期刊论文详细信息
International Journal for Equity in Health
Health and literacy in first- and second-generation Moroccan Berber women in the Netherlands: Ill literacy?
Mina Lhajoui1  Marrie HJ Bekker2 
[1] Mina Lhajoui, Erasmus Medical Centre, Dept. of Public Health, Rotterdam, The Netherlands;Marrie H.J. Bekker, Tilburg University, Dept. of Clinical Health Psychology; Gender and Health; Tilburg, The Netherlands
关键词: health care;    migrants;    generation effect;    ethnicity;    health status;    illiteracy;    literacy;    Morocco;    women;   
Others  :  1147776
DOI  :  10.1186/1475-9276-3-8
 received in 2004-01-30, accepted in 2004-06-28,  发布年份 2004
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【 摘 要 】

Aim

The present study was aimed at investigating the role of literacy and generation in the self-reported general health status of Moroccan Berber speaking women in the Netherlands.

Method

Fifty women in our sample (

    N
= 75) were first generation women, from which group 25 were literates and 25 illiterates. Another group of 25 literate women belonged to the second generation. The three groups were matched for demographic characteristics. Questionnaires were administered reflecting all concepts under study. We hypothesized that, within the first generation, illiterates compared with literates would report worse health. Our second hypothesis was that literates of the first generation compared with those of the second generation would have a similar health condition.

Results

After controlling for age, having a job, and having an employed partner, the first generation literates compared with the illiterates of the first generation indeed reported significantly better health. Additionally, we did not find any differences in health condition between both literate groups, even after controlling for age, number of children, and marital status. Health complaints that were most frequently reported by both groups, concerned pain in shoulders, back and head.

Conclusions

Our results underline the importance of offering immigrants optimal access to opportunities and facilities that can improve their literacy and reading ability.

