Fukui T
Cult Med Psychiatry. 1987 Dec;11(4):509-20. doi: 10.1007/BF00048496.
This study was conducted to assess the impact of migration on the incidence of illness episodes and health care seeking behavior among Japanese residents in Greater Boston. Subjects were instructed to keep diaries about illnesses experienced and visits to physicians. A total of 62 problems (0.77 per person) occurred over a four-week period with only 9 problems (15 percent) receiving medical consultation. Residents who were in the U.S. for less than one year had the highest rate of perceived stress and the highest incidence of health problems. The number of people available for support to an individual did not correlate with the occurrence of health problems. Surprisingly no emotional or psychological problems were recorded in the diary in spite of explicit encouragement to note such problems. An increased occasion of family get-togethers compared to that in Japan was perceived as stressful by men, but not by women. This contrasts with the perception of children's educational issues as stressful exclusively by women.
本研究旨在评估移民对大波士顿地区日本居民疾病发作发生率及就医行为的影响。研究对象被要求记录所经历的疾病及看医生的情况。在为期四周的时间里，共出现了62个问题（人均0.77个），其中只有9个问题（15%）进行了医疗咨询。在美国居住不到一年的居民感知压力率最高，健康问题发生率也最高。可获得支持的人数与健康问题的发生没有关联。令人惊讶的是，尽管明确鼓励记录此类问题，但日记中并未记录到任何情绪或心理问题。与日本相比，家庭聚会次数增加被男性视为有压力，但女性并非如此。这与儿童教育问题仅被女性视为有压力形成了对比。
