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[德国移民心身症状的文化敏感性分析]

[Culture sensitive analysis of psychosomatic complaints in migrants in Germany].

作者信息

Bermejo Isaac, Nicolaus Leonhard, Kriston Levente, Hölzel Lars, Härter Martin

机构信息

Celenus-Kliniken GmbH, Moltkestrasse 27, Offenburg.

出版信息

Psychiatr Prax. 2012 May;39(4):157-63. doi: 10.1055/s-0031-1298903. Epub 2012 Feb 14.

DOI:10.1055/s-0031-1298903
PMID:22334132
Abstract

BACKGROUND

To ensure an adequate health care of migrants, differentiated information on the association of cultural background and migration related factors and psychosomatic complaints are necessary.

METHOD

Cross-sectional questionnaire based survey regarding psychosomatic complaints of migrants from Turkey (n = 77), Italy (n = 95), and Spain (n = 67) and ethnic German resettled from the states of the former Soviet Union (n = 196). Questionnaires distributed by non-health specific counselling agencies of welfare associations.

RESULTS

The cultural background was a relevant factor for psychosomatic complaints, showing higher complaints in Turkish and ethnic German resettled migrants, also compared to a sample of age corresponding Germans. In contrast, Spanish and Italian migrants showed a lower risk for psychosomatic complaints. Also gender, feeling unwell in Germany and fatalism showed a significant association with psychosomatic complaints.

CONCLUSION

Migrants in Germany do not have per se a higher risk for psychosomatic complaints. A distinct differentiation by cultural background is necessary.

摘要

背景

为确保对移民提供充分的医疗保健,有必要提供有关文化背景与移民相关因素及身心问题之间关联的差异化信息。

方法

基于横断面问卷调查了来自土耳其的移民(n = 77)、意大利的移民(n = 95)、西班牙的移民(n = 67)以及从前苏联国家重新安置的德裔移民(n = 196)的身心问题。问卷由福利协会的非健康特定咨询机构发放。

结果

文化背景是身心问题的一个相关因素,土耳其移民和重新安置的德裔移民的身心问题较多,与年龄相仿的德国样本相比也是如此。相比之下,西班牙和意大利移民出现身心问题的风险较低。此外,性别、在德国感觉不适和宿命论也与身心问题存在显著关联。

结论

在德国的移民本身患身心问题的风险并不更高。有必要按文化背景进行明确区分。

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