Analysis of barriers regarding attendance at the health care system under consideration of cultural and migration-related factors. 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. 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. The consideration of cultural-related as well as linguistic factors in health care services is an essential contribution for improving health care of immigrants.

[No Keywords available]

cultural anthropology Germany Communication Barriers psychological aspect human communication disorder middle aged Turkey (republic) Aged USSR Health Surveys alcoholism language ethnology Cross-Sectional Studies cross-sectional study Humans racism traditional medicine male Emigrants and Immigrants Medicine, Traditional female Spain primary prevention questionnaire cultural factor Alcohol-Related Disorders Article Questionnaires adult migration Turkey patient attitude Italy Health Services Accessibility Patient Acceptance of Health Care Cultural Characteristics Multilingualism Culture health care delivery health survey