Western Journal of Medicine
Volume 157, Issue 3, 1992, Pages 310-315

Use of traditional and modern health services by Laotian refugees (Article)

Gilman S.C. , Justice J.* , Saepharn K. , Charles G.
  • a Medical Anthropology Division, Dept. of Epidemiology/Biostatistics, University of California, 1350 Seventh Ave, San Francisco, CA 94143, United States
  • b Medical Anthropology Division, Dept. of Epidemiology/Biostatistics, University of California, 1350 Seventh Ave, San Francisco, CA 94143, United States
  • c Medical Anthropology Division, Dept. of Epidemiology/Biostatistics, University of California, 1350 Seventh Ave, San Francisco, CA 94143, United States
  • d Medical Anthropology Division, Dept. of Epidemiology/Biostatistics, University of California, 1350 Seventh Ave, San Francisco, CA 94143, United States

Abstract

Although refugee health care emerged as a special interest in the United States following the influx of almost a million Southeast Asians since 1975, few studies have been done of the influence of refugee traditions on the use of Western medical services. The illness patterns, medical beliefs, and health care behavior of a Southeast Asian refugee group, the Mien from Laos are described in this study. A cohort of 119 Mien refugees living in Richmond, California, was observed for a 6-month period. In-home interviews were undertaken about all episodes of ill health, including treatment and health care decisions. This study shows that the Mien integrate traditional healing beliefs and practices with the use of American health services. Such findings are important because the increasing cultural diversity in the United States, particularly in Western states, necessitates that health care professionals understand the importance of cultural factors for access to and the use of health care by all patients including refugees and other immigrant groups.

Author Keywords

[No Keywords available]

Index Keywords

doctor patient relation refugee Support, U.S. Gov't, Non-P.H.S. Laos human Health Behavior Refugees Cohort Studies Ethnic Groups priority journal Aged illness behavior San Francisco United States Cross-Cultural Comparison Adolescent traditional medicine male Medicine, Traditional female Infant Child, Preschool cultural factor health services Article health care medical service Support, Non-U.S. Gov't adult Interviews Patient Acceptance of Health Care medical decision making Middle Age Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0026787527&partnerID=40&md5=0ce0d81f9b399adcdc8726b7e866440f
ISSN: 00930415
Cited by: 20
Original Language: English