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Correspondence to Author: Alexis Rugoyera  

University of Greater Manchester, School of science and society,Deane Road Bolton England BL3 5AB

DOI: 10.52338/aou.2025.4604

Abstract:

Cultural attitudes, structural impediments, and difficulties accessing healthcare all contribute to the persistence of health inequalities among Black, Asian, and Minority Ethnic (BAME) individuals with chronic illnesses. With the goal of improving healthcare delivery by addressing cultural practices, attitudes, and structural barriers, this study investigates the effects of cultural influences on the health outcomes of BAME patients in Manchester. To comprehend the lived experiences of the patients, a qualitative research methodology based on the social constructivist paradigm was used. Through purposive and snowball sampling, the study included 45 individuals, 22 of whom were male and 23 of whom were female; 12 of them identified as Asian, and 33 as African. Questionnaires and semi-structured interviews were used to collect the data, which was then thematically examined to find important trends and insights. Measures for secrecy and informed consent were among the ethical factors. Cultural obstacles, such as a one-size-fits-all approach to treatment, language problems, and a lack of cultural competency among healthcare personnel, were shown to have a substantial influence on healthcare experiences. Seventy-five percent of interviewees said they become disengaged from medical treatment because they believe their cultural requirements are not being met. Communication about health was made more difficult by language hurdles; 70.18% of people had trouble understanding medical terms. 85% of respondents emphasised their dependence on culturally known medicines and support networks, indicating that traditional health practices—such as dietary habits and family involvement—played a critical role in disease management. But occasionally, choosing conventional medicine over recommended therapies resulted in worse than ideal health outcomes. Healthcare inequities were also made worse by structural problems such institutional prejudices, a lack of diversity in the healthcare sector, and poor interpretation services. According to this study, regulatory changes that encourage diversity in healthcare settings, more linguistic support services, and thorough cultural competence training for medical staff are all necessary to enhance health outcomes. Engagement, treatment compliance, and general well-being can all be improved by incorporating cultural values into patientcentered care regimens. Healthcare systems may support BAME communities more effectively by tackling these issues, promoting equity and enhancing the health of underserved groups.

Keywords:Cultural influences, BAME patients, Chronic diseases, Manchester, Health outcomes

Citation:

Rugoyera Alexis, Exploring The Influence Of Culture On Health Outcomes Among Black, Asian, And Minority Ethnic (BAME) Patients With Chronic Diseases In Manchester: A Patient-Centred Perspective. Annals of Urology 2025.