title: [Barriers in the attendance of health care interventions by immigrants].
abstract: OBJECTIVE
  Analysis of barriers regarding attendance at the health care system under consideration of cultural and migration-related factors.
  
  
  METHODS
  Cross-sectional survey with immigrants from Turkey (n = 77), Spain (n = 67), Italy (n = 95) and German resettlers from the former Soviet Union (n = 196), recruited on migration and addiction services of the German Caritasverband, the Arbeiterwohlfahrt and migrant organizations.
  
  
  RESULTS
  Spanish and Italian immigrants mainly search for help within their families and social environment. Immigrants from the former Soviet Union use home remedies and experience more linguistic difficulties as barriers for the use of health services, just like Turkish immigrants. Turkish immigrants reported feeling misunderstood regarding their cultural peculiarities by the expert staff as another main barrier. Other major influencing factors were German language proficiency and the subjective wellbeing in Germany.
  
  
  CONCLUSIONS
  The consideration of cultural-related as well as linguistic factors in health care services is an essential contribution for improving health care of immigrants.
authors: Celenus-Kliniken GmbH, Moltkestr. 27, 77654, Offenburg, Deutschland. i.bermejo@celenus-kliniken.de
authors: I
authors: I
authors: Bermejo
authors: L P
authors: LP
authors: Hölzel
authors: L
authors: L
authors: Kriston
authors: M
authors: M
authors: Härter
mesh_terms: D000328:Adult; D000368:Aged; D019973:Alcohol-Related Disorders / Q000208:ethnology* / Q000517:prevention & control*; D000437:Alcoholism / Q000208:ethnology* / Q000517:prevention & control*; D003144:Communication Barriers; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D003469:Culture; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D005858:Germany; D006297:Health Services Accessibility; D006306:Health Surveys; D006801:Humans; D007558:Italy / Q000208:ethnology; D008297:Male; D008519:Medicine, Traditional; D008875:Middle Aged; D019303:Multilingualism; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D011322:Primary Prevention; D063505:Racism; D013030:Spain / Q000208:ethnology; D011795:Surveys and Questionnaires; D014421:Turkey / Q000208:ethnology; D014586:USSR / Q000208:ethnology