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Erschienen in: Journal of Immigrant and Minority Health 2/2011

01.04.2011 | Original Paper

Explanatory Models of Health and Disease Among South Asian Immigrants in Chicago

verfasst von: Manasi A. Tirodkar, David W. Baker, Gregory T. Makoul, Neerja Khurana, Muhammad W. Paracha, Namratha R. Kandula

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 2/2011

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Abstract

To identify concepts of health and disease as part of a study on designing culturally-targeted heart disease prevention messages for South Asians. We conducted qualitative, semi-structured interviews in English, Hindi and Urdu with 75 respondents from a federally qualified health center and at a community center for South Asian immigrants in Chicago, Illinois. Age ranged from 20 to 70 years; 60% were women; 60% held advanced degrees; 70% migrated to the US in the last 10 years; and 60% of the interviews were in Hindi or Urdu. Concepts of health and disease fell into four domains: behavioral, physical, psycho-social and spiritual. Muslim participants consistently evoked spiritual factors such as faith and prayer. Women more frequently included performing home duties and positive affect in their concept of health. Men more frequently cited behavioral factors such as smoking and drinking as the cause of disease. Many South Asians have a holistic conceptualization of health and disease, incorporating spiritual, physical and psycho-social factors. Health promotion strategies aimed at South Asians in the US should take into account this holistic model of health and disease, while also recognizing that variations exist within South Asians, by gender and religion.
Literatur
1.
Zurück zum Zitat Jefferys K. U.S. legal permanent residents: 2006. Annual flow report, DHS office of immigration statistics. 2007. Jefferys K. U.S. legal permanent residents: 2006. Annual flow report, DHS office of immigration statistics. 2007.
2.
Zurück zum Zitat Betancourt JR. Cultural competence—marginal or mainstream movement? N Engl J Med. 2004;351(10):953–5.PubMedCrossRef Betancourt JR. Cultural competence—marginal or mainstream movement? N Engl J Med. 2004;351(10):953–5.PubMedCrossRef
3.
Zurück zum Zitat Carrillo JE, Green AR, et al. Cross-cultural primary care: a patient-based approach. Ann Intern Med. 1999;130(10):829–34.PubMed Carrillo JE, Green AR, et al. Cross-cultural primary care: a patient-based approach. Ann Intern Med. 1999;130(10):829–34.PubMed
4.
Zurück zum Zitat Chachkes E, Christ G. Cross cultural issues in patient education. Patient Educ Couns. 1996;27(1):13–21.PubMedCrossRef Chachkes E, Christ G. Cross cultural issues in patient education. Patient Educ Couns. 1996;27(1):13–21.PubMedCrossRef
5.
Zurück zum Zitat Charles C, Gafni A, et al. Cultural influences on the physician-patient encounter: the case of shared treatment decision-making. Patient Educ Couns. 2006;63(3):262–7.PubMedCrossRef Charles C, Gafni A, et al. Cultural influences on the physician-patient encounter: the case of shared treatment decision-making. Patient Educ Couns. 2006;63(3):262–7.PubMedCrossRef
6.
Zurück zum Zitat Dimou N. Illness and culture: learning differences. Patient Educ Couns. 1995;26(1–3):153–7.PubMedCrossRef Dimou N. Illness and culture: learning differences. Patient Educ Couns. 1995;26(1–3):153–7.PubMedCrossRef
7.
Zurück zum Zitat Fox RC. Cultural competence and the culture of medicine. N Engl J Med. 2005;353(13):1316–9.PubMedCrossRef Fox RC. Cultural competence and the culture of medicine. N Engl J Med. 2005;353(13):1316–9.PubMedCrossRef
8.
Zurück zum Zitat Herbert CP. The relevance of cultural diversity to patient education. Patient Educ Couns. 1997;31(2):3–4. Herbert CP. The relevance of cultural diversity to patient education. Patient Educ Couns. 1997;31(2):3–4.
9.
Zurück zum Zitat Meeuwesen L, Tromp F, et al. Cultural differences in managing information during medical interaction: how does the physician get a clue? Patient Educ Couns. 2007;67(1–2):183–90.PubMedCrossRef Meeuwesen L, Tromp F, et al. Cultural differences in managing information during medical interaction: how does the physician get a clue? Patient Educ Couns. 2007;67(1–2):183–90.PubMedCrossRef
10.
