'A person of two countries'. Life and health in exile: Somali refugees in Sweden.

Meeting and treating patients from other countries and cultures constitutes a challenge for health care. The number of immigrants and refugees has seen a rapid increase in recent years in Sweden. Expectations and experiences of health and illness often differ among these immigrant groups compared with the inhabitants of the majority society. This paper examines the situation of Somali refugees living in a multicultural suburban area of a large city in southern Sweden, and the aim was to illuminate and document their thoughts and experiences in relation to health and illness. Thirteen interviews with Somalis of different sexes and ages were conducted in the informant's homes. A hermeneutic-phenomenological approach was used in the analysis. The findings revealed an essential theme - a life in exile - that permeated every subject that was discussed and talked about. This was expressed in the following aspects: longing for the homeland, pain - a companion in exile, prejudice and discrimination, family - comfort and trouble, religion and beliefs in Jinns. Complex feelings of bi-nationality and of being uprooted were expressed. Prior knowledge about the hardships involved in a life as a refugee may allow and increase the possibilities for better communication, increased trust and mutual respect in order to achieve a meaningful encounter with health care personnel.