Journal of Family Practice
Volume 16, Issue 1, 1983, Pages 61-67

Indochinese refugee health assessment and treatment (Article)

Sutherland J.E. , Avant R.F. , Franz III W.B. , Monzon C.M. , Stark N.M.
  • a Div. Fam. Med., Mayo Clin., Rochester, MN 55905, United States
  • b Div. Fam. Med., Mayo Clin., Rochester, MN 55905, United States
  • c Div. Fam. Med., Mayo Clin., Rochester, MN 55905, United States
  • d [Affiliation not available]
  • e [Affiliation not available]

Abstract

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.

Author Keywords

[No Keywords available]

Index Keywords

Vietnam central nervous system biology refugee treatment psychological aspect Laos immunoglobulin human Refugees health status BCG vaccine Minnesota Hematologic Diseases health Settlement And Resettlement Humans North America attitude Adolescent male Diseases female tuberculosis Behavior therapy Article niclosamide adult primaquine Laboratory Examinations And Diagnoses migration Examinations And Diagnoses heredity psychosomatic disorder Child Parasitic Diseases Population Dynamics middle aged Ethnic Groups Aged geographic distribution Men Mental Disorders United States unclassified drug Infant Child, Preschool Retrospective Studies isoniazid Demographic Factors Intestinal Diseases, Parasitic Northern America Population Characteristics hepatitis B public health Studies Research Methodology Americas bephenium hydroxynaphthoate Family Planning Services Hepatic Effects tetrachloroethylene Hematological Effects mepacrine chiniofon blood disease Cambodia Developed Countries Cultural Background counseling stress clinical article health services Incidence hepatitis Age Factors parity Delivery of Health Care Infections mass screening physiology population Hemic System tiabendazole morbidity mebendazole Psychological Factors diagnosis Women Contraceptive Usage nervous system blood and hemopoietic system drug therapy

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0020638807&partnerID=40&md5=776daab684f7a01652bb036e58651f46

ISSN: 00943509
Cited by: 26
Original Language: English