Zurück zum Zitat Schouten BC, Meeuwesen L. Cultural differences in medical communication: a review of the literature. Patient Educ Couns. 2006;64(1–3):21–34.PubMedCrossRef Schouten BC, Meeuwesen L. Cultural differences in medical communication: a review of the literature. Patient Educ Couns. 2006;64(1–3):21–34.PubMedCrossRef
11.
Zurück zum Zitat Schouten BC, Meeuwesen L, et al. Cultural diversity in patient participation: the influence of patients’ characteristics and doctors’ communicative behaviour. Patient Educ Couns. 2007;67(1–2):214–23.PubMedCrossRef Schouten BC, Meeuwesen L, et al. Cultural diversity in patient participation: the influence of patients’ characteristics and doctors’ communicative behaviour. Patient Educ Couns. 2007;67(1–2):214–23.PubMedCrossRef
12.
Zurück zum Zitat Kleinman A. Patients and healers in the context of culture: an exploration of the borderland between anthropology, medicine, and psychiatry. Berkeley: University of California Press; 1980. Kleinman A. Patients and healers in the context of culture: an exploration of the borderland between anthropology, medicine, and psychiatry. Berkeley: University of California Press; 1980.
13.
Zurück zum Zitat Engel GL. The biopsychosocial model and the education of health professionals. Ann N Y Acad Sci. 1978;310:169–87.PubMedCrossRef Engel GL. The biopsychosocial model and the education of health professionals. Ann N Y Acad Sci. 1978;310:169–87.PubMedCrossRef
14.
Zurück zum Zitat Astin J, Sierpina V, et al. Integration of the biopsychosocial model: perspectives of medical students and residents. Acad Med. 2008;83(1):20–7.PubMedCrossRef Astin J, Sierpina V, et al. Integration of the biopsychosocial model: perspectives of medical students and residents. Acad Med. 2008;83(1):20–7.PubMedCrossRef
15.
Zurück zum Zitat Weiner B. Difficult medical problems: on explanatory models and a pragmatic alternative. Med Hypotheses. 2007;68(3):474–9.PubMedCrossRef Weiner B. Difficult medical problems: on explanatory models and a pragmatic alternative. Med Hypotheses. 2007;68(3):474–9.PubMedCrossRef
16.
17.
Zurück zum Zitat Karasz A. Cultural differences in conceptual models of depression. Soc Sci Med. 2005;60(7):1625–35.PubMedCrossRef Karasz A. Cultural differences in conceptual models of depression. Soc Sci Med. 2005;60(7):1625–35.PubMedCrossRef
18.
Zurück zum Zitat Pill R, Stott NC. Choice or chance: further evidence on ideas of illness and responsibility for health. Soc Sci Med. 1985;20(10):981–91.PubMedCrossRef Pill R, Stott NC. Choice or chance: further evidence on ideas of illness and responsibility for health. Soc Sci Med. 1985;20(10):981–91.PubMedCrossRef
19.
Zurück zum Zitat Baer RD, Weller SC, et al. A comparison of community and physician explanatory models of AIDS in Mexico and the United States. Med Anthropol Q. 2004;18(1):3–22.PubMedCrossRef Baer RD, Weller SC, et al. A comparison of community and physician explanatory models of AIDS in Mexico and the United States. Med Anthropol Q. 2004;18(1):3–22.PubMedCrossRef
20.
Zurück zum Zitat Loewe R, Freeman J. Interpreting diabetes mellitus: differences between patient and provider models of disease and their implications for clinical practice. Cult Med Psychiatry. 2000;4(24):379–401.CrossRef Loewe R, Freeman J. Interpreting diabetes mellitus: differences between patient and provider models of disease and their implications for clinical practice. Cult Med Psychiatry. 2000;4(24):379–401.CrossRef
21.
Zurück zum Zitat Kreuter MW, McClure SM. The role of culture in health communication. Annu Rev Public Health. 2004;25:439–55.PubMedCrossRef Kreuter MW, McClure SM. The role of culture in health communication. Annu Rev Public Health. 2004;25:439–55.PubMedCrossRef
22.