【 授权许可】

   
2004 Bekker and Lhajoui; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.

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【 参考文献 】
  • [1]National Work Group on Literacy and Health: Communicating with patients who have limited literacy skills. Res J Fam Pract 1998, 46:168-176.
  • [2]Weiss BD, Hart G, McGee DL, D'Estelle S: Health status of illiterate Adults: Relation between literacy and health status among persons with low literacy skills. J Am Board Fam Pract 1992, 5:257-263.
  • [3]Davis TC, Meldrum H, Tippy PKP, Weiss BD, Williams MV: How poor literacy leads to poor health care. Patient Care 1996, 30:94-127.
  • [4]Baker DW, Parker RM, Williams MV, Clark WS, Nurss J: The relationship of patient' reading ability to self-reported health and use of health services. Am J Public Health 1997, 87:1027-1030.
  • [5]Bjerregaard P, Curtis T: Cultural change and mental health in Greenland: The association of childhood conditions, language, and urbanization with mental health and suicidal thoughts among the Inuit of Greenland. Soc Sci Med 2002, 54:33-48.
  • [6]Berry JW, Kim U: Acculturation and mental health. In In Health and Cross-Cultural Psychology. Edited by Dasen P, Berry JW, Sartorius N. London: Sage; 1988:207-236.
  • [7]Berry JW: Acculturation and adaptation. Health consequences of culture contact among circumpolar peoples. Arct Med Res 1990, 49:142-150.
  • [8]Berry JW: Acculturation and psychological adaptation: An overview. In In Journeys into cross-cultural psychology. Edited by Van de Vijver FJR, Boski P, Schmitz P. Amsterdam: Swets & Zeitlinger; 1994:129-141.
  • [9]Wersch SFM, Van Uniken Venema HP: Gezondheid van Marokkaanse Vrouwen: Gezondheidsbeleving, ziektegedrag en sociale netwerken van Marokkaanse en Nederlandse vrouwen in Nederland. In Health in Moroccan women: Health perception and social networks of Moroccan and Dutch women in the Netherlands. Rotterdam: GGD;; 1992.
  • [10]Bjerregaard P, Curtis T: Cultural change and mental health in Greenland: The association of childhood conditions, language, and urbanization with mental health and suicidal thoughts among the Inuit of Greenland. Soc Sci Med 2002, 54:33-48.
  • [11]Wallraff G: The Lowest of the Low. London: Methnen; 1988.
  • [12]Elkeles T, Seifert W: Immigrants and health: Unemployment and health-risks of labour migrants in the federal republic of Germany, 1984–1992. Soc Sci Med 1996, 43:1035-1047.
  • [13]Mackenbach JP: Migranten, migratie en volksgezondheid. In Migranten en gezondheidszorg [Migrants and health care]. Edited by Haveman HB, Uniken Venema HP. Houten: Bohn Stafleu Van Loghum; 1996.
  • [14]Brody EB: Psychiatric implications of industrialization and rapid social change. J Nerv Ment Dis 1973, 156:300-305.
  • [15]Pool A, van Huis K: Marokkaanse vrouwen in de huisartsenpraktijk van het Dirk van Nimwegencentrum. In Moroccan women within general practice of the Dirk van Nimwegencenter. Amsterdam: OSA; 1985.
  • [16]van der Most van Spijk M: Allochtone vrouwen. Een inventarisatie van onderzoek. [Allochthonous women: An inventory of research]. Leiden: Adviescommissie Onderzoek Minderheden; 1991.
  • [17]Costa Senior RA, de Goede J: Gezondheidsaspecten, gezondheidsdeterminanten en zorgconsumptie bij Marokkanen in Gouda. [Health aspects, health determinants, and health care consumption in Moroccans in Gouda]. Gouda: Gemeenschappelijke Gezondheidsdienst Midden-Holland; 1998.
  • [18]Bekker MHJ, Rademakers J, Mouthaan I, De Neef M, Huisman WM, Van Zandvoort H, Emans A: Reconstructing hymens or constructing sexual inequality? Service provision to Islamic girls coping with the demand to be a virgin. J Comunity and Appl Soc Psychol 1996, 6:329-334.
  • [19]de Muynck A, Verrept H, Schillemans L: De zorgvraag van Berberse en Arabische Marokkanen. Secundaire analyse van vroeger onderzoek. [The demand for care of Berber and Arabic Moroccans. A secondary analysis of previous research]. Huisarts nu 1995, 24:228-235.
  • [20]Richman JA, Gaviria M, Flaherty JA, Birz S, Wintrob RM: The process of acculturation: Theoretical perspectives and an empirical investigation in Peru. Soc Sci Med 1987, 25:839-847.
  • [21]Davis TC, Long SW, Jackson RH, Mayeaux EJ, George RB, Murphy PW, Crouch MA: Rapid estimate of adult literacy in medicine: A shortened screening instrument. Fam Med 1993, 25:391-395.
  • [22]Ware JE, Shelbourne CD: The MOS 36-item Short-Form Health Survey (SF-36). I. Conceptual framework and item selection. Med Care 1992, 30:473-481.
  • [23]van der Zee K, Sanderman R, Heyink J: De psychometrische kwaliteiten van de MOS 36-item Short Form Health Survey (SF-36) in een Nederlandse populatie. [Psychometric qualities of the 36-item Short Form Health Survey (SF-36) in a Dutch population] Tijdschrift voor Sociale Gezondheidszorg 1993, 71:183-191.
  • [24]Aaronson NK, Muller M, Cohen , Essink-Bot ML, Fekkes M, Sanderman R, Sprangers MA, te Velde A, Verrips E: Translation, validation, and norming of the Dutch language version of the SF-36 Health Survey in community and chronic disease populations. J Clin Epidemiol 1998, 51:1055-1068.
  • [25]Verbrugge LM: Role burdens and physical health of women and men. Women Health 1986, 11:47-77.
  • [26]Gijsbers van Wijk CMT, Kolk AM: Sex differences in physical symptoms: The contribution of symptom perception Theory. Soc Sci Med 1997, 2:231-246.
  • [27]Pennebaker JW: The psychology of physical symptoms. New York: Springer Verlag; 1982.
  • [28]Sam DL, Berry JW: Acculturative stress among young immigrants in Norway. Scand J Psychol 1995, 1:10-24.
  • [29]Dutch Ministry of Welfare and Health: Steun voor de Marokkaanse patiënt. Migrantenvoorlichter mee naar de dokter. [Support for the Moroccan patient. Information official accompanies migrants to their general practitioner]. VWS Bulletin 1999, 2:11-12.
  • [30]Rissel C, Lesjak M, Ward J: Cardiovascular risk factors among Arabic-speaking patients patients attending Arabic-speaking general practitioners in Sydney, Australia: Opportunities for intervention. Ethn Health 1998, 3:213-222.
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