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An exploration of somatization among Asian refugees and immigrants in primary care

Author

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  • Lin, E.H.B.
  • Carter, W.B.
  • Kleinman, A.M.

Abstract

The clinical records of Chinese, Filipino, Vietnamese, Laotian, and Mien patients in primary care were reviewed to determine the prevalence of somatization, its associated patient characteristics, and the manifested illness behavior. Patients in this study were generally poor, unemployed, and spoke little English. Somatization accounted for 35 per cent of illness visits. These visits were also more costly. Refugees had a higher rate of somatization (42.7 per cent) than immigrants (27.1 per cent). Although sociodemographic characteristics did not strongly differentiate patients with somatization from others, ethnicity and indicators of decreased resources such as large households with low income, households headed by single women, or a limited English proficiency were associated with somatization in certain ethnic groups. Somatization is thus an important health problem among Asian refugees and immigrants.

Suggested Citation

  • Lin, E.H.B. & Carter, W.B. & Kleinman, A.M., 1985. "An exploration of somatization among Asian refugees and immigrants in primary care," American Journal of Public Health, American Public Health Association, vol. 75(9), pages 1080-1084.
  • Handle: RePEc:aph:ajpbhl:1985:75:9:1080-1084_5
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    Cited by:

    1. David J. Clarke & Paula H. Salmons & Tom Harrison, 1988. "Psychogenic Vomiting Among Female Asian Migrants To the United Kingdom," International Journal of Social Psychiatry, , vol. 34(3), pages 221-229, September.
    2. Rita Sood & Manju Mehta & V. Kumar, 1996. "Neuroticism in a Family Practice Population in India," International Journal of Social Psychiatry, , vol. 42(1), pages 58-67, March.
    3. Thomas Junghanss, 1998. "Asylsuchende und Flüchtlinge: Gesundheitsversorgung einer komplexen Minderheit," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 43(1), pages 11-17, January.

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