Zurück zum Zitat Milat AJ, Carroll TE, et al. Culturally and linguistically diverse population health social marketing campaigns in Australia: a consideration of evidence and related evaluation issues. Health Promot J Austr. 2005;16(1):20–5.PubMed Milat AJ, Carroll TE, et al. Culturally and linguistically diverse population health social marketing campaigns in Australia: a consideration of evidence and related evaluation issues. Health Promot J Austr. 2005;16(1):20–5.PubMed
23.
Zurück zum Zitat McGuire MB. Ritual health in suburban America. New Jersey: Rutgers University Press; 1988. McGuire MB. Ritual health in suburban America. New Jersey: Rutgers University Press; 1988.
24.
Zurück zum Zitat Farmer P. AIDS and accusation: Haiti and the geography of blame. Berkeley: University of California Press; 1993. Farmer P. AIDS and accusation: Haiti and the geography of blame. Berkeley: University of California Press; 1993.
25.
Zurück zum Zitat Arcury TA, Skelly AH, et al. Diabetes beliefs among low-income, white residents of a rural North Carolina community. J Rural Health. 2005;21(4):337–45.PubMedCrossRef Arcury TA, Skelly AH, et al. Diabetes beliefs among low-income, white residents of a rural North Carolina community. J Rural Health. 2005;21(4):337–45.PubMedCrossRef
26.
Zurück zum Zitat Farooqi A, Nagra D, et al. Attitudes to lifestyle risk factors for coronary heart disease amongst South Asians in Leicester: a focus group study. Fam Pract. 2000;17(4):293–7.PubMedCrossRef Farooqi A, Nagra D, et al. Attitudes to lifestyle risk factors for coronary heart disease amongst South Asians in Leicester: a focus group study. Fam Pract. 2000;17(4):293–7.PubMedCrossRef
27.
Zurück zum Zitat Netto G, McCloughan L, et al. Effective heart disease prevention: lessons from a qualitative study of user perspectives in Bangladeshi, Indian and Pakistani communities. Public Health. 2007;121(3):177–86.PubMedCrossRef Netto G, McCloughan L, et al. Effective heart disease prevention: lessons from a qualitative study of user perspectives in Bangladeshi, Indian and Pakistani communities. Public Health. 2007;121(3):177–86.PubMedCrossRef
28.
Zurück zum Zitat Arnold D. Colonizing the body: state medicine and epidemic disease in nineteenth-century India. Berkeley: University of California Press; 1993. Arnold D. Colonizing the body: state medicine and epidemic disease in nineteenth-century India. Berkeley: University of California Press; 1993.
29.
Zurück zum Zitat Turner V. The forest of symbols: aspects of ndembu ritual Ithaca. NY: Cornell University Press; 1970. Turner V. The forest of symbols: aspects of ndembu ritual Ithaca. NY: Cornell University Press; 1970.
30.
Zurück zum Zitat Shweder R, Much N, et al. The big three of morality (autonomy, community, divinity) and the big three explanations of suffering. Morality and health. A. Brandt and P. Rozin. New York: Routledge; 1997. Shweder R, Much N, et al. The big three of morality (autonomy, community, divinity) and the big three explanations of suffering. Morality and health. A. Brandt and P. Rozin. New York: Routledge; 1997.
31.
Zurück zum Zitat Desjarlais R. Body and emotion: the aesthetics of illness and healing in the Nepal Himalayas. Philadelphia: University of Pennsylvania Press; 1992. Desjarlais R. Body and emotion: the aesthetics of illness and healing in the Nepal Himalayas. Philadelphia: University of Pennsylvania Press; 1992.
32.
Zurück zum Zitat Kakar S. Shaman, mystics and doctors. Chicago: University of Chicago Press; 1982. Kakar S. Shaman, mystics and doctors. Chicago: University of Chicago Press; 1982.
33.
Zurück zum Zitat Kurtz S. All the mothers are one: Hindu India and the cultural reshaping of psychoanalysis. New York: Columbia University Press; 1992. Kurtz S. All the mothers are one: Hindu India and the cultural reshaping of psychoanalysis. New York: Columbia University Press; 1992.
34.
Zurück zum Zitat Lamb S. White saris and sweet mangoes. Berkeley: University of California Press; 2000. Lamb S. White saris and sweet mangoes. Berkeley: University of California Press; 2000.
35.
