Ethnic differences in lifestyle and overweight in the Netherlands

Objective: To study the effects of lifestyle variables and socioeconomic status on overweight among native Dutch and immigrants in The Netherlands. Research Methods and Procedures: Data were used from a survey sample (N = 2551) of native Dutch and immigrant respondents (Surinamese/Antilleans, Turks, and Moroccans). BMI was calculated using self‐reported weight and height. Lifestyle variables such as modern food habits (take‐out food and eating out) and participating in sports were included, as well as socioeconomic and demographic background variables. Bivariate and ordinary least squares analyses were performed to study BMI and the determinants of overweight among the different groups. Results: All immigrant groups had a higher prevalence of overweight than the Dutch, except Moroccans. Men were overweight more frequently than women. Take‐out food, eating out, and fresh vegetables were related to a decrease in BMI, whereas convenience foods were related to an increase in BMI. For ready‐to‐eat meals, the results were mixed. In all groups, age was associated with a higher BMI, and a higher level of education was associated with a lower BMI. Immigrants participated in sports less frequently than native Dutch people. Discussion: One percent to 5% of the total public health costs can be attributed to costs for overweight‐related diseases. Public health policies should aim at stimulating healthy lifestyles and discouraging bad food habits through higher taxes on high‐calorie foods. In particular, Dutch immigrants should be encouraged to lose weight, because they have a higher risk for overweight‐related diseases.     

Higher Chlamydia trachomatis Prevalence in Ethnic Minorities Does Not Always Reflect Higher Sexual Risk Behaviour

Background

In affluent countries, the prevalence of Chlamydia trachomatis (CT) is often higher in certain ethnic minorities than in the majority population. In the Netherlands, we examined why CT prevalence is higher in Surinamese/Antilleans, the largest minority in the country.

Methods

Heterosexuals were recruited for a cross-sectional survey from May through August 2010 at the sexually transmitted infections (STI) clinic in Amsterdam. Participants completed a questionnaire and were tested for STI. A causal directed acyclic graph was assumed to investigate whether the association between ethnicity and CT could be explained by differences in sexual risk behaviour and socio-economic status.

Results

Subjects included 1044 with Dutch background and 335 with Surinamese/Antillean background. Median age for the combined population was 25 (IQR 22-30) years, and 55.4% was female. Sexual risk behaviour did not differ significantly between the two groups. CT was diagnosed in 17.9% of Surinamese/Antilleans and in 11.4% of Dutch. Surinamese/Antilleans were significantly more likely to have CT (OR 1.70; 95% CI 1.21-2.38). The association between ethnicity and CT remained statistically significant after adjusting for sexual risk behaviour, age, sex, and ethnic mixing (aOR 1.48; 95% CI 1.00-2.18), but not after adjusting for education and neighbourhood, markers of socio-economic status (aOR 1.08; 95% CI 0.71-1.64).

Conclusion

The difference in CT prevalence between the minority and majority groups was not explained by differences in sexual risk behaviour. The higher CT prevalence found among Surinamese/Antilleans appeared to reflect their lower educational level and neighbourhood, two markers of lower socio-economic status. We hypothesise that the effect results from lower health-seeking behaviour.     

Size and socio-economic resources of core discussion networks in the Netherlands: differences by national-origin group and immigrant generation

This study examines differences in the size and socio-economic resources of core discussion networks across national-origin groups and immigrant generation. The analysis is based on the Netherlands Longitudinal Lifecourse Study (2008–10), a nationally representative, large-scale survey of the Dutch population that contains an over-sample of first- and second-generation immigrants from Turkey and Morocco, the two largest non-western immigrant groups in the Netherlands. Results show that Dutch majority members have larger and more resourceful core discussion networks than Turks and Moroccans. Second-generation immigrants from Turkey and Morocco have larger core discussion networks than their foreign-born parents. However, there is no clear evidence for intergenerational increase in resources. The larger and more resourceful core discussion networks of the Dutch are partly attributable to the Dutch being higher educated and employed more often.     

Racist victimization among children in The Netherlands: the effect of ethnic group and school

Using data from a nation-wide study, this article examines the extent of racist victimization among Dutch, Turkish, Moroccan and Surinamese children (10-13 years) in The Netherlands. The responses indicate that ethnic minority children are more often victim of racist name-calling and social exclusion than are Dutch children. Furthermore, Turkish children are more likely to face racism than Surinamese and Moroccan children. Using multilevel analysis, the effects of multicultural education and the ethnic composition of the school were also examined. If teachers reacted to incidents, this had a positive effect on racism. Furthermore, multicultural education was positively related to reported experiences with racist victimization, but this effect was only found for the Dutch children. In addition, a higher percentage of Dutch pupils was related to less racist victimization of the Dutch and to more victimization of the three ethnic minority groups.     

