Pain is an intensely subjective experience and one that is difficult for healthcare professionals to treat. Chronic pain, often diffuse, cyclical and involving many systems of the body, is often not well treated in a medical system that relies on discrete symptoms, identifiable causes, external pathogens and physician specialisation. Pain has its own problems specific to Somali diaspora populations, where chronic pain is prevalent but often undertreated, and where Somali patients face barriers of access to medicine. This study, conducted in partnership with a Somali women's health centre, seeks to understand Somali women's use of informal and formal networks of healthcare. Drawing from qualitative interviews with Somali, refugee women, this article identifies four emerging frameworks through which participants experience chronic pain: (1) pain as a symptom of exile; (2) pain and the strength to bear pain as issues of faith; (3) medicine as powerful, curative and fluid; (4) medical discrimination and exclusion. © Article author(s) 2018. All rights reserved.

social science cross-cultural studies Women's health Spirituality Pain management

refugee Islam human Refugees middle aged Ethnic Groups ethnic group coping behavior Adaptation, Psychological ethnology religion qualitative research United States Young Adult Humans female women's health adult Somalia Health Facilities health care facility Religion and Medicine attitude to health Health Services Accessibility Chronic Pain health care delivery