Zurück zum Zitat Langford J. Fluent bodies: ayurvedic remedies for postcolonial imbalance. Durham: Duke University Press; 2002. Langford J. Fluent bodies: ayurvedic remedies for postcolonial imbalance. Durham: Duke University Press; 2002.
36.
Zurück zum Zitat Obeyesekere G. Medusa’s hair: an essay on personal symbols and religious experience. Chicago: University of Chicago Press; 1981. Obeyesekere G. Medusa’s hair: an essay on personal symbols and religious experience. Chicago: University of Chicago Press; 1981.
37.
Zurück zum Zitat Van Hollen C. Birth on the threshold: childbirth and modernity in South India. Berkeley: University of California Press; 2003. Van Hollen C. Birth on the threshold: childbirth and modernity in South India. Berkeley: University of California Press; 2003.
38.
Zurück zum Zitat Joshi P, Islam S, et al. Risk factors for early myocardial infarction in South Asians compared with individuals in other countries. Jama. 2007;297(3):286–94.PubMedCrossRef Joshi P, Islam S, et al. Risk factors for early myocardial infarction in South Asians compared with individuals in other countries. Jama. 2007;297(3):286–94.PubMedCrossRef
39.
Zurück zum Zitat Cohen L. No aging in India: Alzheimer’s, the bad family and other modern things. Berkeley: University of California Press; 1998. Cohen L. No aging in India: Alzheimer’s, the bad family and other modern things. Berkeley: University of California Press; 1998.
40.
Zurück zum Zitat Lawton J, Ahmad N, et al. Contextualising accounts of illness: notions of responsibility and blame in white and South Asian respondents accounts of diabetes causation. Sociol Health Illn. 2007;29(6):891–906.PubMedCrossRef Lawton J, Ahmad N, et al. Contextualising accounts of illness: notions of responsibility and blame in white and South Asian respondents accounts of diabetes causation. Sociol Health Illn. 2007;29(6):891–906.PubMedCrossRef
41.
Zurück zum Zitat Johnson JL, Bottorff JL, et al. South Asian women’s views on the causes of breast cancer: images and explanations. Patient Educ Couns. 1999;37(3):243–54.PubMedCrossRef Johnson JL, Bottorff JL, et al. South Asian women’s views on the causes of breast cancer: images and explanations. Patient Educ Couns. 1999;37(3):243–54.PubMedCrossRef
42.
Zurück zum Zitat King KM, LeBlanc P, et al. Gender-based challenges faced by older Sikh women as immigrants: recognizing and acting on the risk of coronary artery disease. Can J Nurs Res. 2006;38(1):16–40.PubMed King KM, LeBlanc P, et al. Gender-based challenges faced by older Sikh women as immigrants: recognizing and acting on the risk of coronary artery disease. Can J Nurs Res. 2006;38(1):16–40.PubMed
43.
Zurück zum Zitat Institute of Medicine (U.S.). Committee on Communication for Behavior Change in the 21st Century: Improving the Health of Diverse Populations. Speaking of health assessing health communication strategies for diverse populations. Washington: National Academies Press; 2002. Institute of Medicine (U.S.). Committee on Communication for Behavior Change in the 21st Century: Improving the Health of Diverse Populations. Speaking of health assessing health communication strategies for diverse populations. Washington: National Academies Press; 2002.
44.
Zurück zum Zitat Institute of Medicine (U.S.). Committee on Assuring the Health of the Public in the 21st Century. The future of the public’s health in the 21st century. Washington: National Academies Press; 2003. Institute of Medicine (U.S.). Committee on Assuring the Health of the Public in the 21st Century. The future of the public’s health in the 21st century. Washington: National Academies Press; 2003.
45.
Zurück zum Zitat Mensah GA. Eliminating disparities in cardiovascular health: six strategic imperatives and a framework for action. Circulation. 2005;111(10):1332–6.PubMedCrossRef Mensah GA. Eliminating disparities in cardiovascular health: six strategic imperatives and a framework for action. Circulation. 2005;111(10):1332–6.PubMedCrossRef
46.
Zurück zum Zitat Makoul G, Clayman ML, et al. Four concepts of health in America: results of national surveys. J Health Commun. 2009;14(1):3–14.PubMedCrossRef Makoul G, Clayman ML, et al. Four concepts of health in America: results of national surveys. J Health Commun. 2009;14(1):3–14.PubMedCrossRef
47.
