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Familismo & Fatalismo: How Cultural Beliefs Affect Health Care

Resource Topic: Clinical Issues, Emerging Issues, Social Determinants of Health (SDOH), Special and Vulnerable Populations, Workforce

Resource Subtopic: Behavioral Health, Diabetes, Health Equity, Enabling Services (ES).

Keywords: Agricultural Workers, Chronic Diseases and Care, Communication, Transparency, and Outreach, Community Health Workers, Patient Education, Health Risk and Behavior, Hispanic Americans/Latinos, Latinas, Non-Clinical Services, Outreach.

Year Developed: 2022

Resource Type: Publication.

Primary Audience: Enabling Staff Outreach Staff
Secondary Audience: Administrative Staff C-Suite (CEOs, CFOs, CIO, COOs, CMOs, etc.) Clinicians

Language(s): English

Developed by: MHP Salud (See other resources developed by this organization).

Resource Summary: Hispanic/Latinos are the largest non-white group in the United States and have the highest rates of Diabetes as compared to other ethnic groups; this can be related to the lack of healthcare, genetics, obesity rates, insulin resistance, lower economic status, and sociocultural factors. The concept of Familismo & Fatalismo is central in Hispanic/Latino cultural values. If the health care provider does not consider these beliefs, treatment recommendations are likely to be ignored. A proven strategy to overcome these cultural barriers is the implementation of Community Health Workers (CHWs).

Resource Details: Familismo, fatalismo & the usage of CHWs.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit