Association of Acculturation Status with Longitudinal Changes in Health-Related Quality of Life—Results from a Cohort Study of Adults with Turkish Origin in Germany

International Journal of Environmental Research and Public Health

Tilman Brand¹  Börge Schmidt²  Karl-Heinz Jöckel²  Sara Schramm²  Lilian Krist³  Stefan N. Willich³  Christina Dornquast³  Thomas Reinhold³  Katja Icke³  Thomas Keil³  Ina Danquah³  Heiko Becher⁴ 

[1] Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology—BIPS, 28359 Bremen, Germany;Institute for Medical Informatics, Biometry und Epidemiology, University Hospital Essen, University Duisburg-Essen, 45122 Essen, Germany;Institute for Social Medicine, Epidemiology and Health Economics, Charité‐Universitätsmedizin Berlin, 10117 Berlin, Germany;Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg‐Eppendorf, 20246 Hamburg, Germany;

关键词: health-related quality of life;    HRQL;    acculturation;    Turkish;    migrants;   

DOI  :  10.3390/ijerph18062827

来源: DOAJ

【 摘 要 】

Health-related quality of life (HRQL) among migrant populations can be associated with acculturation (i.e., the process of adopting, acquiring and adjusting to a new cultural environment). Since there is a lack of longitudinal studies, we aimed to describe HRQL changes among adults of Turkish descent living in Berlin and Essen, Germany, and their association with acculturation. Participants of a population-based study were recruited in 2012–2013 and reinvited six years later to complete a questionnaire. Acculturation was assessed at baseline using the Frankfurt acculturation scale (integration, assimilation, separation and marginalization). HRQL was assessed at baseline (SF-8) and at follow-up (SF-12) resulting in a physical (PCS) and mental (MCS) sum score. Associations with acculturation and HRQL were analyzed with linear regression models using a time-by-acculturation status interaction term. In the study 330 persons were included (65% women, mean age ± standard deviation 43.3 ± 11.8 years). Over the 6 years, MCS decreased, while PCS remained stable. While cross-sectional analyses showed associations of acculturation status with both MCS and PCS, temporal changes including the time interaction term did not reveal associations of baseline acculturation status with HRQL. When investigating HRQL in acculturation, more longitudinal studies are needed to take changes in both HRQL and acculturation status into account.

【 授权许可】

Unknown