Zurück zum Zitat Crawford R. Healthism and the medicalization of everyday life. Int J Health Serv. 1980;10:365–88.PubMedCrossRef Crawford R. Healthism and the medicalization of everyday life. Int J Health Serv. 1980;10:365–88.PubMedCrossRef
48.
Zurück zum Zitat Tirodkar MA. Adaptations of contemporary Ayurvedic medical practice in urban India [unpublished dissertation]. Department of Comparative Human Development. Chicago: University of Chicago; 2005. Tirodkar MA. Adaptations of contemporary Ayurvedic medical practice in urban India [unpublished dissertation]. Department of Comparative Human Development. Chicago: University of Chicago; 2005.
49.
Zurück zum Zitat Miles M, Huberman M. Qualitative data analysis: an expanded sourcebook. 2nd ed. Thousand Oaks: Sage Publications; 1994. Miles M, Huberman M. Qualitative data analysis: an expanded sourcebook. 2nd ed. Thousand Oaks: Sage Publications; 1994.
50.
Zurück zum Zitat Strauss A, Corbin J. Grounded theory in practice. Thousand Oaks: Sage Publications; 1997. Strauss A, Corbin J. Grounded theory in practice. Thousand Oaks: Sage Publications; 1997.
51.
Zurück zum Zitat Rangaswamy P, Kalayil AL. Making data count: South Asian Americans in the 2000 Census with focus on Illinois. Chicago: South Asian American Policy and Research Institute (SAAPRI); 2005. Rangaswamy P, Kalayil AL. Making data count: South Asian Americans in the 2000 Census with focus on Illinois. Chicago: South Asian American Policy and Research Institute (SAAPRI); 2005.
52.
Zurück zum Zitat Tirodkar MA. Cultural conceptions of health and health outcomes: caste and gender differences in Orissa, India [unpublished MA thesis]. Department of Comparative Human Development. Chicago: University of Chicago; 2000. Tirodkar MA. Cultural conceptions of health and health outcomes: caste and gender differences in Orissa, India [unpublished MA thesis]. Department of Comparative Human Development. Chicago: University of Chicago; 2000.
53.
Zurück zum Zitat Green G, Bradby H, et al. We are not completely westernised: dual medical systems and pathways to health care among Chinese migrant women in England. Soc Sci Med. 2006;62(6):1498–509.PubMedCrossRef Green G, Bradby H, et al. We are not completely westernised: dual medical systems and pathways to health care among Chinese migrant women in England. Soc Sci Med. 2006;62(6):1498–509.PubMedCrossRef
54.
Zurück zum Zitat Momenzadeh S, Posner N. Iranian migrant’s discourses of health and the implications for using standardized health measures with minority groups. J Immigr Health. 2003;5(4):173–80.PubMedCrossRef Momenzadeh S, Posner N. Iranian migrant’s discourses of health and the implications for using standardized health measures with minority groups. J Immigr Health. 2003;5(4):173–80.PubMedCrossRef
55.
Zurück zum Zitat Bradby H, Varyani M, et al. British Asian families and the use of child and adolescent mental health services: a qualitative study of a hard to reach group. Soc Sci Med. 2007;65(12):2413–24.PubMedCrossRef Bradby H, Varyani M, et al. British Asian families and the use of child and adolescent mental health services: a qualitative study of a hard to reach group. Soc Sci Med. 2007;65(12):2413–24.PubMedCrossRef
56.
Zurück zum Zitat Facey ME. The health effects of taxi driving: the case of visible minority drivers in Toronto. Can J Public Health. 2003;94(4):254–7.PubMed Facey ME. The health effects of taxi driving: the case of visible minority drivers in Toronto. Can J Public Health. 2003;94(4):254–7.PubMed
57.
Zurück zum Zitat Lauderdale DS, Wen M, et al. Immigrant perceptions of discrimination in health care: the California health interview survey 2003. Med Care. 2006;44(10):914–20.PubMedCrossRef Lauderdale DS, Wen M, et al. Immigrant perceptions of discrimination in health care: the California health interview survey 2003. Med Care. 2006;44(10):914–20.PubMedCrossRef
58.
