A Sociobehavioral Model of Acupuncture Use, Patterns, and Satisfaction Among Women in the United States, 2002

Upchurch, Dawn M.; Burke, Adam; Dye, Claire; Chyu, Laura; Kusunoki, Yasamin; Greendale, Gail A.

doi:10.1016/j.whi.2007.08.003

Cited by 39 publications

(48 citation statements)

References 28 publications

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“…Prior descriptive research of acupuncture in the United States has characterized utilization nationally, 10,11 in regional private practices, 21,22 and at teaching clinics. 23 This study is the first to characterize clients of community acupuncture clinics, a recent trend in the provision of acupuncture in the United States through affordable treatments using a groupbased model.…”

Section: Discussionmentioning

confidence: 99%

“…Although the use of acupuncture in the United States has risen significantly in recent years, [7][8][9] utilization is least common among blacks and Hispanics, and those with limited household income and education. 10,11 Demand for acupuncture services is sensitive to price, 12 and high out-of-pocket costs for treatment are among the factors that limit access to treatment. In 2007, at least 25% of acupuncture users paid $75 or more per visit, and median out-of pocket costs per person was $122.…”

mentioning

confidence: 99%

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Utilization of Group-Based, Community Acupuncture Clinics: A Comparative Study with a Nationally Representative Sample of Acupuncture Users

Chao

Tippens

Connelly

2012

The Journal of Alternative and Complementary Medicine

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Objectives: Acupuncture utilization in the United States has increased in recent years, but is less common among racial/ethnic minorities and those of low socioeconomic status. Group-based, community acupuncture is a delivery model gaining in popularity around the United States, due in part to low-cost treatments provided on a sliding-fee scale. Affordable, community-based acupuncture may increase access to health care at a time when increasing numbers of people are uninsured. To assess the population using local community acupuncture clinics, sociodemographic factors, health status, and utilization patterns compared to national acupuncture users were examined. Design: Data were employed from (1) a cross-sectional survey of 478 clients of two community acupuncture clinics in Portland, Oregon and (2) a nationally representative sample of acupuncture users from the 2007 National Health Interview Survey. Results: Portland community acupuncture clients were more homogeneous racially, had higher educational attainment, lower household income, and were more likely to receive 10 or more treatments in the past 12 months (odds ratio = 5.39, 95% confidence interval = 3.54, 8.22), compared to a nationally representative sample of U.S. acupuncture users. Self-reported health status and medical reasons for seeking acupuncture treatment were similar in both groups. Back pain (21%), joint pain (17%), and depression (13%) were the most common conditions for seeking treatment at community acupuncture clinics. Conclusions: Study findings suggest that local community acupuncture clinics reach individuals of a broad socioeconomic spectrum and may allow for increased frequency of treatment. Limited racial diversity among community acupuncture clients may reflect local demographics of Portland. In addition, exposure to and knowledge about acupuncture is likely to vary by race and ethnicity. Future studies should examine access, patient satisfaction, frequency of treatment, and clinical outcomes of group-based models of community acupuncture clinics located in racially and socioeconomically diverse communities.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Utilization of Group-Based, Community Acupuncture Clinics: A Comparative Study with a Nationally Representative Sample of Acupuncture Users

Chao

Tippens

Connelly

2012

The Journal of Alternative and Complementary Medicine

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“…Jeszcze inne wyniki uzyskali Upchurch i wsp. [21], którzy badali stosowanie akupunktury przez kobiety. Stwierdzili oni, że palenie tytoniu i picie alkoholu korelowało dodatnio z korzystaniem z akupunktury.…”

