Division of General Internal Medicine, Warren Alpert Medical School of Brown University, Mailing Address: 245 Chapman Street, Suite 300, Providence, RI, 02905, USA.
Division of Global Populations and Infectious Disease Prevention, Massachusetts Department of Public Health, Boston, MA, USA.
J Immigr Minor Health. 2019 Jun;21(3):451-460. doi: 10.1007/s10903-018-0765-y.
Little is known about the impacts of health literacy and English proficiency on the health status of Somali refugees. Data came from interviews in 2009-2011 of 411 adult Somali refugees recently resettled in Massachusetts. English proficiency, health literacy, and physical and mental health were measured using the Basic English Skills Test Plus, the Short Test of Health Literacy in Adults, and the Physical and Mental Component Summaries of the Short Form-12. Associations were analyzed using multiple linear regression. In adjusted analyses, higher English proficiency was associated with worse mental health in males. English proficiency was not associated with physical health. Health literacy was associated with neither physical nor mental health. Language proficiency may adversely affect the mental health of male Somali refugees, contrary to findings in other immigrant groups. Research on underlying mechanisms and opportunities to understand this relationship are needed.
对于健康素养和英语水平对索马里难民健康状况的影响，我们知之甚少。本研究的数据来自于 2009 年至 2011 年间对马萨诸塞州最近重新安置的 411 名成年索马里难民的访谈。使用基本英语技能测试加版、成人简易健康素养测试和 12 项简短健康调查简表的身心成分概括版来衡量英语水平、健康素养和身心健康。使用多元线性回归分析关联。在调整后的分析中，较高的英语水平与男性的心理健康状况较差有关。英语水平与身体健康无关。健康素养与身心健康均无关。与其他移民群体的研究结果相反，语言能力可能会对索马里男性难民的心理健康产生不利影响。需要研究潜在的机制并了解这种关系。
