The Role of Parent‐Child Relationships and Filial Expectations in Loneliness Among Older Turkish Migrants

Older first‐generation migrants living in Europe, particularly Turkish migrants, feel relatively lonely, which indicates social exclusion. Social embeddedness within the family, particularly parent‐child relationships, can alleviate loneliness for older migrants, but such relationships can also be ambivalent, which may not prevent loneliness altogether. Earlier research indicates that Turkish migrants in Germany report high quality relationships with their children and high levels of social support exchanges within the family; however, some still report disappointing aspects of the relationship with their children, such as feeling disrespected. To better understand these contradictory findings, this article focuses on various aspects of parent‐child relationships that may explain loneliness among older Turkish migrants in Germany. Moreover, the article considers whether filial expectations can be potential sources of intergenerational conflict that may explain higher levels of loneliness among older Turkish migrants. Using the Generations and Gender Survey with 606 first‐generation Turkish respondents aged 50 and above, findings show that having low satisfying relationships with children and not having adult co‐residing children is associated with more loneliness. Turkish migrants with higher filial expectations feel lonelier when they have good perceived health, and less lonely when they have bad perceived health. These findings indicate that especially healthy older Turkish migrants may have unfulfilled expectations regarding parent‐child relationships, which adds to their loneliness, while parents with bad health experience solidarity, which lowers their loneliness. This shows that both intergenerational solidarity and conflict influence loneliness among older Turkish migrants.

Disaster Risk Awareness: The Turkish Migrants Living in Northern Italy

In this study, we analysed the socio-demographic characteristics and disaster risk awareness of the Turkish migrants living in northern Italy. We initiated the study with an extensive face-to-face questionnaire with 544 individual respondents. With the help of the questionnaire, we gathered information on the socio-demographic structure of the Turkish community living in the area and the immigrants’ disaster experience, their level of disaster preparedness and disaster risk awareness, and their potential behaviour during an emergency. Additionally, we conducted focus group meetings in Milan, Lecco, Como and Varese with 49 migrants living in the region. In the focus group meetings, we discussed the migrants’ awareness of disasters and potential behaviour patterns during emergencies. We collected the informative booklets and past event reports prepared by civil protection centres and municipalities and used them in focus group meetings to collect participants’ opinions. The results show that the migrant communities’ disaster risk awareness is low, but their capacity to adapt to suddenly changing conditions is higher than presumed.

Effects of Sociodemographic Variables and Depressive Symptoms on MoCA Test Performance in Native Germans and Turkish Migrants in Germany

The validity of the Montreal Cognitive Assessment (MoCA) in migrants is questionable, as sociodemographic factors and the migration process may influence performance. Our aim was to evaluate possible predictors (age, education, sex, depression, and migration) of MoCA results in Turkish migrants and Germans living in Germany. Linear regression models were conducted with a German (n = 419), a Turkish (n = 133), and an overall sample. All predictor analyses reached statistical significance. For the German sample, age, sex, education, and depression were significant predictors, whereas education was the only predictor for Turkish migrants. For the overall sample, having no migration background and higher education were significant predictors. Migration background and education had an impact on MoCA performance in a sample of German and Turkish individuals living in Germany. Thus, culture-specific normative data for the MoCA are needed, and the development of culture-sensitive cognitive screening tools is encouraged.

Inclusion and Exclusion: Image and Perceptions of Turkish Migrants in Bulgaria and Turkey

This paper deals with the image and perceptions that Turkish migrants from Bulgaria had about the Turks in Turkey, the Turkish state, Bulgarians, and the Bulgarian state both before and after 1989. Perceptions of the Turkish minority among the Bulgarian communist elite are analysed according to published reports and statements made by Bulgarian Communist Party members. The perceptions that Turkish migrants had about Bulgaria and Turkey are the main focus of this study which is based on field research and interviews conducted with Turkish migrants from Bulgaria now living in Turkey. This article shows that these migrants held both positive and negative perceptions of Bulgaria and Turkey, largely depending on the context. The Turkish minority in Bulgaria was regarded as a problem for the Communist government and as an in-ternal enemy to the Bulgarian state. Moreover, the locals in Turkey regarded the Turkish migrants from Bulgaria as “Bulgarian migrants” who possessed a non-Muslim or “liberal” culture. In this way, they experienced exclusionary attitudes from their neighbours both in Bulgaria and in Turkey. The Turks of Bulgaria perceived the Communist regime as oppressive and as a threat to their Turkish identity. Despite their dislike of the regime, prior to the period of forced assimilation that began in 1984, they still possessed a relatively positive perception about the Bulgarian people. Interestingly, while they perceive Turkey as their homeland, they nonetheless held certain prejudices against the local population in Turkey. All of these various interaction helped to strengthen their group identity as migrants from Bulgaria.This paper deals with the image and perceptions that Turkish migrants from Bulgaria had about the Turks in Turkey, the Turkish state, Bulgarians, and the Bulgarian state both before and after 1989. Perceptions of the Turkish minority among the Bulgarian communist elite are analysed according to published reports and statements made by Bulgarian Communist Party members. The perceptions that Turkish migrants had about Bulgaria and Turkey are the main focus of this study which is based on field research and interviews conducted with Turkish migrants from Bulgaria now living in Turkey. This article shows that these migrants held both positive and negative perceptions of Bulgaria and Turkey, largely depending on the context. The Turkish minority in Bulgaria was regarded as a problem for the Communist government and as an internal enemy to the Bulgarian state. Moreover, the locals in Turkey regarded the Turkish migrants from Bulgaria as “Bulgarian migrants” who possessed a non-Muslim or “liberal” culture. In this way, they experienced exclusionary attitudes from their neighbours both in Bulgaria and in Turkey. The Turks of Bulgaria perceived the Communist regime as oppressive and as a threat to their Turkish identity. Despite their dislike of the regime, prior to the period of forced assimilation that began in 1984, they still possessed a relatively positive perception about the Bulgarian people. Interestingly, while they perceive Turkey as their homeland, they nonetheless held certain prejudices against the local population in Turkey. All of these various interaction helped to strengthen their group identity as migrants from Bulgaria.

