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Updated: Dec 30, 2025

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Published on: July 27, 2018
Immigrants' Health, Acculturation, and the Work-Retirement Continuum
Cheryl Zlotnick1, Laura Dryjanska2
1Department of Nursing, University of Haifa, 199 Aba Khushi Avenue, Haifa, Mt Carmel 34333 Israel.
Abstract:
Although the link between immigrants' health status and employment is well established, there is little information on the combined impact of three components of acculturation (that is, dual self-identity, language proficiency, and realized expectations) on this link. Immigrants who came to Israel from English-speaking countries (N = 377) were categorized into three groups based on the work-retirement continuum (that is, working, same occupation; working, changed occupation; or retired). Using a cross-sectional design, this study examined whether the link between health and acculturation varied by immigrants' location on the work-retirement continuum. Bivariate analyses revealed group differences for two acculturation components, language proficiency (p < .0001) and dual self-identity (p < .05). Multivariable analyses indicated an interaction effect between the acculturation component of realized expectations and work-retirement continuum group status on health status. As a result, good health was related to higher levels of realized expectations for the retired group; related to lower levels of realized expectations for the "working, changed occupations" group; and unrelated to realized expectations for the "working, same occupation" group. The acculturation component of realized expectations varies depending on the immigrant's location on the work-retirement continuum. Health and social welfare professionals can promote health in working or retired immigrants by providing clear and realistic information to better align with immigrants' expectations.
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