title: Acculturation and health-related quality of life: results from the German National Cohort migrant feasibility study.
abstract: OBJECTIVE
  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.
authors.affiliation: Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstr. 30, 28359, Bremen, Germany. brand@bips.uni-bremen.de.
authors.forename: Tilman
authors.initials: T
authors.lastname: Brand
authors.affiliation: Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstr. 30, 28359, Bremen, Germany.
authors.forename: Florence
authors.initials: F
authors.lastname: Samkange-Zeeb
authors.affiliation: Robert Koch Institute, Berlin, Germany.
authors.forename: Ute
authors.initials: U
authors.lastname: Ellert
authors.affiliation: Institute of Social Medicine, Epidemiology and Health Economics, Charité Universitätsmedizin, Berlin, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Keil
authors.affiliation: Institute of Social Medicine, Epidemiology and Health Economics, Charité Universitätsmedizin, Berlin, Germany.
authors.forename: Lilian
authors.initials: L
authors.lastname: Krist
authors.affiliation: Institute for Medical Sociology, Centre for Health and Society, Medical Faculty, University of Duesseldorf, Duesseldorf, Germany.
authors.forename: Nico
authors.initials: N
authors.lastname: Dragano
authors.affiliation: Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), University Hospital Essen, Essen, Germany.
authors.forename: Karl-Heinz
authors.initials: KH
authors.lastname: Jöckel
authors.affiliation: Department of Epidemiology and International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, Bielefeld, Germany.
authors.forename: Oliver
authors.initials: O
authors.lastname: Razum
authors.affiliation: Department of Epidemiology and International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, Bielefeld, Germany.|AID Information Service: Food, Agriculture, Consumer Protection, Bonn, Germany.
authors.forename: Katharina
authors.initials: K
authors.lastname: Reiss
authors.affiliation: German Cancer Research Center (DKFZ), Heidelberg, Germany.
authors.forename: Karin Halina
authors.initials: KH
authors.lastname: Greiser
authors.affiliation: Institute of Public Health, University Hospital Heidelberg, Heidelberg, Germany.
authors.forename: Heiko
authors.initials: H
authors.lastname: Zimmermann
authors.affiliation: Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: Heiko
authors.initials: H
authors.lastname: Becher
authors.affiliation: Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstr. 30, 28359, Bremen, Germany.|Health Sciences Bremen, University of Bremen, Bremen, Germany.
authors.forename: Hajo
authors.initials: H
authors.lastname: Zeeb
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D005858:Germany / Q000453:epidemiology; D006262:Health / Q000208:ethnology; D006801:Humans; D016014:Linear Models; D008297:Male; D008603:Mental Health / Q000208:ethnology; D008875:Middle Aged; D011788:Quality of Life; D014171:Transients and Migrants / Q000706:statistics & numerical data*; D014421:Turkey / Q000208:ethnology
keywords: Acculturation; Germany; Health-related quality of life; Immigrants; Turkey