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Socio-economic status and emotional distress of female Turkish immigrants and native German women living in Berlin

Published online by Cambridge University Press:  15 April 2020

M.C. Aichberger*
Affiliation:
Department of Psychiatry and Psychotherapy at St Hedwig Hospital, Charité – University Medicine Berlin, Große Hamburger Straße 5–11, 10115Berlin, Germany
Z. Bromand
Affiliation:
Department of Psychiatry and Psychotherapy at St Hedwig Hospital, Charité – University Medicine Berlin, Germany
A. Heredia Montesinos
Affiliation:
Department of Psychiatry and Psychotherapy at St Hedwig Hospital, Charité – University Medicine Berlin, Germany
S. Temur-Erman
Affiliation:
Department of Psychiatry and Psychotherapy at St Hedwig Hospital, Charité – University Medicine Berlin, Germany
A. Mundt
Affiliation:
Psychiatric Day Hospital, Department of Psychiatry and Psychotherapy at St Hedwig Hospital, Charité – University Medicine Berlin, Germany
A. Heinz
Affiliation:
Department of Psychiatry and Psychotherapy, Charité – Berlin, Germany
M.A. Rapp
Affiliation:
Geriatric Psychiatry Center, Department of Psychiatry and Psychotherapy at St Hedwig Hospital, Charité – University Medicine Berlin, Germany
M. Schouler-Ocak
Affiliation:
Psychiatric Outpatient Clinic, Department of Psychiatry and Psychotherapy at St Hedwig Hospital, Charité – University Medicine Berlin, Germany
*
*Corresponding Author. E-mail address:[email protected] (M. Aichberger)
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Abstract

Background

Many immigrants face more economic strains and hardship than non-immigrants. Income inequality and an increasing social gap between immigrants and non-immigrants in Europe warrant further studies on the impact of socioeconomic factors on health in immigrant groups. The purpose of this study was to examine the association of socioeconomic status (SES) and emotional distress in women of Turkish descent and in women of German descent.

Methods and Subjects

A total of 405 women of German or Turkish descent residing in Berlin were interviewed. Emotional distress was assessed by the General Health Questionnaire-28 (GHQ-28), and SES was examined by level of education, employment status, and income. The associations of emotional distress and SES were estimated in multivariate linear regression analyses.

Results

Unemployment was associated with increased levels of emotional distress in all women, with the highest level of distress in the group of unemployed Turkish women. The overall SES level was related to a greater level of emotional distress in Turkish women, but not in German women (−3.2, 95%CI −5.9 – −.5; p = .020 vs. −.8, 95%CI −2.7 – 1.2; p = .431). Further stratified analyses by relationship status revealed that the association of SES and emotional distress only remained significant among single women.

Conclusion

The impact of socioeconomic hardship appears to be complicated by social roles and expectations related to these. Further in-depth study of the complex nature of the interaction of social roles and socioeconomic position in female Turkish immigrants in Germany is needed to better understand differing risk patterns for emotional distress.

