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

• Autor(a) principal: Mourão, Susana Sofia Monteiro
• Data de Publicação: 2014
• Outros Autores: Bernardes, Sónia Gomes da Costa Figueira
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.12/3353
• topic: Therapeutic adherence; Determinants of (non)adherence; Immigrants; Ethnic minorities; Adesão terapêutica; Determinantes de (não)adesão; Imigrantes; Minorias étnicas

Immigrants and ethnic minorities have been identified as vulnerable groups in health, in general, and in what concerns therapeutic non-adherence (TA) in particular; i.e., (not)following health-care providers’ therapeutic recommendations. The general aim of this paper is presenting a literature review of 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 determinants of immigrants’/ethnic minorities’ TA, at different levels of analysis (e.g., broad structural level; social and community networks; material and social conditions) and emphasize that non-adherence among immigrants/ethnic minorities is mostly non-intentional, seeing as how it is associated with issues such as: 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 and reflect about the importance of promoting development and training of health-care providers’ multicultural abilities.