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

International Journal of Public Health

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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Acknowledgements

This study was part of the feasibility studies in preparation for the German National Cohort and was funded by the Federal Ministry of Education and Research (German: Bundesministerium für Bildung und Forschung) under Grant Number: 01ER1001B; Beneficiary: Freiburg University.

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Correspondence to Tilman Brand.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This study was approved by the respective ethical committees of all four recruitment centres.

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Supplementary material 1 (PDF 67 KB)

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Brand, T., Samkange-Zeeb, F., Ellert, U. et al. Acculturation and health-related quality of life: results from the German National Cohort migrant feasibility study. Int J Public Health 62, 521–529 (2017). https://doi.org/10.1007/s00038-017-0957-6

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  • DOI: https://doi.org/10.1007/s00038-017-0957-6

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