Changes in smoking prevalence among first- and second-generation Turkish migrants in Germany: an analysis of the 2005 Microcensus

Reeske A, Spallek J, Razum O (2009)
International Journal for Equity in Health 8(1).

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Abstract
Background: Compared to the majority population of a host country, migrants tend to have different health risks and health behaviour. We have hypothesised that these differences diminish with time passed since migration. We tested this hypothesis by examining smoking behaviour among Turkish migrants and their children born in Germany (second-generation migrants), stratified by educational level and, for the first generation, length of residence. Methods: We estimated the prevalence of smoking based on the representative 2005 Mikrozensus, an annual survey including 1% of Germany's households. The 2005 Microcensus was the first to provide information that makes it possible to differentiate between first- and second-generation Turkish migrants. In total, 12,288 Turkish migrants and 421,635 native-born Germans were included in our study. The unit non-response is generally low (about 6% in 2005) because participation in the Microcensus is obligatory. Results: We found the prevalence of smoking in second-generation male Turkish migrants to be lower than in the first-generation group: 47.0% of first-generation Turkish migrants with a high level of education were smokers, in contrast to only 37.6% in the second generation. Within the German reference population, 29.9% were smokers. The percentage of Turkish women in our sample who smoked was generally smaller, but was not significantly lower in the second generation. In fact, the prevalence of smoking was highest among Turkish women of the second generation with a low level of education (40.9%), similar to younger second-generation German women with the same level of education. Conclusion: We present the first representative data on changes in the prevalence of a risk factor for many chronic diseases among Turkish migrants in Germany. Male Turkish migrants (with a high level of education) showed a decrease over the generations while smoking prevalences of female Turkish migrants increased. In the second generation, prevalences partly converged with those of the German reference population or were even higher. Our hypothesis – that migration can be interpreted as a ''health transition'' – was thus partly confirmed.
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Reeske A, Spallek J, Razum O. Changes in smoking prevalence among first- and second-generation Turkish migrants in Germany: an analysis of the 2005 Microcensus. International Journal for Equity in Health. 2009;8(1).
Reeske, A., Spallek, J., & Razum, O. (2009). Changes in smoking prevalence among first- and second-generation Turkish migrants in Germany: an analysis of the 2005 Microcensus. International Journal for Equity in Health, 8(1).
Reeske, A., Spallek, J., and Razum, O. (2009). Changes in smoking prevalence among first- and second-generation Turkish migrants in Germany: an analysis of the 2005 Microcensus. International Journal for Equity in Health 8.
Reeske, A., Spallek, J., & Razum, O., 2009. Changes in smoking prevalence among first- and second-generation Turkish migrants in Germany: an analysis of the 2005 Microcensus. International Journal for Equity in Health, 8(1).
A. Reeske, J. Spallek, and O. Razum, “Changes in smoking prevalence among first- and second-generation Turkish migrants in Germany: an analysis of the 2005 Microcensus”, International Journal for Equity in Health, vol. 8, 2009.
Reeske, A., Spallek, J., Razum, O.: Changes in smoking prevalence among first- and second-generation Turkish migrants in Germany: an analysis of the 2005 Microcensus. International Journal for Equity in Health. 8, (2009).
Reeske, Anna, Spallek, Jacob, and Razum, Oliver. “Changes in smoking prevalence among first- and second-generation Turkish migrants in Germany: an analysis of the 2005 Microcensus”. International Journal for Equity in Health 8.1 (2009).
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Urban M, Burghuber OC, Dereci C, Aydogan M, Selimovic E, Catic S, Funk GC., BMJ Open 5(6), 2015
PMID: 26044757
[Prevention among migrants: Participation, migrant sensitive strategies and programme characteristics].
Brand T, Kleer D, Samkange-Zeeb F, Zeeb H., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 58(6), 2015
PMID: 25861044
Smoking during pregnancy among Turkish immigrants in Germany-are there associations with acculturation?
Reiss K, Breckenkamp J, Borde T, Brenne S, David M, Razum O., Nicotine Tob. Res. 17(6), 2015
PMID: 25468901
How immigrants adapt their smoking behaviour: comparative analysis among Turkish immigrants in Germany and the Netherlands.
Reiss K, Sauzet O, Breckenkamp J, Spallek J, Razum O., BMC Public Health 14(), 2014
PMID: 25124365
Towards a greater understanding of the illicit tobacco trade in Europe: a review of the PMI funded 'Project Star' report.
Gilmore AB, Rowell A, Gallus S, Lugo A, Joossens L, Sims M., Tob Control 23(e1), 2014
PMID: 24335339
Migrants and obstetrics in Austria--applying a new questionnaire shows differences in obstetric care and outcome.
Oberaigner W, Leitner H, Oberaigner K, Marth C, Pinzger G, Concin H, Steiner H, Hofmann H, Wagner T, Mortl M, Ramoni A., Wien. Klin. Wochenschr. 125(1-2), 2013
PMID: 23292644
Changing patterns of tobacco consumption in Mozambique: evidence from a migrant study.
Lunet N, Araujo C, Silva-Matos C, Damasceno A, Gouveia L, Azevedo A., BMC Public Health 11(), 2011
PMID: 21575253
Depressive symptoms and smoking among young Turkish and Moroccan ethnic minority groups in The Netherlands: a cross-sectional study.
Acarturk CZ, Nierkens V, Agyemang C, Stronks K., Subst Abuse Treat Prev Policy 6(), 2011
PMID: 21414199
Prevention among immigrants: the example of Germany.
Spallek J, Zeeb H, Razum O., BMC Public Health 10(), 2010
PMID: 20181232

20 References

Data provided by Europe PubMed Central.

Cardiovascular risk factor levels in a lower middle-class community in Ankara, Turkey.
Tezcan S, Altintas H, Sonmez R, Akinci A, Dogan B, Cakir B, Bilgin Y, Klor HU, Razum O., Trop. Med. Int. Health 8(7), 2003
PMID: 12828550
European health for all database
AUTHOR UNKNOWN, 2008
Gesundheitsversorgung von Migranten
Razum O, Geiger I, Zeeb H, Ronellenfitsch U., 2004
Gleich und gerecht? Erklärungsmodelle für die gesundheitliche Situation von Migrantinnen und Migranten
Spallek J, Razum O., 2008
[Distribution and patterns of tobacco consumption in Germany]
Lampert T, Burger M., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 48(11), 2005
PMID: 16222405

Lampert T, Saß AC, Häfelinger M, Ziese T., 2005

Dill H, Frick U, Höfer R, Klöver B, Straus F., 2002
Determinants of daily smoking in Turkish young adults in the Netherlands.
van Oort FV, van der Ende J, Crijnen AA, Verhulst FC, Mackenbach JP, Joung IM., BMC Public Health 6(), 2006
PMID: 17150089
Nutrition and health among migrants in The Netherlands.
Brussaard JH, van Erp-Baart MA, Brants HA, Hulshof KF, Lowik MR., Public Health Nutr 4(2B), 2001
PMID: 11683558
Behavioural risk factors in two generations of non-Western migrants: do trends converge towards the host population?
Hosper K, Nierkens V, Nicolaou M, Stronks K., Eur. J. Epidemiol. 22(3), 2007
PMID: 17334819

Özcan V, Grimbacher S., 2007

AUTHOR UNKNOWN, 1999

AUTHOR UNKNOWN, 2006

AUTHOR UNKNOWN, 2006

Lechert Y, Schimpl-Neimanns B., 2007

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