Zurück zum Zitat Viruell-Fuentes EA. Beyond acculturation: immigration, discrimination, and health research among Mexicans in the United States. Soc Sci Med. 2007;65(7):1524–35.PubMedCrossRef Viruell-Fuentes EA. Beyond acculturation: immigration, discrimination, and health research among Mexicans in the United States. Soc Sci Med. 2007;65(7):1524–35.PubMedCrossRef
59.
Zurück zum Zitat Ngo-Metzger Q, Massagli MP, et al. Linguistic and cultural barriers to care. J Gen Intern Med. 2003;18(1):44–52.PubMedCrossRef Ngo-Metzger Q, Massagli MP, et al. Linguistic and cultural barriers to care. J Gen Intern Med. 2003;18(1):44–52.PubMedCrossRef
60.
Zurück zum Zitat Neusner J, Sonn T, et al. Judaism and Islam in practice: a sourcebook. London: Routledge; 1999. Neusner J, Sonn T, et al. Judaism and Islam in practice: a sourcebook. London: Routledge; 1999.
61.
Zurück zum Zitat Agarwal P. Passage from India: post 1965 immigrants and their children. Palos Verdes: Yuvati Publications; 1991. Agarwal P. Passage from India: post 1965 immigrants and their children. Palos Verdes: Yuvati Publications; 1991.
62.
Zurück zum Zitat Bacon J. Life lines: community, family, and assimilation among Asian Indian immigrants. New York: Oxford University Press; 1997. Bacon J. Life lines: community, family, and assimilation among Asian Indian immigrants. New York: Oxford University Press; 1997.
63.
Zurück zum Zitat Lessinger J. From the Ganges to the Hudson: Indian immigrants in New York City. Boston: Allyn and Bacon; 1995. Lessinger J. From the Ganges to the Hudson: Indian immigrants in New York City. Boston: Allyn and Bacon; 1995.
64.
Zurück zum Zitat Kleinman A, Benson P. Anthropology in the clinic: the problem of cultural competency and how to fix it. PLoS Med. 2006;3(10):e294.PubMedCrossRef Kleinman A, Benson P. Anthropology in the clinic: the problem of cultural competency and how to fix it. PLoS Med. 2006;3(10):e294.PubMedCrossRef
65.
Zurück zum Zitat Mohanty SA, Woolhandler S, et al. Diabetes and cardiovascular disease among Asian Indians in the United States. J Gen Intern Med. 2005;20(5):474–8.PubMedCrossRef Mohanty SA, Woolhandler S, et al. Diabetes and cardiovascular disease among Asian Indians in the United States. J Gen Intern Med. 2005;20(5):474–8.PubMedCrossRef
66.
Zurück zum Zitat King KM, Thomlinson E, et al. Men and women managing coronary artery disease risk: urban-rural contrasts. Soc Sci Med. 2006;62(5):1091–102.PubMedCrossRef King KM, Thomlinson E, et al. Men and women managing coronary artery disease risk: urban-rural contrasts. Soc Sci Med. 2006;62(5):1091–102.PubMedCrossRef
67.
Zurück zum Zitat Curlin FA. Commentary: a case for studying the relationship between religion and the practice of medicine. Acad Med. 2008;83(12):1118–20.PubMedCrossRef Curlin FA. Commentary: a case for studying the relationship between religion and the practice of medicine. Acad Med. 2008;83(12):1118–20.PubMedCrossRef
68.
Zurück zum Zitat Nagai C. Clinician’s self-assessment of cultural and spiritual competency: working with Asians and Asian Americans. Community Ment Health J. 2008;44(4):303–9.PubMedCrossRef Nagai C. Clinician’s self-assessment of cultural and spiritual competency: working with Asians and Asian Americans. Community Ment Health J. 2008;44(4):303–9.PubMedCrossRef
69.
Zurück zum Zitat Shweder R, LeVine R, editors. Culture theory: essays on mind, self, and emotion. Cambridge: Cambridge University Press; 1984. Shweder R, LeVine R, editors. Culture theory: essays on mind, self, and emotion. Cambridge: Cambridge University Press; 1984.
Metadaten
Titel
Explanatory Models of Health and Disease Among South Asian Immigrants in Chicago
verfasst von
Manasi A. Tirodkar
David W. Baker
Gregory T. Makoul
Neerja Khurana
Muhammad W. Paracha
Namratha R. Kandula
Publikationsdatum
01.04.2011
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 2/2011
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-009-9304-1

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