ArticleBMC public health2009
Acculturation and use of health care services by Turkish and Moroccan migrants: a cross-sectional population-based study.
Article in BMC public health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 91 citations in OpenAlex.
- Acculturation and Healthcare Access Among Labour Migrants: A Systematic Review.Journal of immigrant and minority health · 2025Pooled it
- A metasynthesis of qualitative studies regarding opinions and perceptions about barriers and determinants of health services' accessibility in economic migrants.BMC health services research · 2012Pooled it
- Acculturation, Social Support, and Healthcare Utilisation Among Indonesian Migrant Workers in Malaysia: A Cross-Sectional Study.Journal of racial and ethnic health disparities · 2026Article
- Immigrant assimilation in health care utilisation in Spain.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- Teacher-reported emotional and behavioural problems and ethnic background associated with children's psychosocial care use: a longitudinal population-based study.European child & adolescent psychiatry · 2023Article
- Mental health by native-immigrant intermarriage in Sweden: a register-based retrospective cohort study.European journal of public health · 2022Article
- International medical students' acculturation and self-rated health status in Hungary: a cross-sectional study.BMC public health · 2022Article
- Reducing suicidal ideation among Turkish migrants in the Netherlands and in the UK: the feasibility of a randomised controlled trial of a guided online intervention.Pilot and feasibility studies · 2021Article
- Disparities in emergency department use between Italians and migrants residing in Rome, Italy: the Rome Dynamic Longitudinal Study from 2005 to 2015.BMC public health · 2020Article
- Utilization of cervical cancer screening among migrants and non-migrants in Germany: results from a large-scale population survey.BMC public health · 2020Article
- Sociodemographic and Clinical Predictors of the Length of Psychiatric Inpatient Stay of Immigrants in Switzerland.Frontiers in psychiatry · 2020Article
- Trauma, Psychosocial Factors, and Help-Seeking in Three Immigrant Groups in Finland.The journal of behavioral health services & research · 2019Article
- The Negative Impact of an Uncertain Residence Status: Analysis of Migration-Related Stressors in Outpatients with Turkish Migration Background and Psychiatric Disorders in Germany Over a 10-Year Period (2005-2014).Journal of immigrant and minority health · 2018Article
- Development and evaluation of diversity-oriented competence training for the treatment of depressive disorders.Transcultural psychiatry · 2018Article
- Enabling and Predisposing Factors for the Utilization of Preventive Dental Health Care in Migrants and Non-Migrants in Germany.Frontiers in public health · 2017Article
- Register study of migrants' hospitalization in Norway: world region origin, reason for migration, and length of stay.BMC health services research · 2016Article
- Turkish and Moroccan Young Adults in the Netherlands: The Relationship Between Acculturation and Psychological Problems.Journal of immigrant and minority health · 2015Article
- Disparities in mental health care provision to immigrants with severe mental illness in Italy.Epidemiology and psychiatric sciences · 2015Article
- Understanding the "black box" of a health-promotion program: Keys to enable health among older persons aging in the context of migration.International journal of qualitative studies on health and well-being · 2015Article
- The relationship between acculturation strategies and depressive and anxiety disorders in Turkish migrants in the Netherlands.BMC psychiatry · 2014Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is insufficient empirical evidence which shows if and how there is an interrelation between acculturation and health care utilisation. The present study seeks to establish this evidence within first generation Turkish and Moroccan migrants, two of the largest migrant groups in present-day Western Europe.
methodsData were derived from the Amsterdam Health Monitor 2004, and were complete for 358 Turkish and 288 Moroccan foreign-born migrants. Use of health services (general practitioner, outpatient specialist and health care for mental health problems) was measured by means of self-report. Acculturation was measured by a structured questionnaire grading (i) ethnic self-identification, (ii) social interaction with ethnic Dutch, (iii) communication in Dutch within one's private social network, (iv) emancipation, and (v) cultural orientation towards the public domain.
resultsAcculturation was hardly associated with the use of general practitioner care. However, in case of higher adaptation to the host culture there was less uptake of outpatient specialist care among Turkish respondents (odds ratio [OR] = 0.90, 95% confidence interval [CI] = 0.82-0.99) and Moroccan male respondents (OR = 0.81, 95% CI = 0.71-0.93). Conversely, there was a higher uptake of mental health care among Turkish men (OR = 0.81, 95% CI = 0.71-0.93) and women (OR = 0.81, 95% CI = 0.71-0.93). Uptake of mental health care among Moroccan respondents again appeared lower (OR = 0.74, 95% CI = 0.55-0.99). Language ability appeared to play a central role in the uptake of health care.
conclusionSome results were in accordance with the popular view that an increased participation in the host society is concomitant to an increased use of health services. However, there was heterogeneity across ethnic and gender groups, and across the domains of acculturation. Language ability appeared to play a central role. Further research needs to explore this heterogeneity into more detail. Also, other cultural and/or contextual aspects that influence the use of health services require further identification.
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