Treatment Adherence in Ethnic Minorities: Particularities and Alternatives

Rodríguez-Gómez, José; Salas-Serrano, Carmen C.

doi:10.4135/9781452225975.n27

Cited by 4 publications

(2 citation statements)

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“…The reasons for diminished adherence in Latinos are unclear. For example, poor adherence is related to substance abuse, limited family support; Spanish-speaking but not bilingual patients, less acculturated patients, socioeconomic status, barriers to accessing quality care, lack of health insurance, and in settings where providers are non-Latino (Lanouette, et al 2009; Rodríguez-Gómez and Salas, 2006).…”

Section: Introductionmentioning

confidence: 99%

Reasons for Nonadherence to Psychiatric Medication and Cardiovascular Risk Factors Treatment Among Latino Bipolar Disorder Patients Living in Puerto Rico: A Qualitative Study

Ralat

Depp

Bernal

2017

Community Ment Health J

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Latinos with bipolar disorder (BD) have a high rate of nonadherence to psychiatric medication and treatment for other medical conditions such as cardiovascular disease (CVD) risk factors than non-Latinos with BD. The aim of this study is to identify patients' perspectives on the reasons for nonadherence to psychiatric medication and for CVD risk factors conditions in outpatients with BD. Three focus group sessions were held for a total of 22 adults ranging from 23 to 60 years old. Participants had BD, Type I/II and CVD risk factors. Audio-recordings of focus groups were transcribed and a content analysis was performed. Reasons identified as barriers to adherence were somewhat different for BD medications in comparison to CVD risk factors suggesting the need for integrated interventions targeting these barriers to adherence for both BD and CVD risk factors.

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Section: Introductionmentioning

confidence: 99%

Reasons for Nonadherence to Psychiatric Medication and Cardiovascular Risk Factors Treatment Among Latino Bipolar Disorder Patients Living in Puerto Rico: A Qualitative Study

Ralat

Depp

Bernal

2017

Community Ment Health J

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“…Indeed, many studies show that poor therapeutic adherence is often associated with worse health, faster illness progression and recurrent hospitalizations and work/school absenteeism (Rodríguez-Gómez and Salas-Serrano, 2006; Dunbar-Jacob et al ., 2012; Kuo et al ., 2012). Thus, adhering to CPC recommendations is important not only to the general population, but particularly to immigrants and their children given their increased health-related vulnerabilities.…”

Section: Introductionmentioning

confidence: 99%

What determines immigrant caregivers’ adherence to health recommendations from child primary care services? A grounded theory approach

Mourão

Bernardes

2019

Prim Health Care Res Dev

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AimTo investigate the diversity and specificity of the determinants of immigrant caregivers’ adherence to child primary care (CPC) health recommendations.BackgroundImmigrant caregiver’s adherence to CPC health recommendations is of utmost importance to minimize their children’s health-related vulnerabilities. Some research has been conducted on the determinants of immigrants’ access to health services, but much less is known about the determinants of their adherence to health professionals’ recommendations once they get there, especially in a primary health care context. This study contributes to bridge these gaps.MethodsInterviews and focus groups were conducted, with immigrant and non-immigrant caregivers living in Portugal (n=35), from heterogeneous socioeconomic backgrounds. Focus group and individual interview scripts were developed to explore caregivers’ understanding and use of CPC services and, particularly, their adherence to CPC recommendations. A socio-demographic questionnaire was also administered. Qualitative data were analyzed using a grounded theory methodology.Findings‘Adherence to CPC health recommendations’ is a core and multidimensional concept. Several determinants were identified at individual, interpersonal, organizational and structural levels. Some determinants were highlighted both by immigrant and non-immigrant caregivers: valuing children’s health, usefulness of recommendations, perceived health-care professionals’ competence, central role of vaccination in CPC and caregivers’ socio-economic conditions. Other determinants were specifically mentioned by immigrant caregivers: expectations about traditional versus pharmacological treatments, cultural mismatches in children’s care practices, perceived quality of Portuguese CPC services versus CPC from countries of origin. These results provide innovative theoretical and empirical contributions to the field of primary health care and, particularly, to immigrant caregivers’ adherence behaviors. Implications for research on treatment adherence in primary care contexts, the development of interventions that promote caregivers’ adherence to CPC health recommendations and for child protection will be discussed.

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Issues of Diversity in Adolescent Health Psychology: Exploring Sociocultural Influences on Adolescent Health

Benuto

2013

Handbook of Adolescent Health Psychology

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Treatment Adherence in Ethnic Minorities: Particularities and Alternatives

Cited by 4 publications

References 0 publications

Reasons for Nonadherence to Psychiatric Medication and Cardiovascular Risk Factors Treatment Among Latino Bipolar Disorder Patients Living in Puerto Rico: A Qualitative Study

Reasons for Nonadherence to Psychiatric Medication and Cardiovascular Risk Factors Treatment Among Latino Bipolar Disorder Patients Living in Puerto Rico: A Qualitative Study

What determines immigrant caregivers’ adherence to health recommendations from child primary care services? A grounded theory approach

Issues of Diversity in Adolescent Health Psychology: Exploring Sociocultural Influences on Adolescent Health

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