Type
Research Article
Copyright
Copyright © 2012 Elsevier Masson SAS

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References

Adler, N.E., Boyce, T., Chesney, M.A., Cohen, S., Folkman, S., Kahn, R.L., et al.Socioeconomic status and health. The challenge of the gradient. The American psychologist 1994; 49(1): 1524.CrossRefGoogle ScholarPubMed
Adler, N.E., Rehkopf, D.H.U.S. disparities in health: descriptions, causes, and mechanisms. Annual review of public health 2008; 29: 235252.CrossRefGoogle ScholarPubMed
Almeida-Filho, N., Lessa, I., Magalhaes, L., Araujo, M.J., Aquino, E., James, S.A., et al.Social inequality and depressive disorders in Bahia, Brazil: interactions of gender, ethnicity, and social class. Social science & medicine (1982) 2004; 59(7): 13391353.CrossRefGoogle ScholarPubMed
Andrade, L., Caraveo-Anduaga, J.J., Berglund, P., Bijl, R.V., De Graaf, R., Vollebergh, W., et al.The epidemiology of major depressive episodes: results from the International Consortium of Psychiatric Epidemiology (ICPE) Surveys. Int J Methods Psychiatr Res 2003; 12(1): 321.CrossRefGoogle ScholarPubMed
Bade, K.J., Oltmer, J.Zwischen Aus-und Einwanderungsland: Deutschland und die Migration seit der Mitte des 17. Jahrhunderts. Zeitschrift für Bevölkerungswissenschaften 2003; 28(2–4): 799842.Google Scholar
Barr, D.A., Wanat, S.F.Listening to patients: cultural and linguistic barriers to health care access. Fam Med 2005; 37(3): 199204.Google ScholarPubMed
Bermejo, I., Mayninger, E., Kriston, L., Harter, M.Mental disorders in people with migration background compared with German general population. Psychiatr Prax 2010; 37(5): 225232.CrossRefGoogle ScholarPubMed
Bhugra, D.Migration and mental health. Acta Psychiatr Scand 2004; 109(4): 243258.CrossRefGoogle Scholar
Bhugra, D.Cultural identities and cultural congruency: a new model for evaluating mental distress in immigrants. Acta Psychiatr Scand 2005; 111(2): 8493.CrossRefGoogle ScholarPubMed
Bhui, K., Bhugra, D., Goldberg, D., Sauer, J., Tylee, A.Assessing the prevalence of depression in Punjabi and English primary care attenders: the role of culture, physical illness and somatic symptoms. Transcult Psychiatry 2004; 41(3): 307322.CrossRefGoogle ScholarPubMed
Bostock, J.The high price of poverty. Poverty and debt are major risk factors for mental ill health in deprived communities and groups. Mental health today (Brighton, England) 2004 Nov: 2729.Google Scholar
Breslau, J., Kendler, K.S., Su, M., Gaxiola-Aguilar, S., Kessler, R.C.Lifetime risk and persistence of psychiatric disorders across ethnic groups in the United States. Psychol Med 2005; 35(3): 317327.CrossRefGoogle ScholarPubMed
Bromand, Z, Temur-Erman, S, Yesil, R, Heredia Montesinos, A, Aichberger, MC, Kleiber, D, et al. Mental Health of Turkish Women in Germany: Resilience and Risk Factors. Eur Psychiatry (in press).Google Scholar
Cantor-Graae, E., Selten, J.P.Schizophrenia and migration: a meta-analysis and review. Am J Psychiatry 2005; 162(1): 1224.CrossRefGoogle ScholarPubMed
Clark, A.E., Oswald, A.J.Unhappiness and unemployment. The Economic Journal 1994; 104(424): 648659.CrossRefGoogle Scholar
Cockerham, W.C.A test of the relationship between race, socioeconomic status, and psychological distress. Social science & medicine (1982) 1990; 31(12): 13211326.CrossRefGoogle ScholarPubMed
Coid, J.W., Kirkbride, J.B., Barker, D., Cowden, F., Stamps, R., Yang, M., et al.Raised incidence rates of all psychoses among migrant groups: findings from the East London first episode psychosis study. Arch Gen Psychiatry 2008; 65(11): 12501258.CrossRefGoogle ScholarPubMed
