Acculturation inclinations and subjective health status of internal migrants in James Town, an urban slum settlement in Accra

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 indicate that the acculturation predictors of subjective health status are assimilation and marginalization. This study is the first step in understanding the possible trajectories by which acculturation affects health in the internal migration context in Ghana.