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Effect of Length of Stay on Smoking among Turkish and Eastern European Immigrants in Germany—Interpretation in the Light of the Smoking Epidemic Model and the Acculturation Theory

Background: We analyzed changes in smoking by length of stay among immigrants in Germany and related them to the “smoking epidemic” model and the acculturation theory. Methods: We used data from a longitudinal survey (German Socio-economic Panel). Immigrants were identified by country of birth (Turk...

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Autores principales: Reiss, Katharina, Schunck, Reinhard, Razum, Oliver
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4690966/
https://www.ncbi.nlm.nih.gov/pubmed/26694430
http://dx.doi.org/10.3390/ijerph121215030
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author Reiss, Katharina
Schunck, Reinhard
Razum, Oliver
author_facet Reiss, Katharina
Schunck, Reinhard
Razum, Oliver
author_sort Reiss, Katharina
collection PubMed
description Background: We analyzed changes in smoking by length of stay among immigrants in Germany and related them to the “smoking epidemic” model and the acculturation theory. Methods: We used data from a longitudinal survey (German Socio-economic Panel). Immigrants were identified by country of birth (Turkey: respondents n = 828, observations n = 3871; Eastern Europe: respondents n = 2009, observations n = 7202; non-immigrants: respondents n = 34,011, observations n = 140,701). Smoking status data was available for nine years between 1998 and 2012. Length of stay (LOS, in years) was used as proxy for acculturation. We calculated smoking prevalences, prevalence ratios and a random intercept multilevel logistic regression model. Results: With each year spent in Germany, smoking prevalence increases among Turkish women (OR = 1.14 (95%CI = 1.06–1.21)) and slightly decreases among men. Recently immigrated Turkish women smoke less than non-immigrant women (0–5 years: SPR = 0.25 (95%CI = 0.10–0.57)); prevalences converge with increasing LOS (31+ years: SPR = 1.25 (95%CI = 1.06–1.48)). Among Eastern European immigrants no significant changes were apparent. Conclusions: Immigrants from Turkey “import” their smoking prevalence from a country which is in the earlier stages of the “smoking epidemic”. With increasing LOS (thus, advancing acculturation), they “move” to the later stages. Anti-smoking interventions should consider different smoking attitudes in Turkey/Germany and need to discourage women from initiating smoking. Future research should also identify reasons for the possible differences between immigrant groups.
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spelling pubmed-46909662016-01-06 Effect of Length of Stay on Smoking among Turkish and Eastern European Immigrants in Germany—Interpretation in the Light of the Smoking Epidemic Model and the Acculturation Theory Reiss, Katharina Schunck, Reinhard Razum, Oliver Int J Environ Res Public Health Article Background: We analyzed changes in smoking by length of stay among immigrants in Germany and related them to the “smoking epidemic” model and the acculturation theory. Methods: We used data from a longitudinal survey (German Socio-economic Panel). Immigrants were identified by country of birth (Turkey: respondents n = 828, observations n = 3871; Eastern Europe: respondents n = 2009, observations n = 7202; non-immigrants: respondents n = 34,011, observations n = 140,701). Smoking status data was available for nine years between 1998 and 2012. Length of stay (LOS, in years) was used as proxy for acculturation. We calculated smoking prevalences, prevalence ratios and a random intercept multilevel logistic regression model. Results: With each year spent in Germany, smoking prevalence increases among Turkish women (OR = 1.14 (95%CI = 1.06–1.21)) and slightly decreases among men. Recently immigrated Turkish women smoke less than non-immigrant women (0–5 years: SPR = 0.25 (95%CI = 0.10–0.57)); prevalences converge with increasing LOS (31+ years: SPR = 1.25 (95%CI = 1.06–1.48)). Among Eastern European immigrants no significant changes were apparent. Conclusions: Immigrants from Turkey “import” their smoking prevalence from a country which is in the earlier stages of the “smoking epidemic”. With increasing LOS (thus, advancing acculturation), they “move” to the later stages. Anti-smoking interventions should consider different smoking attitudes in Turkey/Germany and need to discourage women from initiating smoking. Future research should also identify reasons for the possible differences between immigrant groups. MDPI 2015-12-15 2015-12 /pmc/articles/PMC4690966/ /pubmed/26694430 http://dx.doi.org/10.3390/ijerph121215030 Text en © 2015 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons by Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Reiss, Katharina
Schunck, Reinhard
Razum, Oliver
Effect of Length of Stay on Smoking among Turkish and Eastern European Immigrants in Germany—Interpretation in the Light of the Smoking Epidemic Model and the Acculturation Theory
title Effect of Length of Stay on Smoking among Turkish and Eastern European Immigrants in Germany—Interpretation in the Light of the Smoking Epidemic Model and the Acculturation Theory
title_full Effect of Length of Stay on Smoking among Turkish and Eastern European Immigrants in Germany—Interpretation in the Light of the Smoking Epidemic Model and the Acculturation Theory
title_fullStr Effect of Length of Stay on Smoking among Turkish and Eastern European Immigrants in Germany—Interpretation in the Light of the Smoking Epidemic Model and the Acculturation Theory
title_full_unstemmed Effect of Length of Stay on Smoking among Turkish and Eastern European Immigrants in Germany—Interpretation in the Light of the Smoking Epidemic Model and the Acculturation Theory
title_short Effect of Length of Stay on Smoking among Turkish and Eastern European Immigrants in Germany—Interpretation in the Light of the Smoking Epidemic Model and the Acculturation Theory
title_sort effect of length of stay on smoking among turkish and eastern european immigrants in germany—interpretation in the light of the smoking epidemic model and the acculturation theory
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4690966/
https://www.ncbi.nlm.nih.gov/pubmed/26694430
http://dx.doi.org/10.3390/ijerph121215030
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