Family relations and the attitude towards ethnic minorities as close kin by marriage

Using data from a nationally representative survey (N=6,632), this study examines among native Dutch adults the relationship between current family characteristics and the attitude towards having ethnic minority members as close kin by marriage. The findings indicate that the opposition to intermarriage is quite high but differs towards different ethnic minority groups. Family cohesion – strength of family ties, the adherence to family norms and contact frequency – is related to lower acceptance of inter-ethnic marriage. This supports the idea that when the ties are tightly knit, family members have an incentive to keep ‘cultural strangers’ out of the family. In contrast, family warmth – feelings of affection and emotional support – is related to higher acceptance of inter-ethnic marriage. This is in agreement with the idea that warm and emotionally supportive family relationships can lead to the development of generalized trust, empathy and open-mindedness.     

Sibling and environmental correlates of adolescents’ perceptions of family environments: Ethnic group differences

Abstract

Hierarchical regression analyses and response surfaces were used in an investigation of relationships between sibling variables and adolescents’ perceptions of their family environments, after the impact on the perceptions of earlier family measures was taken into account. The analyses involved Australian adolescents and included 260 Anglo‐Australian, 120 Greek, and 90 Southern Italian families. Regression models included terms to test for possible linear, interaction, and curvilinear associations between the sibling and family environment variables. The analysis suggested the propositions that: (a) parents from different ethnic groups create different learning environments for their children and that there are ethnic‐group variations in how children perceive their family environments, (b) there are ethnic‐group variations in relationships between sibling variables and adolescents’ perceptions of their parents’ support for learning, and (c) within ethnic groups the relationships between sibling variables and perceived parental support for learning differ, depending on whether the support of fathers or mothers is being considered.     

Ethnic Minority Students in the Netherlands from a Cultural-Ecological Perspective

Ethnic minority students in the Netherlands have substantial educational disadvantages compared with Dutch students. Equally striking are the differences in school performance among the various ethnic minority groups. In this article, the educational position of ethnic minority students in the Netherlands is explored from a cultural-ecological perspective. The article concludes that cultural as well as educational differences between schools and parents have an impact on the school performance of ethnic minority students and that Ogbu's typology needs to be reconsidered.     

Support for Kurdish language rights in Turkey: the roles of ethnic group,group identifications,contact, and intergroup perceptions

The question of Kurdish language rights has been a central issue in the Turkish–Kurdish conflict. The current study examined endorsement of Kurdish language rights in relation to intergroup factors (i.e. group identifications, cross-group friendships, perceived discrimination, and perceived out-group beliefs about state unity) among self-identified Turkish and Kurdish participants. The results indicate that Turks were much less in favour of these rights than the Kurds. In addition, for the Turks, higher national and ethnic identification were associated with lower support for Kurdish language rights, while cross-group friendship, perceived discrimination of Kurds and the belief that Kurds endorse national unity were associated with more support for rights. For the Kurdish participants, stronger national identification seems to undermine the mobilizing meaning that Kurdish group identification has for language rights support. Furthermore, friendship with Turks can undermine the support for rights because it strengthens national identification and reduces ethnic identification.     

Differences in Overweight and Obesity among Children from Migrant and Native Origin: The Role of Physical Activity,Dietary Intake,and Sleep Duration

A cross-sectional survey was performed to examine to what degree differences in overweight and obesity between native Dutch and migrant primary school children could be explained by differences in physical activity, dietary intake, and sleep duration among these children. Subjects (n=1943) were primary school children around the age of 8–9 years old and their primary caregivers: native Dutch children (n=1546), Turkish children (n=93), Moroccan children (n=66), other non-western children (n=105), and other western children (n=133). Multivariate regressions and logistic regressions were used to examine the relationship between migrant status, child’s behavior, and BMI or prevalence of overweight, including obesity (logistic). Main explanatory variables were physical activity, dietary intake, and sleep duration. We controlled for age, sex, parental educational level, and parental BMI. Although sleep duration, dietary intake of fruit, and dietary intake of energy-dense snacks were associated with BMI, ethnic differences in sleep duration and dietary intake did not have a large impact on ethnic differences in overweight and obesity among children from migrant and native origin. It is suggested that future preventive strategies to reduce overweight and obesity, in general, consider the role of sleep duration. Also, cross-cultural variation in preparation of food among specific migrant groups, focusing on fat, sugar, and salt, deserves more attention. In order to examine which other variables may clarify ethnic differences in overweight and obesity, future research is needed.     

