Krist Lilian, Dornquast Christina, Reinhold Thomas, Becher Heiko, Jöckel Karl-Heinz, Schmidt Börge, Schramm Sara, Icke Katja, Danquah Ina, Willich Stefan N, Keil Thomas, Brand Tilman
Institute for Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany.
German Center for Neurodegenerative Diseases (DZNE), 17489 Greifswald, Germany.
Int J Environ Res Public Health. 2021 Mar 10;18(6):2827. doi: 10.3390/ijerph18062827.
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.
移民群体的健康相关生活质量（HRQL）可能与文化适应（即接受、习得和适应新文化环境的过程）有关。由于缺乏纵向研究，我们旨在描述居住在德国柏林和埃森的土耳其裔成年人的HRQL变化及其与文化适应的关联。在2012 - 2013年招募了一项基于人群研究的参与者，并在六年后再次邀请他们完成一份问卷。在基线时使用法兰克福文化适应量表（整合、同化、分离和边缘化）评估文化适应情况。在基线（SF - 8）和随访（SF - 12）时评估HRQL，得出身体（PCS）和心理（MCS）总分。使用时间与文化适应状态交互项的线性回归模型分析与文化适应和HRQL的关联。该研究纳入了330人（65%为女性，平均年龄±标准差43.3±11.8岁）。在这6年中，MCS下降，而PCS保持稳定。虽然横断面分析显示文化适应状态与MCS和PCS均有关联，但包括时间交互项的时间变化并未揭示基线文化适应状态与HRQL的关联。在研究文化适应中的HRQL时，需要更多纵向研究来考虑HRQL和文化适应状态的变化。
