Ethnic minorities’ and immigrants’ therapeutic (non)adherence: What is the role of social and cultural contexts?

Susana Sofia Monteiro Mourão, Sónia Gomes da Costa Figueira Bernardes


Immigrants and ethnic minorities have been identified as vulnerable groups in health, in general, andin what concerns therapeutic non-adherence (TA) in particular; i.e., (not)following health-careproviders’ therapeutic recommendations. The general aim of this paper is presenting a literature reviewof immigrants’/ethnic minorities’ TA determinants.We will start by highlighting the reasons as to why immigrants’/ethnic minorities’ therapeutic(non)adherence should be a topic of concern. Then, we will present a review of the main determinantsof immigrants’/ethnic minorities’ TA, at different levels of analysis (e.g., broad structural level; socialand community networks; material and social conditions) and emphasize that non-adherence amongimmigrants/ethnic minorities is mostly non-intentional, seeing as how it is associated with issues suchas: low socio-economic conditions, language barriers and cultural mismatches.Finally, we will highlight the role of health-care providers in tackling this health-related problem andreflect about the importance of promoting development and training of health-care providers’multicultural abilities.



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Nº ERC: 107494 | ISSN (in print): 0870-8231 | ISSN (online): 1646-6020 | Copyright © ISPA - CRL, 2012 | Rua Jardim do Tabaco, 34, 1149-041 Lisboa | NIF: 501313672 | The portal and metadata are licensed under the license Creative Commons CC BY-NC