An Examination of the Health Status, Subjective Age Perception, Meaning of Life, Life Satisfaction, and Sociodemographic Characteristics of Individuals Older 60 Who Migrated to Germany and Live in Türkiye

Yıl 2024, Cilt: 7 Sayı: 3, 214 - 227, 31.12.2024

Bahtım Kütük

https://doi.org/10.47141/geriatrik.1545513

Öz

Aim: Migration is not merely a geographical movement but also encompasses cultural changes and psychological effects. This study compares the physical and mental health, subjective age perception, meaning in life, life satisfaction, and some socioeconomic levels of individuals aged 60 and above who migrated to Germany and are currently living in Türkiye.
Materials and Methods: The study was conducted with 49 participants aged 60 and older, including those living in Germany (n = 24) and Türkiye (n = 25). Data were collected using a demographic information form, SF-12 Health Survey, Meaning in Life Scale, Life Satisfaction Scale, a subjective age perception question, and socioeconomic status assessment.
Results: Significant differences were found between the two countries in terms of physical health, subjective age perception, and education level. Participants living in Germany reported better physical health, a younger subjective age perception, and lower education levels. They also scored higher on the search for meaning in life. Correlation analyses revealed a negative relationship between subjective age, life satisfaction, and education level in Germany. In Türkiye, negative correlations were observed between physical health, subjective age, and life satisfaction, while mental health showed a positive relationship. In both countries, a strong positive relationship was found between income level and socioeconomic status.
Conclusion: The study demonstrates that migration impacts various aspects such as physical and mental health, life satisfaction, and education level. The findings provide guidance not only for academic research but also for policymakers and practitioners, serving as a basis for developing intervention programs for this age group.

Anahtar Kelimeler

Immigration, Health Status, Subjective Age Perception, Meaning in Life, Social Status

Proje Numarası

Yoktur.

Almanya’ya Göç Eden ve Türkiye’de Yaşayan 60 Yaş Üstü Bireylerin Sağlık Durumları, Öznel Yaş Algısı, Yaşamın Anlamı, Yaşam Doyumları ve Sosyodemografik Özelliklerinin İncelenmesi

Öz

Amaç: öç, yalnızca coğrafi bir hareket değil, aynı zamanda kültürel değişim ve psikolojik etkiler barındırır. Bu araştırmada, Almanya’ya göç etmiş ve Türkiye’de yaşayan 60 yaş üzeri bireylerin fiziksel ve mental sağlık durumları, öznel yaş algıları, yaşamın anlamı, yaşam doyumu ve bazı sosyoekonomik düzeyleri karşılaştırılmıştır.
Gereç ve Yöntemler: Araştırma, Almanya’da (n = 24) ve Türkiye’de (n = 25) yaşayan 60 yaş üzeri 49 katılımcı ile yürütülmüştür. Veriler, demografik bilgi formu, SF-12 Yaşam Kalitesi Ölçeği, Yaşamın Anlamı ve Yaşam Doyumu Ölçekleri ile öznel yaş algısı sorusu ve sosyoekonomik durum değerlendirmesiyle toplanmıştır.
Bulgular: İki ülke arasında fiziksel sağlık, öznel yaş algısı ve eğitim düzeyi bakımından anlamlı farklılıklar bulunmuştur. Almanya’daki katılımcılar daha iyi fiziksel sağlığa, daha genç bir yaş algısına ve daha düşük eğitim düzeyine sahiptir. Ayrıca yaşamın aranan anlamı açısından daha yüksek puan almışlardır. Korelasyon analizleri, Almanya’da öznel yaş ile yaşam doyumu ve eğitim düzeyi arasında negatif bir ilişki olduğunu; Türkiye’de ise fiziksel sağlık, öznel yaş ve yaşam doyumu arasında negatif, mental sağlıkla ise pozitif ilişkiler olduğunu göstermiştir. Her iki ülkede de gelir durumu ile sosyoekonomik düzey arasında güçlü bir pozitif ilişki saptanmıştır.
Sonuç: Araştırma, göçün fiziksel ve mental sağlık, yaşam doyumu ve eğitim düzeyi gibi çeşitli alanlarda etkili olduğunu ortaya koymaktadır. Elde edilen bulgular, akademik çalışmaların yanı sıra politika yapıcılar ve uygulayıcılar için de yol gösterici olabilir ve bu yaş grubuna yönelik müdahale programlarının geliştirilmesine temel oluşturabilir.

Anahtar Kelimeler

Göç, Sağlık Durumu, Öznel Yaş Algısı, Yaşamın anlamı, Sosyal Düzey

Etik Beyan

ETİK kurul raporu eklenmiştir.

Destekleyen Kurum

Yoktur.

Proje Numarası

Yoktur.

