Comorbid Mental and Physical Health and Health Access in Cambodian Refugees in the US
Comorbid Mental and Physical Health and Health Access in Cambodian Refugees in the US
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DOI：
10.1007/s10900-014-9861-7
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发表时间：
2014-12-01
影响因子：
5.9
通讯作者：
Franke, Todd
中科院分区：
文献类型：
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作者：
Berthold, S. Megan;Kong, Sengly;Franke, Todd
对柬埔寨难民身体健康问题的普遍程度以及他们的精神和身体健康之间的关系进行的研究很少。我们确定了柬埔寨成年难民的心理和身体健康问题与获得医疗保健的障碍之间的关系。我们采用横断面调查设计，对康涅狄格州和马萨诸塞州西部的136名柬埔寨成年难民进行滚雪球抽样。61%的人报告被诊断患有三种或三种以上的身体疾病，73%的人患有抑郁症、创伤后应激障碍（PTSD）或两者兼而有之。语言和交通问题是获得护理的主要障碍。可能合并PTSD和抑郁症的参与者的身体健康问题是没有这两种情况的参与者的1.850倍（p < 0.001; CI 1.334-2.566）。年龄缓和了这种关系。同时被诊断患有抑郁症和创伤后应激障碍的参与者在整个年龄范围内报告的健康状况数量一致，而那些没有精神健康问题或只有两者之一的人在年轻时报告的健康状况较少，而在年老时报告的健康状况较多。这两组与两者均报告的组有显著差异。在美国重新安置的柬埔寨难民中，慢性共病精神和身体健康疾病之间存在显著关系。患有抑郁症和创伤后应激障碍的柬埔寨难民无论年龄大小，都面临身体健康问题的风险。至关重要的是，那些治疗柬埔寨种族灭绝幸存者的人必须确定和治疗他们普遍存在的共病健康状况。必须解决语言和交通障碍，以改善这一人群获得身心保健的机会。
Little research has been conducted on the prevalence of physical health problems in Cambodian refugees and the relationship between their mental and physical health. We identified the relationship between mental and physical health problems and barriers to healthcare access in Cambodian refugee adults. We used a cross-sectional survey design with a snowball sample of 136 Cambodian refugee adult residents of Connecticut and Western Massachusetts. 61 % reported being diagnosed with three or more physical conditions and 73 % with depression, posttraumatic stress disorder (PTSD) or both. Language and transportation problems were the primary barriers to accessing care. Participants with probable comorbid PTSD and depression had 1.850 times more physical health problems than those without either condition (p > .001; CI 1.334-2.566). Age moderated this relationship. Participants who had been diagnosed with both depression and PTSD reported a consistent number of health conditions across the age span while those who had no mental health conditions or only one of the two reported fewer health conditions when they were younger and more when they were older. These two groups were significantly different from the group reporting both. There is a significant relationship between chronic comorbid mental and physical health diseases affecting Cambodian refugees resettled in the US Having comorbid depression and PTSD puts Cambodian refugees at risk for physical health problems no matter their age. It is vital that those treating Cambodian genocide survivors identify and treat their prevalent comorbid health conditions. Language and transportation barriers must be addressed to improve access to mental and physical health care in this population.