Recent refugees from Poland, Romania, Iraq, and Vietnam were extensively interviewed to assess their health, health care utilization, and health services use barriers. 277 recent arrivals from these countries and 63 previously arrived Laotians comprised the 1983-1985 sample from the Detroit metropolitan area. Results from a 195-item bilingual questionnaire indicated good overall health and little evidence of serious physical health symptoms. Dental health was the area of greatest reported need. Prenatal care and mental health services were additional areas of need noted by researchers. Barriers to health service utilization were primarily language related. There were major differences in both health problems and health service utilization among the 4 groups surveyed.

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