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

Elizabeth Lin · Wesley B. Carter · Arthur M. Kleinman

130 citations0/0 files storedAmerican Journal of Public Health

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Migration, Health and Trauma Psychosomatic Disorders and Their Treatments Migration, Identity, and Health

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.

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References

1980Patients and Healers in the Context of Culture 1977Depression, somatization and the “new cross-cultural psychiatry”1978The De Facto US Mental Health Services System 1952Cultural Components in Responses to Pain1 1981Normal and Abnormal Behavior in Chinese Culture 1978Psychological Distress and Perceived Health Status 1982Development and validation of a Vietnamese-language depression rating scale 1979Adaptational Problems of Vietnamese Refugees

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