Learning the value of Africa’s collectivism for an individualistic Europe

  • Pietro Amedeo ModestiEmail author
  • Stefano Becucci

The interaction between social factors and human health is a relevant research issue for the design of new strategies aimed at preserving or maintaining an adequate level of good health and wellbeing at the population level. The significant role played by the socio-economic state is now well recognized and the European Community (EU) has included the reduction of social inequalities among its priorities. A greater possibility of getting ill and living less among the more disadvantaged is now well documented also in Countries offering universal healthcare, as recently shown in the analysis conducted in Italy by ISTAT (Istituto Nazionale di Statistica), and INMP (Istituto Nazionale per la promozione della salute delle popolazioni Migranti ed il contrasto delle malattie della Povertà) [1]. This problem can, however, become more complex when dealing with ethnic minorities. In this context, the development of an extended family network, linked to the original cultural background of some...


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Statement of human and animal rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent



  1. 1.
    Petrelli A, Di Napoli A, Sebastiani G, Rossi A, Giorgi PR, Demuru E, Costa G, Zengarini N, Alicandro G, Marchetti S, Marmot M, Frova L (2019) Italian Atlas of mortality inequalities by education level. Epidemiol Prev 43(1S1):1–120. Google Scholar
  2. 2.
    Nyaaba GN, Stronks K, Meeks K, Beune E, Owusu-Dabo E, Addo J, de-Graft Aikins A, Mockenhaupt F, Bahendeka S, Klipstein-Grobusch K, Smeeth L, Agyemang C (2019) Is social support associated with hypertension control among Ghanaian migrantsin Europe and non-migrants in Ghana? The RODAM study. Intern Emerg Med. Google Scholar
  3. 3.
    Wong CW, Kwok CS, Narain A, Gulati M, Mihalidou AS, Wu P, Alasnag M, Myint PK, Mamas MA (2018) Marital status and risk of cardiovascular diseases: a systematic review and meta-analysis. Heart 104(23):1937–1948. CrossRefGoogle Scholar
  4. 4.
    Wu JR, Lennie TA, Chung ML, Frazier SK, Dekker RL, Biddle MJ, Moser DK (2012) Medication adherence mediates the relationship between marital status and cardiac event-free survival in patients with heart failure. Heart Lung 41:107–114CrossRefGoogle Scholar
  5. 5.
    Quinones PA, Kirchberger I, Heier M, Kuch B, Trentinaglia I, Mielck A, Peters A, von Scheidt W, Meisinger C (2014) Marital status shows a strong protective effect on long-term mortality among first acute myocardial infarction-survivors with diagnosed hyperlipidemia-findings from the MOnica/KOra myocardial infarction registry. BMC Public Health 14:98CrossRefGoogle Scholar
  6. 6.
    Fournier S, Muller O, Ludman AJ, Lauriers N, Eeckhout E (2013) Influence of socioeconomic factors on delays, management and outcome amongst patients with acute myocardial infarction undergoing primary percutaneous coronary intervention. Swiss Med Wkly 143:w13817Google Scholar
  7. 7.
    Cohen D, Finch B, Bower A, Sastry N (2006) Collective efficacy and obesity: the potential influence of social factors on health. Soc Sci Med 62:769–778CrossRefGoogle Scholar

Copyright information

© Società Italiana di Medicina Interna (SIMI) 2019

Authors and Affiliations

  1. 1.Department of Clinical and Experimental MedicineUniversity of FlorenceFlorenceItaly
  2. 2.Unita’ Operativa Complessa di Medicina dello SportAzienda Ospedaliero Universitaria CareggiFlorenceItaly
  3. 3.Department of Social and Political SciencesUniversity of FlorenceFlorenceItaly

Personalised recommendations