“…Understandably, both 'self-blame' (turning blame on self, criticising self) and 'behavioural disengagement' (giving up efforts to cope) are regarded as avoidance approaches, that can become barriers to healthcare utilization (Cooper, Katona, & Livingston, 2008). This new information on the negative impact of avoidance coping methods on health care utilization among Nigerian immigrants supports findings from existing studies among other immigrants of non-Western origin (Nap et al, 2015;Yoon, Langrehr, & Ong, 2011). It is possible that arriving from a socio-cultural background based on communalism, with great dependence on families and religious groups for support, into a culture based on individualism such as the UK, African immigrants can face frustration and resort to 'denial' when family support becomes unavailable, which can compound the feelings of loss regarding the country of origin (Mooren et al, 2001).…”