Abstract
Background
This study aims to identify the relationships between health behaviours, self-management abilities, physical health, depressive symptoms and well-being among Turkish older immigrants.

Methods
A total of 2350 older Turkish migrants aged > 65 years residing in Rotterdam, the Netherlands were identified using the municipal register of which 680 respondents completed the questionnaires (response rate of 32%).

Results
Average age of the respondents was 72.90 (standard deviation 5.02) (range 66–95) years and about half of them were women (47.6%). The majority of respondents reported having a low education (80.3%), low income level (83.4%), is chronically ill (90.6%), overweight (86.5%) and about half obese (46.0%). More than half of the respondents eat enough fruit (58.2%) and vegetables per week (55.3%). About a third of the respondents smoke (33.5%) and 43.0% can be considered to be physically active. Looking at the health behaviours a weak positive relationship was found between eating enough vegetables and well-being (β = 0.14; P = 0.017). In addition, weak relationships were found between physical activity and depressive symptoms (β = −0.16; P = 0.007), smoking and depressive symptoms (β = 0.16; P = 0.009) and self-management abilities and physical health (β = 0.17; P = 0.015). Strongest relationships were found between self-management abilities and depressive symptoms (β = −0.39; P < 0.001) and self-management abilities with overall well-being (β = 0.49; P < 0.001).

Conclusions
From this study, we can conclude that next to health behaviours broader self-management abilities to maintain overall well-being are important for Turkish older people. Interventions to improve self-management abilities may help Turkish older people better deal with function losses and chronic diseases as they age further.

Additional Metadata
Keywords obesity, physical activity, smoking, chronic disease, depressive disorders, fruit, netherlands, personal satisfaction, vegetables, eating, health behavior, physical health, elderly immigrants, self-management, overweight, turkish
Persistent URL dx.doi.org/10.1093/eurpub/cky174, hdl.handle.net/1765/111989
Journal European Journal of Public Health
Citation
Cramm, J.M, & Nieboer, A.P. (2018). The importance of health behaviours and especially broader self-management abilities for older Turkish immigrants. European Journal of Public Health, 28(6), 1087–1092. doi:10.1093/eurpub/cky174