Relationship between sleep duration and arterial stiffness in a multi-ethnic population: The HELIUS study

We examined the relationship between sleep duration and arterial stiffness among a multi-ethnic cohort, and whether the associations differed among ethnic minority groups in the Netherlands. Data were derived from 10 994 participants (aged 18–71 years) of the Healthy Life in an Urban Setting (HELIUS) study. Self-reported sleep duration was categorized into: short (<7 h/night), healthy (7–8 h/night) and long (≥9 h/night). Arterial stiffness was assessed by duplicate pulse-wave velocity (PWV in m/s) measurements using the Arteriograph system. The association of sleep duration with PWV was analysed using linear regression (β) with 95% confidence interval (CI). Results showed that neither short nor long sleep was related to PWV in all ethnic groups, except for long sleep in Dutch men which was associated with higher PWV (indicating stiffer arteries) after adjustment for potential confounders (β = 0.67, 95%CI, 0.23–1.11). Our study showed no convincing evidence that sleep duration was related to arterial stiffness among various ethnic groups. The link between sleep duration and cardiovascular outcomes does not seem to operate through arterial stiffness. Further research is needed to consolidate these findings.     

Group differences in mean intelligence for the Dutch and Third World immigrants.

Evidence from eleven samples indicates that the mean IQ of third world immigrants in the Netherlands is lower than the Dutch mean by approximately one standard deviation for Surinamese and Antillians, and by approximately one and a half standard deviations for Turks and Moroccans. Since IQ tests provide the best prediction of success in school and organizations, it could be that the immigrants' lower mean IQ is an important factor in their low status on the Dutch labour market. The IQs of second-generation immigrants are rising.     

Are There Ethnic Inequalities in Revascularisation Procedure Rate after an ST-Elevation Myocardial Infarction?

Background

Previously, ethnic inequalities in prognosis after a first acute myocardial infarction were observed in the Netherlands. This might be due to differences in revascularisation rate between ethnic minority groups and ethnic Dutch. Therefore, we investigated inequalities in revascularisation rate after occurrence of an ST-elevation myocardial infarction (STEMI) between first generation ethnic minority groups (henceforth, migrants) and ethnic Dutch.

Methods

All STEMI events between 2006 and 2011 were identified in a subset of the Achmea Health Database, which records medical care to persons insured at the Achmea health insurance company, a major health insurance company in the central part of the Netherlands. Ethnic Dutch and migrants from Suriname (Hindustani Surinamese and non-Hindustani Surinamese), Morocco, and Turkey were included (n = 1,765). Multivariable Cox proportional hazards regression analyses were used to identify ethnic inequalities in revascularisation rate (percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG)) after a STEMI event.

Results

On average, 73.2% of STEMI events were followed by a revascularisation procedure. After adjustment for confounders (age, sex, degree of urbanization) no significant differences in revascularisation rate were found between the ethnic Dutch population and Hindustani Surinamese (HR: 1.04; 0.85–1.27), non-Hindustani Surinamese (HR: 0.98; 0.63–1.51), Moroccan (HR: 0.94; 0.77–1.14), and Turkish migrants (HR: 1.04; 0.88–1.24). Additional adjustment for comorbidity and neighborhood income did not change our findings.

Conclusion

Our study suggests no ethnic inequalities in revascularisation rate after a STEMI event. This finding is in agreement with the universally accessible health care system in the Netherlands.     

Sibling, family environment and ability correlates of adolescents' aspirations: ethnic group differences

Longitudinal data are used to examine relationships between sibling variables and adolescents' aspirations at different social status, family environment, and ability levels in a sample of 260 Anglo-Australian, 120 Greek, and 90 Southern Italian families. In this follow-up study of an earlier investigation, each family has a 16-year-old child and the analyses relate to these adolescents. The study shows that for the sample, sibling variables have modest associations with their educational and occupational aspirations, even after taking into account relationships involving social status, parents' associations, and ability. However, there are also ethnic group variations in the relations between the sibling variables and adolescents' aspirations. In particular, while sibship size tends not to be associated with aspirations within the different ethnic groups, birth order continues to show several significant relationships. The study suggests that there are differential relationships between birth order and educational and occupational aspirations for adolescents from different ethnic groups, even after taking into account the effect on aspirations of measures of ability and family environment.     

Imagined futures: why business studies dominate the higher education choices of second-generation Turks in the Netherlands

Relying on in-depth interviews with higher education students and young graduates the study investigates the factors underpinning the participation patterns of second-generation Turks in the Dutch higher education system. The paper highlights how ethnic minority students accommodate the constraints faced by the Dutch educational system by rationalizing economics at professional colleges as a suitable alternative to studying medicine at university, an alternative that will meet both their aspirations for a more successful and secure life than their parents’ while maintaining the traditional family ties in line with the work-life balance offered by a ‘nine-to-five job’.     

Islamic gatherings: experiences of discrimination and religious affirmation across established and new immigrant communities

To what extent are perceptions of discrimination associated with religious affirmation among Muslim minorities in the Netherlands? Drawing on recent nationally representative surveys among self-identified Muslims from five ethnic groups in the Netherlands, we test boundary conditions of reactive religiosity. Our findings indicate that for Muslims from established immigrant groups, perceptions of discrimination are associated with more frequent religious attendance, but that this is not the case for Muslims from smaller, less established ethnic communities. Findings are interpreted using a boundary framework.     