Coldman, A.J., Braun, T., Gallagher, R.P.The classification of ethnic status using name information. Journal of epidemiology and community health 1988; 42(4): 390395.CrossRefGoogle ScholarPubMed
Dasgupta, S.D.Gender roles and cultural continuity in the Asian Indian immigrant community in the U.S. Sex Roles 1998; 38: 953974.CrossRefGoogle Scholar
Dean, J.A., Wilson, K.‘Education? It is irrelevant to my job now. It makes me very depressed …’: exploring the health impacts of under/unemployment among highly skilled recent immigrants in Canada. Ethn Health 2009; 14(2): 185204.CrossRefGoogle Scholar
DESTATIS. Bevölkerung und Erwerbstätigkeit. Bevölkerung mit Migrationshintergrund – Ergebnisse des Mikrozensus 2006. Statistisches Bundesamt, Wiesbaden. https://www-ec.destatis.de/csp/shop/sfg/bpm.html.cms.cBroker.cls?cmspath=struktur,vollanzeige.csp&ID=1021763.2008.Google Scholar
DESTATIS. Glossar: Äquivalenzeinkommen. [http://www.amtlichesozialberichterstattung.de/glossar.html#Aequivalenzeinkommen] Accessed: 22.01.2011. 2009.Google Scholar
DESTATIS. Armutsgefährdungsquote nach soziodemografischen Merkmalen [http://www.amtliche-sozialberichterstattung.de/Tabellen/tabelleA1103be_bund.html] Accessed: 22.01.2011. 2010.Google Scholar
DESTATIS. Armutsgefährdungsquote nach Bundesländern (gemessen am Bundesmedian)(http://www.amtliche-sozialberichterstattung.de/Tabellen/tabelleA11.html) Accessed: 02.11.2011. 2011.Google Scholar
DESTATIS. Erwerbslosenquote in % nach Geschlecht und Bundesländern (http://www.amtliche-sozialberichterstattung.de/Tabellen/tabelleD2.html) Accessed: 02.11.2011. 2011.Google Scholar
Dion, K.K., Dion, L.D.Gender and cultural adaptation in immigrant families. Journal of Social Issues 2001; 57(3): 511521.CrossRefGoogle Scholar
Farmer, M., Ferraro, K.Are racial disparities in health conditional on socioeconomic status? Social science & medicine (1982) 2005; 60: 191204.CrossRefGoogle ScholarPubMed
Fichter, M.M., Elton, M., Diallina, M., Koptagel-Ilal, G., Fthenakis, W.E., Weyerer, S.Mental illness in Greek and Turkish adolescents. European archives of psychiatry and neurological sciences 1988; 237(3): 125134.CrossRefGoogle ScholarPubMed
Frayne, S.M., Burns, R.B., Hardt, E.J., Rosen, A.K., Moskowitz, M.A.The exclusion of non-English-speaking persons from research. Journal of general internal medicine 1996; 11(1): 3943.CrossRefGoogle ScholarPubMed
Gavin, A.R., Walton, E., Chae, D.H., Alegria, M., Jackson, J.S., Takeuchi, D.The associations between socio-economic status and major depressive disorder among Blacks, Latinos. Asians and non-Hispanic Whites: findings from the Collaborative Psychiatric Epidemiology Studies. Psychol Med 2010; 40(1): 5161.CrossRefGoogle ScholarPubMed
Glaesmer, H., Wittig, U., Brahler, E., Martin, A., Mewes, R., Rief, W.Are migrants more susceptible to mental disorders? Psychiatr Prax 2009; 36(1): 1622.CrossRefGoogle ScholarPubMed
Goldberg, D., Hillier, V.A scaled version of the General Health Questionnaire. Psychol Med 1979; 9: 139145.CrossRefGoogle ScholarPubMed
Goldberg, D.P., Gater, R., Sartorius, N., Ustun, T.B., Piccinelli, M., Gureje, O., et al.The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med 1997; 27(1): 191197.CrossRefGoogle ScholarPubMed
Grant, B.F., Stinson, F.S., Hasin, D.S., Dawson, D.A., Chou, S.P., Anderson, K.Immigration and lifetime prevalence of DSM-IV psychiatric disorders among Mexican Americans and non-Hispanic whites in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry 2004; 61(12): 12261233.CrossRefGoogle ScholarPubMed
