Sutherland J E, Avant R F, Franz W B, Monzon C M, Stark N M
J Fam Pract. 1983 Jan;16(1):61-7.
Many Southeast Asian refugees have resettled in the United States. This report reviews data from 426 refugees who underwent comprehensive examination and treatment at the Mayo Clinic. Health problems identified were primarily selected contagious illnesses and stress syndromes with functional complaints. Counseling was necessary in 17 percent of adults for psychosomatic problems or psychiatric disorders. When family-planning issues were applicable and addressed, 80 percent of women chose some method of contraception. The prevalence rate of intestinal parasites was 82 percent, and pathogens necessitated persistent treatment and follow-up. Tuberculosis skin-sensitivity testing was positive in 54 percent; the risk of active disease warrants prophylactic treatment until age 35 years. Hepatitis antigen was positive in 13 percent; precautions should be taken for potentially exposed professionals. Hematologic genetic disorders were very common and accounted for most of the 25 percent incidence of microcytosis. Physicians should become aware of cultural attitudes and treatment acceptance among Indochinese patients and should carefully investigate for infectious diseases.
许多东南亚难民已在美国重新定居。本报告回顾了在梅奥诊所接受全面检查和治疗的426名难民的数据。所发现的健康问题主要是某些传染性疾病和伴有功能障碍主诉的应激综合征。17%的成年人因身心问题或精神障碍需要咨询。当计划生育问题适用并得到解决时，80%的女性选择了某种避孕方法。肠道寄生虫的患病率为82%，病原体需要持续治疗和随访。结核菌素皮肤试验阳性率为54%；活动性疾病的风险需要进行预防性治疗直至35岁。肝炎抗原阳性率为13%；应对可能接触的专业人员采取预防措施。血液学遗传疾病非常常见，占小细胞症发病率25%的大部分。医生应了解印度支那患者的文化态度和对治疗的接受程度，并应仔细调查传染病。