To whom do national days matter? A comparison of national belonging across generations and ethnic groups in the Netherlands

This paper studies to what extent participating in days for national commemoration and celebration is associated with feelings of national belonging, and to what extent this is comparable across generations and ethnic groups. Utilizing data from a national survey (N = 4,505), three major national days in the Netherlands are examined. We find that whereas participation in Queen's Day is associated with national belonging for all generations, for Remembrance Day this holds only for the generation born between 1945 and 1955, and for Liberation Day for the generations born after 1955. Moreover, for citizens with a non-Western origin, participating in national days is associated with national belonging more strongly than for citizens with a native Dutch or other Western background. These findings highlight the importance of paying attention to potential group differences in the association between participation in national days and feelings of national belonging.     

Kin detection cues and sibling relationship quality in adulthood: The role of childhood co-residence duration and maternal perinatal association

Cues facilitating kin detection among children have been suggested to have a profound impact on adult sibling relationships. Using a large and population-based data of younger and middle-aged Finns, we test how childhood co-residence duration and maternal perinatal association (MPA) correlate with contact frequency, emotional closeness and provision of help between adult siblings. Employing sibling fixed-effect regression models we show that duration of co-residence in childhood and MPA are indeed associated with better relationship quality in all three measures. Provided MPA, sibling relationship quality is high independently of co-residence length, but in the absence of MPA, increased co-residence duration is associated with better relationship quality. Co-residence duration is more strongly associated with provision of help between opposite-gender than same-gender sibling dyads. Full siblings report better relationship quality than half siblings do, although the co-residence duration mediates the effect of genetic relatedness in emotional closeness between full and maternal half siblings and in provision of help between full and paternal half siblings. Moreover, MPA serves as a mediator in the case of emotional closeness between full and maternal half siblings. Our results provide solid support for the importance of childhood kin detection cues for sibling relationship quality in adulthood, and how such cues interact with genetic relatedness and gender.     

A theory of ethnic violence: ethnic incorporation and ethno-political mobilization in Bulgaria and Cyprus

This article argues that the political accommodation of ethnic groups is a major determinant of ethnic violence and its effects vary depending on the pre-existing levels of mobilization. Accordingly, civic assimilationism is the most effective ethnic incorporation mode in terms of ensuring that weakly mobilized ethnic groups remain peaceful. Liberal multiculturalism is most effective in terms of eliciting peaceful mobilizations from highly mobilized ethnic groups. The ethnocratic mode tends to be the most conducive to violent mobilization at both low and high pre-existing mobilization levels. The theory is explored through case studies of Turks in Bulgaria and Cyprus. By demonstrating how the effects of ethnic incorporation policies vary depending on pre-existing mobilization levels, the article also challenges previous assumptions about the relationship between political opening and ethnic mobilization. Such an account not only explains the political determinants of ethnic violence, but also indicates potential political remedies to such problems.     

Gaat zorggebruik in het land van herkomst onder oudere Turkse en Marokkaanse migranten gepaard met minder zorggebruik in Nederland? Een combinatie van HELIUS-data met Achmea registratiedata

A substantial part of all Dutch people of Turkish and Moroccan origin use healthcare in the country of origin when travelling to their country of origin for a shorter or longer period of time (21% and 10%, respectively). If using care in the country of origin leads to avoidance of care in the Netherlands, this could threaten the continuity of care. We linked data of the HELIUS study to health insurance data. We examined the relationship between healthcare utilisation in the country of origin and the Netherlands, in the period of 2010–2015, adjusting for health status as an indicator of need. Contrary to our expectations, Dutch people of Turkish or Moroccan origin using healthcare consumption in the country of origin utilise more care in the Netherlands than individuals that do not utilize healthcare in the country of origin. Thus, our results do not provide any indication for avoidance of healthcare in the Netherlands among this group of older migrants in the Netherlands.     

Ethnicity,sibling, and family correlates of young adults’ status attainment: A follow‐up study

Abstract

Longitudinal data were used to examine relationships among sibling variables, perceptions of family environments, and measures of educational attainment, occupational status, and occupational aspirations. The analyses involved 21‐year‐old Australians from Anglo‐Australian, Greek, and Southern Italian families. Regression surfaces were plotted from models that included terms to test for possible linear, interaction, and curvilinear associations among the variables. The study indicated that sibsize and birth order continued to have many significant associations with young adults’ status attainment even after taking into account the mediating influence of perceived family environments. Also, the investigation suggested that there are ethnic‐group differences in relations among sibling variables, perceived parents’ support for learning, and young adults’ status attainment.