Institute of Social Medicine and Epidemiology, Medical University of Graz, 8010 Graz, Austria.
Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, 8036 Graz, Austria.
Int J Environ Res Public Health. 2022 Dec 16;19(24):16960. doi: 10.3390/ijerph192416960.
Since Croatia joined the European Union, majority of the studies on Croatian emigrants have predominantly addressed the reasons for migration and their future predictions. The primary purpose of this study was to investigate the relationship between the sense of coherence, health behavior, acculturation, adaptation, perceived health, and quality of life (QoL) in first-generation Croatian migrants living in Austria and Ireland. Our study is the first study that addresses the perceived health and QoL of Croatian migrants since the last emigration wave in 2013. An online survey was conducted in Austria (n = 112) and Ireland (n = 116) using standardized questionnaires. Multiple linear regression analyses were conducted for emigrated Croats to identify the predictors of perceived health and QoL. The analyses revealed that the sense of coherence and psychological adaptation were the strongest predictors of perceived health and QoL in Austria and Ireland. Furthermore, in the environmental domain of QoL, a higher education, higher net income, life in Austria rather than Ireland, better health behavior, higher sense of coherence, and better psychological and sociocultural adaptation explained 55.9% of the variance. Health policies and programs should use the salutogenic model to improve the health-related quality of life and psychological adaptation of Croatian migrants.
自克罗地亚加入欧盟以来，大多数针对克罗地亚移民的研究主要关注移民原因及其未来预测。本研究的主要目的是调查生活在奥地利和爱尔兰的第一代克罗地亚移民的归属感、健康行为、文化适应、适应、感知健康和生活质量（QoL）之间的关系。自 2013 年最后一次移民浪潮以来，这是第一项针对克罗地亚移民感知健康和生活质量的研究。我们在奥地利（n=112）和爱尔兰（n=116）使用标准化问卷进行了在线调查。对移民到国外的克罗地亚人进行了多元线性回归分析，以确定感知健康和生活质量的预测因素。分析表明，在奥地利和爱尔兰，归属感和心理适应是感知健康和生活质量的最强预测因素。此外，在生活质量的环境领域，较高的教育程度、较高的净收入、在奥地利而不是爱尔兰的生活、更好的健康行为、更高的归属感、以及更好的心理和社会文化适应解释了 55.9%的方差。健康政策和计划应使用健康促进模型来改善克罗地亚移民的健康相关生活质量和心理适应。