Hasin, D.S., Goodwin, R.D., Stinson, F.S., Grant, B.F.Epidemiology of major depressive disorder: results from the National Epidemiologic Survey on Alcoholism and Related Conditions. Arch Gen Psychiatry 2005; 62(10): 10971106.CrossRefGoogle ScholarPubMed
Hillmann, F.A look at the ‘hidden side’: Turkish women in Berlin's ethnic labour market. International Journal of Urban and Regional Research 1999; 23(2): 267282.CrossRefGoogle Scholar
Hughes, A.O., Fenton, S., Hine, C.E., Pilgrim, S., Tibbs, N.Strategies for sampling black and ethnic minority populations. Journal of public health medicine 1995; 17(2): 187192.CrossRefGoogle ScholarPubMed
Jin, R.L., Shah, C.P., Svoboda, T.J.The impact of unemployment on health: a review of the evidence. Cmaj 1995; 153(5): 529540.Google Scholar
Kaplan, C.D., Korf, D., Sterk, C.Temporal and social contexts of heroin-using populations. An illustration of the snowball sampling technique. The Journal of nervous and mental disease 1987; 175(9): 566574.CrossRefGoogle ScholarPubMed
Kennedy, S., McDonald, J.T.Immigrant mental health and unemployment. Economic Record 2006; 82: 445459.CrossRefGoogle Scholar
Kessler, R.C.A disaggregation of the relationship between socioeconomic status and psychological distress. Am Sociol Rev 1982; 47(6): 752764.CrossRefGoogle ScholarPubMed
Kleff, S, Seidel, E. Stadt der Vielfalt. Das Entstehen des neuen Berlin durch Migration. Der Beauftragte des Berliner Senats für Integration und Migration. (http://www.berlin.de/imperia/md/content/lb-integrationmigration/publikationen/minderheiten/stadt_der_vielfalt_bf.pdf?start&ts=1229332528&file=stadt_der_vielfalt_bf.pdf) Accessed: 16.08.2011. 2008.Google Scholar
Levecque, K., Lodewyckx, I., Vranken, J.Depression and generalised anxiety in the general population in Belgium: a comparison between native and immigrant groups. J Affect Disord 2007; 97(1–3): 229239.CrossRefGoogle ScholarPubMed
Lund, C., Breen, A., Flisher, A.J., Kakuma, R., Corrigall, J., Joska, J.A., et al.Poverty and common mental disorders in low and middle income countries: A systematic review. Social science & medicine 1982; 71(3): 517528.CrossRefGoogle Scholar
Massey, D.S., Eggers, L.M.The ecology of inequality: Minorities and the concentration of poverty, 1970–1980. Am J Sociol 1990; 95(5): 11531188.CrossRefGoogle Scholar
McKee-Ryan, F.M., Song, Z., Wanberg, C.R., Kinicki, A.J.Psychological and physical well-being during unemployment: a meta-analytic study. Journal of Applied Psychology 2005; 90(1): 5376.CrossRefGoogle ScholarPubMed
Mladovsky, P.H.Research note: Migration and Health in the EU. The London School of Economics and Political Science. Directorate General Employment, Social Affairs and Equal Opportunities Unit E1. Social and Demographic Analysis 2007.Google Scholar
Myer, L., Stein, D.J., Grimsrud, A., Seedat, S., Williams, D.R.Social determinants of psychological distress in a nationally-representative sample of South African adults. Social science & medicine (1982) 2008; 66: 18281840.CrossRefGoogle Scholar
Nazroo, J.Y.The structuring of ethnic inequalities in health: economic position, racial discrimination, and racism. Am J Public Health 2003; 93(2): 277284.CrossRefGoogle ScholarPubMed
Ngo-Metzger, Q., Massagli, M.P., Clarridge, B.R., Manocchia, M., Davis, R.B., Iezzoni, L.I., et al.Linguistic and cultural barriers to care. J Gen Intern Med 2003; 18(1): 4452.CrossRefGoogle ScholarPubMed
OECD. Growing Unequal? Income Distribution and Poverty in OECD Countries, OECD Publishing, Paris. 2008.Google Scholar
