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01.12.2012 | Research | Ausgabe 1/2012 Open Access

Health and Quality of Life Outcomes 1/2012

Challenges in access to health services and its impact on quality of life: a randomised population-based survey within Turkish speaking immigrants in London

Health and Quality of Life Outcomes > Ausgabe 1/2012
Kenan Topal, Erhan Eser, Ismail Sanberk, Elizabeth Bayliss, Esra Saatci
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7525-10-11) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

KT conceived of the study, performed the literature review, contributed to design, conducted and supervised data collection and drafted the manuscript. EE contributed to design, conducted and supervised statistical analysis and contributed to the manuscript. IS contributed to design and conducted the statistical analysis. EB contributed to design, coordinated data collection and contributed to the manuscript. ES drafted and edited the manuscript. All authors have read and approved the final manuscript.


Background and aim

There are a significant number of Turkish speaking immigrants living in London. Their special health issues including women's health, mental health, and alcohol and smoking habits has been assessed. The aim of this study was to explore the ongoing challenges in access to health care services and its impact on Quality of Life of immigrants.

Material and methods

This cross-sectional population-based study was conducted between March and August 2010 with Turkish immigrants (n = 416) living in London. Of these, 308 (74%) were Turkish and 108 (26%) were Turkish Cypriots. All healthy or unhealthy adults of 17-65 years of age were enrolled. A structured questionnaire with 44 items in five subcategories and 26-items WHOQOL BREF were used.


Mean duration of stay for Turkish Cypriots (26.9 ± 13.9 years) was significantly longer than Turkish immigrants (13.3 ± 7.5) (p < 0.001). Turkish immigrants (n = 108, 36.5%) need interpretation more often when using health services than Turkish Cypriots (n = 16, 15%) (p < 0.001). Multivariate analyses suggested significant effects of older age, non-homeownership, low socioeconomic class, poor access to health services, being ill, poor community integration and being obese on physical well-being and also significant effects of low income and poor community integration on perceived overall Quality of Life (WHOQOL) of the participants.


The results of this study demonstrate how the health and well-being of members of the Turkish speaking community living in London are affected by social aspects of their lives. Providing culturally competent care and interpretation services and advocacy may improve the accessibility of the health care.
Additional file 1: Identifying Challenges to Quality Of Life-Questionnaire 2010. A structured questionnaire with 44 items in five subcategories and 26 items WHOQOL BREF developed by the World Health Organization. (PDF 119 KB)
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