Kaynakça

• Shaw RP, Migration theory and fact: A review and bibliography of current literature. 1st edition, Philadelphia, Regional Science Research Institute, 1975.
• Berry JW, Sam DL. Acculturation and adaptation. In: Handbook of Cross-Cultural Psychology. 3rd ed. 1997: 291-326.
• Berry JW. A psychology of immigration. J Soc Issues. 2001; 57(3): 615-631. doi: 10.1111/0022-4537.00231
• Vertovec S. Transnationalism and identity. J Ethn Migr Stud. 2001; 27(4): 573-582. doi:10.1080/13691830120090386.
• Ünver C. Almanya’ya Türk işgücü göçü: Geçmişten geleceğe sorunlar, imkanlar ve fırsatlar. J Soc Policy Conf. 2003;45:177-226. Istanbul University.
• Ehrkamp P. Placing identities: Transnational practices and local attachments of Turkish immigrants in Germany. J Ethn Migr Stud. 2005; 31(2): 345-364. doi: 10.1080/1369183042000339963
• Campbell D. Political processes, transversal politics, and the anarchical world. In: Shapiro M, Alker HR, editors. Challeng-ing boundaries. Minneapolis: University of Minnesota Press; 1996; 7-31.
• Bauböck R. Transnational Citizenship: Membership and Rights in International Migration. Edward Elgar Publishing; 1994.
• Ehrkamp P, Leitner H. Beyond national citizenship: Turkish immigrants and the (re)construction of citizenship in Germany. Urban Geogr. 2003;24(2):127-146. doi: 10.2747/0272-3638.24.2.127
• Smith MP, Transnational urbanism: Locating globalization. Malden, Massachusetts and Oxford Blackwell Publishers, 2001.
• Tajfel H. Human groups and social categories. Cambridge. Cambridge University Press, 1981.
• Tajfel H, Turner JC. An integrative theory of intergroup conflict. In: Austin WG, Worchel S, editors. The social psychology of intergroup relations. Monterey, CA: Brooks/Cole; 1979. p. 33-48.
• Hortaçsu N. Ben biz siz hepimiz: Toplumsal kimlik ve gruplararası ilişkiler. Ankara: İmge Kitabevi; 2007.
• Phinney JS, Horenczyk G, Liebkind K. Ethnic identity in adolescence: A measure of racial and cultural identification and its relation to psychological adjustment. J Early Adolesc. 2001;57(3):493-510. doi: 10.1111/0022-4537.00225.
• Berry JW. Theories and models of acculturation. In: Schwartz SJ, Unger JB, editors. The Oxford handbook of acculturation and health. Oxford: Oxford University Press; 2017. p. 10-28.
• Nesteruk O, Marks L. Grandparents across the ocean: Eastern European immigrants’ struggle to maintain intergenera-tional relationships. J Comp Fam Stud. 2009; 40(1): 77-95. doi: 10.3138/jcfs.40.1.77
• Ware JE Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reli-ability and validity. Med Care. 1996; 34(3): 220-33.
• Soylu C, Kütük B. Reliability and validity of the Turkish version of the SF-12 Health Survey. Turk Psikiyatri Derg. 2022; 33(2): 108-117. doi:10.5080/u25700.
• Pinquart M, Wahl HW. Subjective age from childhood to advanced old age: A meta-analysis. Psychol Aging. 2021; 36(3): 394-406. doi: 10.1037/pag0000600
• Wettstein M, Spuling SM, Cengia A, et al. Feeling younger as a stress buffer: Subjective age moderates the effect of per-ceived stress on change in functional health. Psychol Aging. 2021;36(3):322-337.
• Gendron TL, Inker J, Welleford A. “How Old Do You Feel?” The difficulties and ethics of operationalizing subjective age. Gerontologist. 2018;58(4):618-624. doi: 10.1093/geront/gnx098.
• Kotter-Grühn D, Kornadt AE, Stephan Y. Looking beyond chronological age: Current knowledge and future directions in the study of subjective age. Gerontology. 2015;62(1):86-93. doi: 10.1159/000438671.
• Stephan Y, Sutin AR, Terracciano A. How old do you feel? The role of age discrimination and biological aging in subjective age. PLoS One. 2015;10(3) doi: 10.1371/journal.pone.0119293.
• Steger MF, Frazier P, Oishi S, et al. The Meaning in Life Questionnaire: Assessing the presence of and search for meaning in life. J Couns Psychol. 2006; 53(1): 80-93.
• Akın A, Taş İ. Yaşam anlamı ölçeği: Geçerlik ve güvenirlik çalışması. Electron Turk Stud. 2015; 10(3): 27-36.
• Diener E, Emmons RA, Larsen RJ, et al. The Satisfaction With Life Scale. J Pers Assess. 1985; 49(1): 71-75. doi: 10.1207/s15327752jpa4901_13.
• İmamoğlu EO. Self-construal correlates of well-being. Unpublished data. 2004.
• Durak M, Şenol-Durak E, Gençöz T. Psychometric properties of the Satisfaction with Life Scale among Turkish university students, correctional officers, and elderly adults. Soc Indic Res. 2010; 99(2): 413-429. doi: 10.1007/s11205-010-9589-4
