Despite representing the largest share of U.S. refugee resettlement in the past decade, we know very little about refugees from Burma or about their behavioral health problems. Current literature suggests that refugees likely suffer from depression, anxiety, posttraumatic stress disorder (PTSD), and alcohol use disorder. Using a subset of data from a community-based research project, we examined how sociodemographic and migration-related factors are associated with behavioral health outcomes among two major ethnic groups of refugees from Burma, namely, the Burman (n = 84) and the Karen (n = 100) ethnic people. Four behavioral health outcome variables were examined: Symptoms of depression and anxiety were assessed with the Hopkins Symptom Checklist, PTSD symptoms with the Refugee Health Screener-15, and alcohol use disorder symptoms with the Alcohol Use Disorder Identification Test. Univariate analyses described sociodemographic, migration-related, and behavioral health characteristics by Burman and Karen groups. Multivariate linear regressions were then conducted to examine associations between sociodemographic and migration-related factors with four outcome variables. Results revealed that sociodemographic (ethnicity, sex, and education) and migration-related (length of camp stay and English proficiency) factors are significantly and consistently associated with one or more outcome variables. The study findings suggest that, given high symptom levels reported by both Burman and Karen refugees, health-care professionals ought to pay special attention to psychosomatic symptoms related to depression, anxiety, and PTSD, especially among Karen ethnic as well as female refugees from Burma.

中文翻译：

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缅甸难民的行为健康症状：社会人口学和移民相关因素的检查。

尽管在过去十年中代表了美国难民重新安置的最大份额，但我们对来自缅甸的难民或他们的行为健康问题知之甚少。目前的文献表明，难民可能患有抑郁症、焦虑症、创伤后应激障碍 (PTSD) 和酒精使用障碍。使用来自社区研究项目的数据子集，我们研究了社会人口和移民相关因素如何与来自缅甸的两个主要难民种族群体的行为健康结果相关联，即缅甸人 (n = 84) 和克伦人(n = 100) 少数民族。检查了四个行为健康结果变量：使用 Hopkins 症状检查表评估抑郁和焦虑症状，使用 Refugee Health Screener-15 评估 PTSD 症状，和酒精使用障碍症状与酒精使用障碍识别测试。单变量分析描述了 Burman 和 Karen 群体的社会人口学、移民相关和行为健康特征。然后进行多变量线性回归以检查社会人口学和迁移相关因素与四个结果变量之间的关联。结果显示，社会人口统计学（种族、性别和教育）和移民相关（营地逗留时间和英语熟练程度）因素与一个或多个结果变量显着且一致地相关。研究结果表明，鉴于缅甸和凯伦难民报告的症状水平很高，医疗保健专业人员应该特别注意与抑郁、焦虑和创伤后应激障碍相关的心身症状，