L: Social capital, income inequality, and self-rated health in 45 countries. Soc Sci Med 2008, 66(1):43–56. 10.1016/j.socscimed.2007.08.015CrossRefPubMed Mansyur C, Amick BC, Harrist RB, Franzini L: Social capital, income inequality, and self-rated health in 45 countries. Soc Sci Med 2008, 66(1):43–56. 10.1016/j.socscimed.2007.08.015CrossRefPubMed
28.
go back to reference Molarius A, Berglund K, Eriksson C, Lambe M, Nordström E, Eriksson HG, et al.: Socioeconomic conditions, lifestyle factors, and self-rated health among men and women in Sweden. Eur J Public Health 2007, 17(2):125–33. 10.1093/eurpub/ckl070CrossRefPubMed Molarius A, Berglund K, Eriksson C, Lambe M, Nordström E, Eriksson HG, et al.: Socioeconomic conditions, lifestyle factors, and self-rated health among men and women in Sweden. Eur J Public Health 2007, 17(2):125–33. 10.1093/eurpub/ckl070CrossRefPubMed
29.
go back to reference Min SK, Kim KI, Lee CI, Jung YC, Suh SY, Kim DK: Development of the Korean versions of WHO Quality of Life scale and WHOQOL-BREF. Qual Life Res 2002, 11(6):593–600. 10.1023/A:1016351406336CrossRefPubMed Min SK, Kim KI, Lee CI, Jung YC, Suh SY, Kim DK: Development of the Korean versions of WHO Quality of Life scale and WHOQOL-BREF. Qual Life Res 2002, 11(6):593–600. 10.1023/A:1016351406336CrossRefPubMed
30.
go back to reference Antonovsky A: Unraveling the Mystery of Health-How People Manage Stress and Stay Well. San Francisco: Jossey-Bass Publishers; 1987. Antonovsky A: Unraveling the Mystery of Health-How People Manage Stress and Stay Well. San Francisco: Jossey-Bass Publishers; 1987.
33.
go back to reference Ucan O, Ovayolu N: Relationship between diabetes mellitus, hypertension and obesity, and health-related quality of life in Gaziantep, a central south-eastern city in Turkey. J Clin Nurs 2010, 19(17–18):2511–9. 10.1111/j.1365-2702.2010.03295.xCrossRefPubMed Ucan O, Ovayolu N: Relationship between diabetes mellitus, hypertension and obesity, and health-related quality of life in Gaziantep, a central south-eastern city in Turkey. J Clin Nurs 2010, 19(17–18):2511–9. 10.1111/j.1365-2702.2010.03295.xCrossRefPubMed
34.
go back to reference Sarac F, Parildar S, Duman E, Saygili F, Tuzun M, Yilmaz C: Quality of life for obese women and men in Turkey. Prev Chronic Dis 2007, 4(3):A50.PubMedCentralPubMed Sarac F, Parildar S, Duman E, Saygili F, Tuzun M, Yilmaz C: Quality of life for obese women and men in Turkey. Prev Chronic Dis 2007, 4(3):A50.PubMedCentralPubMed
35.
go back to reference Dinc G, Eser E, Saatli GL, Cihan UA, Oral A, Baydur H, et al.: The relationship between obesity and health related quality of life of women in a Turkish city with a high prevalence of obesity. Asia Pac J Clin Nutr 2006, 15(4):508–15.PubMed Dinc G, Eser E, Saatli GL, Cihan UA, Oral A, Baydur H, et al.: The relationship between obesity and health related quality of life of women in a Turkish city with a high prevalence of obesity. Asia Pac J Clin Nutr 2006, 15(4):508–15.PubMed
36.
go back to reference Starfield B: Primary Care: Concept, Evaluation, and Policy. New York, NY: Oxford University Press; 1992. Starfield B: Primary Care: Concept, Evaluation, and Policy. New York, NY: Oxford University Press; 1992.
37.
go back to reference Lagarlı T, Eser E, Akdeniz M, Aydoğdu B, Baklaya U, Fıra C, et al.: Assessing the structural and functional properties of family physician services by using the PCAS (Primary Care Assessment Survey: Primary Care Evaluation Scale) scale. Turkish Journal of Public Health 2011, 9(1):16–32. Lagarlı T, Eser E, Akdeniz M, Aydoğdu B, Baklaya U, Fıra C, et al.: Assessing the structural and functional properties of family physician services by using the PCAS (Primary Care Assessment Survey: Primary Care Evaluation Scale) scale. Turkish Journal of Public Health 2011, 9(1):16–32.
38.
go back to reference Kasmel A, Tanggrad P: Evaluation of changes in individual community-related empowerment in community health promotion interventions in Estonia. Int J Environ Res Public Healt 2011, 8(6):1772–91. 10.3390/ijerph8061772CrossRef Kasmel A, Tanggrad P: Evaluation of changes in individual community-related empowerment in community health promotion interventions in Estonia. Int J Environ Res Public Healt 2011, 8(6):1772–91. 10.3390/ijerph8061772CrossRef
39.
go back to reference Svedberg P, Arvidson B, Svenson B, Hansson L: Psychometric characteristics of a self-report questionnaire (HPIQ) focusing on health promotion interventions in mental health services. Int J Ment Health Nurs 2008, 17(3):171–9. 10.1111/j.1447-0349.2008.00527.xCrossRefPubMed Svedberg P, Arvidson B, Svenson B, Hansson L: Psychometric characteristics of a self-report questionnaire (HPIQ) focusing on health promotion interventions in mental health services. Int J Ment Health Nurs 2008, 17(3):171–9. 10.1111/j.1447-0349.2008.00527.xCrossRefPubMed
40.
go back to reference Tsuboi S, Hayakawa T, Kanda H, Fukushima T: Physical activity in the context of clustering patterns of health-promoting behaviors. Am J Health Promot 2011, 25(6):410–6. 10.4278/ajhp.090720-QUAN-232CrossRefPubMed Tsuboi S, Hayakawa T, Kanda H, Fukushima T: Physical activity in the context of clustering patterns of health-promoting behaviors. Am J Health Promot 2011, 25(6):410–6. 10.4278/ajhp.090720-QUAN-232CrossRefPubMed
41.
go back to reference Kliche T: [Structures and quality assurance of preventive care and health promotion in Germany]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2011, 54(2):194–206. 10.1007/s00103-010-1210-0CrossRefPubMed Kliche T: [Structures and quality assurance of preventive care and health promotion in Germany]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2011, 54(2):194–206. 10.1007/s00103-010-1210-0CrossRefPubMed
Metadata
Title
Challenges in access to health services and its impact on quality of life: a randomised population-based survey within Turkish speaking immigrants in London
Authors
Kenan Topal
Erhan Eser
Ismail Sanberk
Elizabeth Bayliss
Esra Saatci
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2012
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-10-11

Other articles of this Issue 1/2012

Health and Quality of Life Outcomes 1/2012 Go to the issue