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

Background The evidence for the effectiveness of e-mental health interventions among ethnic minorities is still preliminary. This mixed methods study investigates the feasibility of a culturally adapted, guided online intervention with the intention to understand how it works and for whom to inform refinement. It also examines its likely effectiveness in reducing suicidal ideation when compared with the treatment as usual. Methods Turkish migrants with mild to moderate suicidal thoughts were recruited from the general population using social media and newspaper advertisements. The intervention group obtained direct access to a 6-week guided online intervention while participants in the waiting list condition had to wait for 6 weeks. The intervention is based on an existing online intervention and was culturally adapted. Participants in both conditions completed baseline, post-test, and follow-up questionnaires on suicidal ideation (primary outcome), depression, worrying, hopelessness, suicide attempt and self-harm, acculturation, quality of life, and usability. In addition, participants were interviewed to examine the feasibility and mechanisms of action in more depth. The responses were analysed by inductive thematic analysis. Results Eighty-five people signed up via the study website, and we included 18 (10 intervention, 8 waitlist control). While the therapeutic benefits were emphasised (e.g. feeling connected with the intervention), the feasibility was judged to be low. The main reasons given were not having severe suicidal thoughts and not being represented by the culturally adapted intervention. No suicide attempts were recorded during the study. The suicidal ideation, depression, and hopelessness scores were improved in both groups. Conclusion Although intended to be a definitive trial, the current study became a feasibility study with process evaluation to understand the components and how they operate. The online intervention was not superior to the control condition. Future studies need to attend the implementation issues raised including measures of stigma, acculturation, and careful cultural adaptations alongside more attention to coaching and relational support. They should also consider how to improve engagement alongside selection of those who are motivated to use online interventions and offer alternatives for those who are not. Trial registration Netherlands Trial Register, NTR5028. Registered on 1 March 2015

De Berlin à la conquête du monde

Döner-kebab became the emblem of Turkish gastronomy. It is nowadays present in all the world. In fact, this culinary preparation is somewhat new in Turkey, and in its worldwide form of sandwich, it appears in Germany with the immigration of Turkish workers, and being offered by the Turks, the Greeks and the Lebanese cooks. However, it is not known by the other Turkic countries, except if imported by Turkish migrants. Turkish Gastronoms and Gourmets are often sad to see that this speciality became the symbol of Turkish cuisine in foreign countries.Résumé : Le döner-kebab est devenu la spécialité emblématique de la cuisine turque, aujourd’hui consommé dans le monde entier. En réalité, c’est une préparation apparue relativement récemment en Turquie et sous sa forme internationale avec l’immigration turque en Allemagne. Il est revendiqué par les Turcs, les Grecs ou les Libanais, mais reste étranger aux autres pays turcophones, sauf importation récente apportée par les immigrés turcs. Gastronomes et gourmets turcs sont souvent attristés de voir que cette préparation est devenue le symbole de la cuisine turque à l’étranger.

Promoting rational antibiotic use in Turkey and among Turkish migrants in Europe – implications of a qualitative study in four countries

Background Antimicrobial resistance is considered one of the major threats to global health. The emergence of resistant microorganisms is a consequence of irrational use of antibiotics. In Turkey, the consumption of antibiotics is relatively high and antibiotics are among the most commonly used drugs. However, Turkey has adopted new, more restrictive policies and regulations on antibiotics. In addition, Turkish migrants to EU countries, such as Germany, the Netherlands and Sweden, may encounter health systems that promote a more restrictive and rational antibiotic use. The objective of this paper was to explore the variation in implemented policies related to rational antibiotic use that citizens in Turkey and Turkish migrants in Germany, the Netherlands and Sweden are subjected to and to discuss the implications for the promotion of rational antibiotic use. Data were collected through focus groups and individual interviews with citizens, physicians and pharmacists in the four countries. In total, 130 respondents were interviewed. Content analysis was used. Results Three relevant themes were identified: Implementation of regulations and recommendations, Access to antibiotics and Need for health communication. Irrational use of antibiotics was reported mainly in Turkey. While it had become less likely to get antibiotics without a prescription, non-prescribed antibiotics remained a problem in Turkey. In the three EU countries, there were also alternative ways of getting antibiotics. Low levels of knowledge about the rational antibiotic use were reported in Turkey, while there were several sources of information on this in the EU countries. Communication with and trust in physicians were considered to be important. There were also system barriers, such as lacking opportunities for physicians to manage care in accordance with current evidence in Turkey and factors limiting access to care in EU countries. Conclusions Several fields of importance for promoting rational antibiotic use were identified. There is a need for harmonisation of health-related regulations and policy programmes. Antibiotics should only be available with a prescription. Programmes for rational antibiotic use should be implemented on a broad scale, in medical care, at pharmacies and in the population. Methods for health communication and patient-centred care should be further developed and implemented in this field.