• Adler NE, Epel ES, Castellazzo G, et al. Relationship of subjective and objective social status with psychological and phys-iological functioning: preliminary data in healthy, White women. Health Psychol. 2000;19(6):586-592. doi:10.1037/0278-6133.19.6.586
• Kraus MW, Adler N, Chen TWD. Is the association of subjective SES and self-rated health confounded by negative mood? An experimental approach. Health Psychol. 2013;32(2):138-145.
• Ostrove JM, Adler NE, Kuppermann M, Washington AE. Objective and subjective assessments of socioeconomic status and their relationship to self-rated health in an ethnically diverse sample of pregnant women. Health Psychol. 2000;19(6):613-618. doi:10.1037/0278-6133.19.6.613
• Singh-Manoux A, Adler NE, Marmot MG. Subjective social status: its determinants and its association with measures of ill-health in the Whitehall II study. Soc Sci Med. 2003;56(6):1321-1333. doi:10.1016/S0277-9536(02)00131-4
• Field A. Exploring data. In: Discovering statistics using SPSS. 2nd ed. London: Sage Publications; 2005. p. 63-106.
• Sauro J, Lewis JR. Quantifying the user experience: Practical statistics for user research. 2nd ed. Burlington, MA: Morgan Kaufmann; 2016.
• Zhu X. Sample size calculation for Mann-Whitney U test with five methods. Int J Clin Trials. 2021;8:184-95. doi: 10.18203/2349-3259.ijct20212840.
• OECD. Health at a Glance 2019: OECD Indicators. Paris: OECD Publishing; 2020. doi: 10.1787/4dd50c09-en. https://www.oecd.org/en/publications/2019/11/health-at-a-glance-2019_f58fa178.html adresinden 15.01.2024 tari-hinde erişilmiştir.
• Wengler A. The health status of first-and second-generation Turkish immigrants in Germany. Int J Public Health. 2011;56(5):493-501. doi:10.1007/s00038-011-0254-8.
• Razum O, Zeeb H, Akgün HS, et al. Low overall mortality of Turkish residents in Germany persists and extends into a sec-ond generation: merely a healthy migrant effect? Trop Med Int Health. 1998; 3(4): 297-303. doi: 10.1046/j.1365-3156.1998.00233.x.
• Westerhof GJ, Barrett AE, Steverink N. Forever young? A comparison of age identities in the United States and Germany. Res Aging. 2003; 25(4): 366-383. doi:10.1177/0164027503025004002.
• Jopp D, Rott C. Adaptation in very old age: exploring the role of resources, beliefs, and attitudes for centenarians’ happi-ness. Psychol Aging. 2006; 21(2): 266-280. doi: 10.1037/0882-7944.21.2.266
• O’Brien EL, Hess TM, Kornadt AE, et al. Context influences on the subjective experience of aging: The impact of culture and domains of functioning. Gerontologist. 2017; 57(2): 127-137. doi: 10.1093/geront/gnx015
• Schwartz SJ, Unger JB, Zamboanga BL, et al. Rethinking the concept of acculturation: Implications for theory and re-search. Am Psychol. 2010; 65(4): 237-251.
• van Tilburg TG, Havens B, de Jong Gierveld J. Loneliness among older adults in the Netherlands, Italy, and Canada: A mul-tifaceted comparison. Can J Aging. 2004; 23(2): 169-180. doi: 10.1353/cja.2004.0026.
• Bhugra D, Becker MA. Migration, cultural bereavement and cultural identity. World Psychiatry. 2005; 4(1): 18-24.
• Erikson EH. Identity: Youth and Crisis. New York: W.W. Norton & Company; 1968.
• Diehl C, Granato N. Germany: intergenerational inequalities in the education system and the labour market for native-born children of immigrants from Turkey and the former Yugoslavia. In: OECD (ed.) Catching up? Country studies on inter-generational mobility and children of immigrants. Paris: OECD Publishing; 2018: 71-92
• Esser H. Migration, language and integration. Berlin, Programme on Intercultural Conflicts and Societal Integration (AKI), 2006.
• Schnepf SV. Immigrants’ educational disadvantage: An examination across ten countries and three surveys. J Popul Econ. 2007; 20: 527-545. doi:10.1007/s00148-006-0102-y.
• Ross CE, Wu CL. The links between education and health. Am Sociol Rev. 1995; 60(5): 719-745. doi:10.2307/2096319.
• Westerhof GJ, Wurm S. Longitudinal research on subjective aging, health, and longevity: Current evidence and new di-rections for research. Annu Rev Gerontol Geriatr. 2015;35(1):145-166.
• Adler NE, Ostrove JM. Socioeconomic status and health: What we know and what we don’t. Ann N Y Acad Sci. 1999; 896: 3-15. doi:10.1111/j.1749-6632.1999.tb08101.x
• Marmot M. The influence of income on health: Views of an epidemiologist. Health Aff. 2002; 21(2): 31-46. doi: 10.1377/hlthaff.21.2.31
• Prince MJ, Patel V, Saxena S, et al. No health without mental health. Lancet. 2007;370(9590):859-877. doi: 10.1016/S0140-6736(07)61238-0