title: [Culture sensitive analysis of psychosomatic complaints in migrants in Germany].
abstract: BACKGROUND
  To ensure an adequate health care of migrants, differentiated information on the association of cultural background and migration related factors and psychosomatic complaints are necessary.
  
  
  METHODS
  Cross-sectional questionnaire based survey regarding psychosomatic complaints of migrants from Turkey (n = 77), Italy (n = 95), and Spain (n = 67) and ethnic German resettled from the states of the former Soviet Union (n = 196). Questionnaires distributed by non-health specific counselling agencies of welfare associations.
  
  
  RESULTS
  The cultural background was a relevant factor for psychosomatic complaints, showing higher complaints in Turkish and ethnic German resettled migrants, also compared to a sample of age corresponding Germans. In contrast, Spanish and Italian migrants showed a lower risk for psychosomatic complaints. Also gender, feeling unwell in Germany and fatalism showed a significant association with psychosomatic complaints.
  
  
  CONCLUSIONS
  Migrants in Germany do not have per se a higher risk for psychosomatic complaints. A distinct differentiation by cultural background is necessary.
authors.affiliation: Celenus-Kliniken GmbH, Moltkestrasse 27, Offenburg. I.bermejo@celenus-kliniken.de
authors.forename: Isaac
authors.initials: I
authors.lastname: Bermejo
authors.forename: Leonhard
authors.initials: L
authors.lastname: Nicolaus
authors.forename: Levente
authors.initials: L
authors.lastname: Kriston
authors.forename: Lars
authors.initials: L
authors.lastname: Hölzel
authors.forename: Martin
authors.initials: M
authors.lastname: Härter
mesh_terms: D000069:Acculturation; D000328:Adult; D000368:Aged; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D054521:Cultural Competency; D054242:Emigrants and Immigrants / Q000523:psychology*; D005006:Ethnicity / Q000523:psychology* / Q000706:statistics & numerical data; D005008:Ethnopsychology; D005260:Female; D005858:Germany; D006801:Humans; D007558:Italy / Q000208:ethnology; D008297:Male; D008875:Middle Aged; D019303:Multilingualism; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000208:ethnology* / Q000628:therapy; D012737:Sex Factors; D012945:Social Values; D013001:Somatoform Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000208:ethnology* / Q000628:therapy; D013030:Spain / Q000208:ethnology; D011795:Surveys and Questionnaires; D014421:Turkey / Q000208:ethnology; D014586:USSR / Q000208:ethnology; D014478:Unemployment / Q000523:psychology