Phinney, J.S., Horenczyk, G., Liebkind, K., Vedder, P.Ethnic identity, immigration, and well-being:an interactional perspective. Journal of Social Issues 2001; 57(3): 493510.CrossRefGoogle Scholar
Roelfs, D.J., Shor, E., Davidson, K.W., Schwartz, J.E.Losing life and livelihood: A systematic review and meta-analysis of unemployment and all-cause mortality. Soc Sci Med (1982) 2011; 72(6): 840854.CrossRefGoogle Scholar
Sartorius, N., Ustun, T.B., Lecrubier, Y., Wittchen, H.U.Depression comorbid with anxiety: results from the WHO study on psychological disorders in primary health care. The British journal of psychiatry 1996; 30: 3843.CrossRefGoogle Scholar
SenGesUmV. Sozialstrukturatlas Berlin 2008 – Ein Instrument der quantitativen interregionalen und intertemporalen Sozialraumanalyse und -planung. Berlin: Senatsverwaltung für Gesundheit, Umwelt und Verbraucherschutz: 2008.Google Scholar
Silove, D., Sinnerbrink, I., Field, A., Manicavasagar, V., Steel, Z.Anxiety, depression and PTSD in asylum-seekers: assocations with pre-migration trauma and post-migration stressors. Br J Psychiatry 1997; 170: 351357.CrossRefGoogle ScholarPubMed
Silveira, E.R., Ebrahim, S.Social determinants of psychiatric morbidity and well-being in immigrant elders and whites in east London. Int J Geriatr Psychiatry 1998; 13(11): 801812.3.0.CO;2-Z>CrossRefGoogle ScholarPubMed
Sudano, J.J., Baker, D.W.Explaining US racial/ethnic disparities in health declines and mortality in late middle age: the roles of socioeconomic status, health behaviors, and health insurance. Social science & medicine (1982) 2006; 62(4): 909922.CrossRefGoogle ScholarPubMed
Swinnen, S.G., Selten, J.P.Mood disorders and migration: meta-analysis. Br J Psychiatry 2007; 190: 610.CrossRefGoogle ScholarPubMed
Syed, H.R., Dalgard, O.S., Dalen, I., Claussen, B., Hussain, A., Selmer, R., et al.Psychosocial factors and distress: a comparison between ethnic Norwegians and ethnic Pakistanis in Oslo, Norway. BMC public health 2006; 6 182.CrossRefGoogle ScholarPubMed
Takeuchi, D.T., Zane, N., Hong, S., Chae, D.H., Gong, F., Gee, G.C., et al.Immigration-related factors and mental disorders among Asian Americans. Am J Public Health 2007; 97(1): 8490.CrossRefGoogle ScholarPubMed
Tinghog, P., Al-Saffar, S., Carstensen, J., Nordenfelt, L.The association of immigrant-and non-immigrant-specific factors with mental ill health among immigrants in Sweden. Int J Soc Psychiatry 2010; 56(1): 7493.CrossRefGoogle Scholar
UNESCO. International Standard Classification of Education ISCED-1997:Montreal, Quebec. Canada: UNESCO Institute of Statistics: 2006.Google Scholar
Ward, C., Kennedy, A.Acculturation strategies, psychological adjustment, and sociocultural competence during cross-cultural transitions. Int J Intercultural Rel 1994; 3: 329343.CrossRefGoogle Scholar
Ward, C., Kennedy, A.Acculturation strategies, psychological adjustment, and sociocultural competence during cross-cultural transitions. Int J Intercultural Rel 1994; 3: 329343.CrossRefGoogle Scholar
Weyerer, S., Elton, M., Diallina, M., Fichter, M.M.The principal component structure of the General Health Questionnaire among Greek and Turkish adolescents. European archives of psychiatry and neurological sciences 1986; 236(2): 7582.CrossRefGoogle ScholarPubMed
Williams, D.R., Gonzalez, H.M., Neighbors, H., Nesse, R., Abelson, J.M., Sweetman, J., et al.Prevalence and distribution of major depressive disorder in African Americans. Caribbean blacks, and non-Hispanic whites: results from the National Survey of American Life. Arch Gen Psychiatry 2007; 64(3): 305315.CrossRefGoogle ScholarPubMed
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