Abstract:
Abstract The impact of acculturation on health status has been a subject of debate
for over three decades. In this exploratory study, we use cross-sectional data to
examine the relative effects of acculturation inclinations on self-rated health statuses
among migrants in a poor, urban neighborhood in Accra. Much emphasis is placed on
the role of the urban environment in disease outbreaks within the city, the patterns of
communicable and non-communicable diseases, spatial health inequalities, and the
distribution of sexual and reproductive illness risks in Accra. However, the ways by
which acculturation inclinations and dimensions may exert positive or negative
influence on health outcomes in such contexts have not been examined. We developed
proxies for four main acculturation elements: assimilation, separation, integration,
and marginalization. We used results from a semi-structured survey
questionnaire with 296 migrants. After controlling for socio-demographic characteristics
and social capital, findings from Ordinal Logistic Regression models
