The present study examined (1) rates of somatic complaints and (2) the asso
ciation between stress and somatic complaints in low-income urban youth. Pa
rticipants were 1030 low-income urban 6th-8th grade adolescents. Results in
dicate that, for both boys and girls, somatization was the most commonly re
ported internalizing symptom in this sample, and that heightened rates of u
rban stress predicted heightened rates of somatic complaints. In addition,
a significantly, higher percentage of youth in this sample reported clinica
lly, elevated levels of somatic complaints (17%) relative to that reported
by normative samples (5%). The 2 most common somatic complaints were stomac
haches and headaches, and females reported higher rates of somatic complain
ts than males. These findings suggest that somatic complaints are the most
common expression of internalizing symptoms among low-income urban youth, a
nd that exposure to heightened rates of stress places low-income urban adol
escents at heightened risk for somatization. Implications of these findings
and directions for future research are discussed.