Department of Social Medical Sciences, Erasmus School of Health Policy and Management, Erasmus University Rotterdam, P.O. Box 1738, 3000, Rotterdam, DR, The Netherlands.
BMC Public Health. 2019 Sep 5;19(1):1228. doi: 10.1186/s12889-019-7471-0.
The few previous studies investigating acculturation and self-management have suggested that increased participation in (or adaptation to) the host culture is associated with better health and disease management. However, research on the relationship between acculturation strategies (attachment to the Dutch and Turkish cultures) and broader self-management abilities among older Turkish immigrants in the Netherlands is lacking. This study aimed to investigate this relationship in this population.
Turkish immigrants aged > 65 years and residing in Rotterdam, the Netherlands (n = 2350), were identified using the municipal register. In total, 680 respondents completed the questionnaire (32% response rate).
The average age of the respondents was 72.90 (standard deviation, 5.02; range, 66-95) years and 47.6% of respondents were women. The majority (80.3%) of respondents reported having low educational levels. Women, single individuals, less-educated respondents, and those with multimorbidity experienced lower levels of attachment to the Dutch culture and reported poorer self-management abilities. Slightly stronger relationships were found between self-management and attachment to the Dutch culture than attachment to the Turkish culture. Multimorbidity negatively affected the self-management abilities of older Turkish people living in the Netherlands.
The study findings indicate that especially attachment to the Dutch culture matters for the self-management abilities of older Turkish immigrants in the Netherlands. Given the high prevalence of multimorbidity in this population, investment in their self-management abilities is expected to be beneficial. Special attention is needed for women, single individuals, less-educated people, and those with multimorbidity. Interventions aiming to better integrate these groups into Dutch society are also expected to be beneficial for their self-management abilities.
少数先前研究文化适应和自我管理的研究表明，更多地参与（或适应）东道国文化与更好的健康和疾病管理有关。然而，缺乏针对荷兰老年土耳其移民的文化适应策略（对荷兰和土耳其文化的依恋）与更广泛的自我管理能力之间关系的研究。本研究旨在调查该人群中的这种关系。
使用市政登记册确定居住在荷兰鹿特丹的年龄> 65 岁的土耳其移民（n = 2350）。共有 680 名受访者完成了问卷调查（32%的回应率）。
受访者的平均年龄为 72.90 岁（标准差为 5.02；范围为 66-95），47.6%的受访者为女性。大多数（80.3%）受访者报告受教育程度较低。女性、单身人士、受教育程度较低的受访者以及患有多种疾病的受访者对荷兰文化的依恋程度较低，自我管理能力较差。与对土耳其文化的依恋相比，自我管理与对荷兰文化的依恋之间的关系略强。多种疾病对居住在荷兰的老年土耳其人的自我管理能力产生负面影响。
研究结果表明，对荷兰文化的依恋对荷兰老年土耳其移民的自我管理能力尤为重要。鉴于该人群中多种疾病的高患病率，预计对其自我管理能力的投资将是有益的。需要特别关注女性、单身人士、受教育程度较低的人以及患有多种疾病的人。旨在使这些群体更好地融入荷兰社会的干预措施也有望对其自我管理能力产生有益影响。
