Julie Wagner|Georgina Burke|Theanvy Kuoch|Mary Scully|Stephen Armeli|T. V. Rajan
Trauma, Healthcare Access, and Health Outcomes Among Southeast Asian Refugees in Connecticut
University of Connecticut Health Center|Connecticut Children's Medical Center|Advocates for Youth|Advocates for Youth|Fairleigh Dickinson University|University of Connecticut Health Center
mental health problems among southeast asian refugees documented however longer term health consequences mass violence resettled refugees age less well described study investigated relationships among trauma symptoms selfreported health outcomes barriers healthcare among cambodian vietnamese persons connecticut internet phone directory used generate list names compared 2000 census data estimate proportion population group lists 190 telephone listings selected random interviewers telephoned selected listings screen eligible participants obtain appointment interview surveys administered facetoface interviews home visits conducted khmer vietnamese harvard trauma questionnaire assessed trauma symptoms questions regarding presence physician diagnosed heart disease hypertension diabetes chronic pain adapted written health interview survey healthcare access occurrence measured questions regarding cost access patientprovider understanding interpretive services hierarchical modeling used account respondent nesting within family analyses controlled age sex country origin individuals reported greater trauma symptoms likely report heart disease factor 182 hypertension factor 141 total count diseases factor 122 well lower levels subjective health greater trauma symptoms also associated greater lack understanding cost access problems need interpreter although majority southeast asian immigrants came united states refugees approximately 2030 years ago continues high levels trauma symptoms among population associated increased risk disease decreased access healthcare services