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Cited by 130Migration, Health and TraumaPsychosomatic Disorders and Their TreatmentsMigration, Identity, and Health

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

Lin, E H, Carter, W B, Kleinman, A M·1985·American Journal of Public Health
DOI 10.2105/ajph.75.9.1080
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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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  • There are cultural factors influencing the expression of feelings of distress, where they are experienced more in the body than in psychological terms, such as the somatization of depression in China or among immigrants with low social resources.

    “There are also cultural factors influencing the expression of feelings of distress, where they are experienced more in the body than in psychological terms, such as the somatization of depression in China (Ryder and Chentsova-Dutton, 2012) or among immigrants with low social resources (Lin et al., 1985).”

    From More than a feeling: A unified view of stress measurement for population science (2018) · cites this paper as Lin et al., 1985

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Authors
Lin, E. H., Carter, W. B., & Kleinman, A. M.
Venue
American Journal of Public Health
Publisher
American Public Health Association
Published
1985-09
Volume
75
Issue
9
Pages
1080-1084
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
DOI
10.2105/ajph.75.9.1080
OpenAlex
W1970204802
Cited by
130
References
40
Citations by year
2025: 2 · 2024: 4 · 2023: 1 · 2022: 3 · 2020: 4 · 2019: 3 · 2018: 6 · 2017: 7 · 2016: 4 · 2015: 4 · 2014: 6 · 2013: 2 · 2012: 3
FWCI
4.26
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Public Health (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Social Sciences › Sociology and Political Science › Migration, Identity, and Health
Keywords
somatization, Asian refugees, Asian immigrants, primary care, illness behavior, prevalence, health care utilization, health care costs, ethnicity, limited English proficiency, low income, single-headed households, Chinese patients, Filipino patients, Vietnamese patients
MeSH terms
Adolescent, Adult, Asia, Southeastern, Demography, Emigration and Immigration, Epidemiologic Methods, Female, Health Services, Indigenous, Humans, Male, Middle Aged, Primary Health Care, Psychosocial Deprivation, Refugees, Socioeconomic Factors, Somatoform Disorders, Washington

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