TY - JOUR KW - Adult KW - Female KW - Humans KW - Italy/epidemiology KW - Male KW - Middle Aged KW - Primary Health Care/statistics & numerical data KW - Questionnaires KW - Social Conditions KW - Socioeconomic Factors KW - Somatoform Disorders/epidemiology/psychology KW - Stress Disorders, Post-Traumatic/epidemiology/psychology KW - Transients and Migrants/psychology AU - M. Aragona AU - D. Pucci AU - S. Carrer AU - E. Catino AU - A. Tomaselli AU - F. Colosimo AU - M. Lafuente AU - M. Mazzetti AU - B. Maisano AU - S. Geraci A1 - AB - The role of post-migration living difficulties (PMLD) on somatization was studied in 101 first generation immigrants visited in primary care. Premigratory traumas and post-traumatic stress disorder (PTSD) were also assessed. About one third of patients somatized. Sociodemographic variables were similar in somatizers and non-somatizers. Premigratory traumas, PTSD and the likelihood to report at least one serious or very serious PMLD were higher in somatizers. Four kinds of PMLD were more frequent in somatizers: worries about unavailability of health assistance, working problems, discrimination and poor social help. Traumas and PTSD influenced the effect of PMLD on somatization. Findings suggest that in specific samples of primary care immigrants severe premigratory traumas increase the sensitivity to PMLD and in turn distress due to PMLD amplifies the tendency to somatize. BT - Annali dell'Istituto Superiore di Sanita C5 - Healthcare Disparities; Medically Unexplained Symptoms CP - 2 CY - Italy DO - 10.4415/ANN_11_02_13 IS - 2 JF - Annali dell'Istituto Superiore di Sanita N2 - The role of post-migration living difficulties (PMLD) on somatization was studied in 101 first generation immigrants visited in primary care. Premigratory traumas and post-traumatic stress disorder (PTSD) were also assessed. About one third of patients somatized. Sociodemographic variables were similar in somatizers and non-somatizers. Premigratory traumas, PTSD and the likelihood to report at least one serious or very serious PMLD were higher in somatizers. Four kinds of PMLD were more frequent in somatizers: worries about unavailability of health assistance, working problems, discrimination and poor social help. Traumas and PTSD influenced the effect of PMLD on somatization. Findings suggest that in specific samples of primary care immigrants severe premigratory traumas increase the sensitivity to PMLD and in turn distress due to PMLD amplifies the tendency to somatize. PP - Italy PY - 2011 SN - 0021-2571; 0021-2571 SP - 207 EP - 213 EP - T1 - The role of post-migration living difficulties on somatization among first-generation immigrants visited in a primary care service T2 - Annali dell'Istituto Superiore di Sanita TI - The role of post-migration living difficulties on somatization among first-generation immigrants visited in a primary care service U1 - Healthcare Disparities; Medically Unexplained Symptoms U2 - 21709391 U3 - 10.4415/ANN_11_02_13 VL - 47 VO - 0021-2571; 0021-2571 Y1 - 2011 ER -