Section: Dyskusjaunclassified

Niekonwencjonalne metody terapii a zachowania zdrowotne osób dorosłych

Walewska¹,

Dorda²,

Ścisło³

et al. 2015

Problemy Pielęgniarstwa

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3 I Katedra Chirurgii Ogólnej i Klinika Chirurgii Ogólnej, Onkologicznej i Gastroenterologicznej, Uniwersytet Jagielloński Collegium Medicum, Kraków iekonwencjonalne metody terapii a zachowania zdrowotne osób dorosłychComplementary and alternative medicine and health behaviors of adults STRESZCZENIE Wstęp. Do stosowania niekonwencjonalnych metod terapii skłaniają nie tylko odczuwane dolegliwości, ale także potrzeba zachowania swojego zdrowia na jak najwyższym poziomie. Osoby o wysokim poczuciu odpowiedzialności za własne zdrowie mogą sięgać po terapie niekonwencjonalne, aby zaspokoić potrzebę aktywnego uczestnictwa we wszystkim, co dotyczy ich zdrowia. Cel. Celem badania było określenie związku między stosowaniem niekonwencjonalnych metod terapii a zachowaniami zdrowotnymi osób dorosłych. Materiał i metody. Badania przeprowadzono wśród 97 mieszkańców miast i wsi. Wiek badanych wahał się w granicach 18-65 lat. Metodą zastosowaną w badaniu był sondaż diagnostyczny, a narzędziem badawczym kwestionariusz ankiety własnego autorstwa. Wykorzystano także Wielowymiarową Skalę Umiejscowienia Kontroli Zdrowia. Wyniki badań poddano analizie ilościowej i jakościowej. Obliczenia statystyczne przeprowadzono za pomocą programu Statistica 10,0. Wyniki i wnioski. Ponad 50% respondentów stosowało niekonwencjonalne metody terapii, a większość uczestników cechowała się zachowaniami zdrowotnymi i wewnętrznym umiejscowieniem kontroli zdrowia. Nie stwierdzono jednak, by osoby te istotnie częściej stosowały niekonwencjonalne metody terapii. Istnieje potrzeba szeroko zakrojonych badań, aby zrozumieć zjawisko stosowania niekonwencjonalnych metod terapii i roli jaką odgrywa ono w zachowaniach zdrowotnych jednostek.Problemy Pielęgniarstwa 2015; 23 (2): 214-219 Słowa kluczowe: leczenie uzupełniające; zachowania zdrowotne ABSTRACT Introduction. Diseases are not the only reason for using complementary and alternative medicine. It is also a need to maintain your health and physical well-being at the highest level possible. People with a high sense of responsibility for their own health may choose complementary and alternative medicine to meet the need of an active participation in all that concerns their health. Aim. The aim of this study was to determine the relationship between complementary and alternative medicine usage and health behaviors of adults. Material and methods. The study was conducted among 97 residents of towns and villages. The age of respondents ranged from 18 to 65 years. The research method was a diagnostic survey and the research tool was a questionnaire of own authorship. Multidimensional Health Locus of Control Scale was used also. The results were subjected to qualitative and quantitative analysis. Statistical calculations were performed using Statistica 10.0. Results and conclusions. Over 50% of respondents used complementary and alternative medicine and most of the participants were characterized by health behaviors and internal health locus of control. However, the use was not significantly N

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“…16 Second, CAM researchers and policy makers 11 have articulated the need to develop theoretical models to provide an explanatory focus for CAM. 7,8,11,[13][14][15][16][17][18] The most commonly recommended theoretical models of CAM use draw heavily from ABM. 14,16,17,24,26,27 Third, investigation of CAM (including acupuncture) within a unifying health-services framework has the potential to provide new insights on patterns, predictors, and experiences of use, including intersections with conventional medicine.…”

Section: Andersen Behavioral Model Of Health Services Utilizationmentioning

confidence: 99%

“…8,[11][12][13][14][15][16][17][18] The current study extends recent empirical investigations of acupuncture use in the United States by elaborating and testing a sociobehavioral wellness model using data from the 2007 National Health Interview Survey (NHIS). Our model is framed within a health services perspective, drawing from the widely used Andersen Behavioral Model (ABM).…”

mentioning

confidence: 99%

A Sociobehavioral Wellness Model of Acupuncture Use in the United States, 2007

Upchurch

Rainisch

2014

The Journal of Alternative and Complementary Medicine

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Objectives: The purpose of this study was to provide updated and more comprehensive data on the correlates and patterns of acupuncture use in the United States, applying a sociobehavioral wellness model of utilization. Predisposing factors, enabling resources, need, and personal health practices were investigated. Patterns of recent usage, including assessing the reason for use based on treatment of a health condition, for wellness, or both, were examined. Also, for the first time, attitudes about acupuncture reported by previous users and never users were presented. Design: Data from the 2007 National Health Interview Survey (NHIS), a cross-sectional, household survey representative of the U.S. civilian population, were used, which included the Complementary and Alternative Medicine supplement. Adults 18 and over (n = 22,512) were analyzed. Bivariate prevalence estimates were obtained and logistic regression models were estimated. In addition, all analyses were weighted. Outcome Measures: The primary outcome measure was recent use of acupuncture, defined as any use in the past 12 months. Results: In 2007, 6.8% of adults reported lifetime use of acupuncture and 1.5% reported use in the past 12 months. Multivariate results showed significant effects in the expected directions for multiple variables in each of the four domains of our conceptual model (predisposing factors, enabling resources, need, and personal health practices). Among recent users, close to half reported some mention of wellness as a reason for use. Musculoskeletal conditions and pain were the top health conditions treated and these users, to some extent, integrated conventional and acupuncture care. Negative attitudes or skepticism about acupuncture were not common reasons for nonuse among prior and never users. Conclusions: Application of a sociobehavioral wellness model to frame correlates and patterns of recent acupuncture use in the Unites States shows promise.

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A Sociobehavioral Model of Acupuncture Use, Patterns, and Satisfaction Among Women in the United States, 2002

Cited by 39 publications

References 28 publications

Utilization of Group-Based, Community Acupuncture Clinics: A Comparative Study with a Nationally Representative Sample of Acupuncture Users

Utilization of Group-Based, Community Acupuncture Clinics: A Comparative Study with a Nationally Representative Sample of Acupuncture Users

Niekonwencjonalne metody terapii a zachowania zdrowotne osób dorosłych

A Sociobehavioral Wellness Model of Acupuncture Use in the United States, 2007

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