Assessing the effects of race and ethnicity on use of complementary and alternative therapies in the USA

Keith, Verna M.; Kronenfeld, Jennie Jacobs; Rivers, Patrick A.; Liang, Su‐Ying

doi:10.1080/1355785052000323010

Cited by 38 publications

(25 citation statements)

References 34 publications

(72 reference statements)

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“…[2][3][4][5][12][13][14][15][16][17][18][22][23][24][25][26][27] the current study is the largest study of CAM services use among socioeconomically disadvantaged AAs and whites. It was possible not only to estimate point prevalence and evaluate a wide range of potential correlates of use, but also to examine the trends of the prevalence in use during the past 8 years and compare association patterns for consistency between the two racial groups.…”

Section: Discussionmentioning

confidence: 99%

“…[7][8][9] CAM use is believed to be closely associated with socioeconomic and cultural backgrounds that vary between different racial/ethnic groups. 10,11 Although a number of national surveys have examined prevalence of CAM use in the general population and identified a number of associated factors/predictors, [2][3][4][5][12][13][14][15][16][17][18] economically disadvantaged populations and racial/ethnic minority groups were underrepresented in the majority of previous studies; thus, there is a paucity of data on the relative or differential influence of the related factors on CAM use in these subpopulations. In addition, since CAM use may change over time, [4][5][6] it should be evaluated periodically.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence and Correlates of Complementary and Alternative Medicine Services Use in Low-Income African Americans and Whites: A Report from the Southern Community Cohort Study

Cui

Hargreaves

Shu

et al. 2012

The Journal of Alternative and Complementary Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence and Correlates of Complementary and Alternative Medicine Services Use in Low-Income African Americans and Whites: A Report from the Southern Community Cohort Study

Cui

Hargreaves

Shu

et al. 2012

The Journal of Alternative and Complementary Medicine

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“…There has been little investigation of patientclinician communication about TM/CAM in ethnic minority populations. 10,19,[27][28][29][30] Although TM/CAM use is common in ethnic minority primary care populations, [31][32][33][34][35][36][37][38][39][40][41] research conducted on disclosure and discussion of TM/CAM with primary care clinicians shows it is limited at best. 6,37,38 Nondisclosure is found to be more common among minority groups, including Hispanics and Native Americans, as well as among indigent patients.…”

Section: Discussionmentioning

confidence: 99%

'They Don't Ask Me So I Don't Tell Them': Patient-Clinician Communication About Traditional, Complementary, and Alternative Medicine

Shelley¹,

Sussman²,

Williams³

et al. 2009

The Annals of Family Medicine

205

156

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PURPOSE Although high rates of traditional medicine and complementary and alternative medicine (TM/CAM) use have been well documented, there has been less attention to the factors infl uencing communication between patients and their primary care clinicians about TM/CAM. Such communication can be important in anticipating possible drug-herb interactions and in assuring agreement about therapeutic plans. METHODSWe used sequential, multistage, qualitative methods, including focus groups, in-depth interviews, and a video vignette, to explore communication about TM/CAM between patients and their primary care clinicians. The study was conducted in RIOS Net (Research Involved in Outpatient Settings Network), a Southwestern US practice-based research network, situated largely in Hispanic and American Indian communities where TM/CAM is an important part of self-care. RESULTSOne hundred fourteen patients, 41 clinic staff members, and 19 primary care clinicians in 8 clinic sites participated. The degree and nature of TM/ CAM communication is based on certain conditions in the clinical encounter. We categorized these fi ndings into 3 themes: acceptance/nonjudgment, initiation of communication, and safety/effi cacy. Perceived clinician receptivity to and initiation of discussion about TM/CAM strongly infl uenced patients' decisions to communicate; perceived clinician expertise in TM/CAM was less important. Clinicians' comfort with patients' self-care approaches and their level of concern about lack of scientifi c evidence of effectiveness and safety of TM/CAM infl uenced their communication about TM/CAM with patients. CONCLUSIONS Specifi c communication barriers limit patient-clinician communication about TM/CAM. Clinicians who wish to communicate more effectively with their patients about these topics and better integrate the types of care their patients use can change the communication dynamic with simple strategies designed to overcome these barriers. INTRODUCTIONT he use of traditional, complementary, and alternative medicine is widespread, 1-4 although most users of traditional medicine and complementary and alternative medicine (TM/CAM) 2 also use allopathic care. 3 There are numerous studies, however, documenting a lack of communication in the conventional care setting between patients and their primary care clinicians about patients' use of TM/CAM. [5][6][7] Patient-centered communication is an evolving construct unifi ed by a set of core values defi ned by Epstein et al as a set of strategies (or a "way of being") designed to enhance a sense of partnership in the patient-clinician 8 Applied to TM/CAM use, patient-centered communication can be important because it may (1) result in closer agreement between the clinician and patient about treatment plans, (2) reduce misunderstandings between patients and clinicians, (3) uncover potential herb-drug interactions, (4) strengthen the quality of the patient-clinician relationship, and (5) provide an opportunity to discuss specifi c TM/CAM modalities with high-qu...

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“…In general, whites and Asians have higher rates of CAM use and blacks and Hispanics lower rates of use (Barnes, Powell-Griner, McFann, & Nahin, 2004;Graham et al, 2005;Keith, Kronenfeld, Rivers, & Liang, 2005), although these patterns depend to some extent on the types of CAM under consideration (Mackenzie, Taylor, Bloom, Hufford, & Johnson, 2003;Upchurch et al, 2007). Acupuncture is a part of traditional East Asian medicine, thus, Asian women are more likely to use it than other racial and ethnic groups (Burke et al, 2006).…”

Section: Sociobehavioral Model Of Health Care Utilizationmentioning

confidence: 99%

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

Upchurch

Burke

Dye

et al. 2008

Women's Health Issues

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Objectives-To examine the correlates of recent acupuncture use among American women, applying a sociobehavioral model of utilization of conventional health care. Patterns of use, satisfaction, and reasons for acupuncture use are also examined.Methods-The 2002 National Health Interview Survey (NHIS) is used, which included the Alternative Health/Complementary Alternative Medicine Supplement. All analyses and estimates used the NHIS individual-level sampling weights; variance estimates were adjusted to account for complex sample design. Bivariate statistics and logistic regression were used. N=17,112 women.Results-Prevalence of recent acupuncture use was low (1.1 percent), but translates to over 1.2 million American women. Multivariate results found the effects of race and ethnicity on acupuncture use were contingent on educational level. Women living in the West were more likely to use acupuncture, as were women with fair health status, former smokers, current moderate/heavy alcohol users, and women with higher body mass index. Women tended to use acupuncture for conditions not commonly well treated by conventional medicine (e.g., chronic pain) and the majority reported using acupuncture in conjunction with conventional medicine.*Direct correspondence to Dr. Dawn M. Upchurch, Professor, UCLA School of Public Health, 650 Charles E. Young Drive South, Los Angeles, California 90095−1772, upchurch@ucla.edu.. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Conclusions-Predisposing and enabling factors, as well as medical need and personal health practices, are associated with women's recent use of acupuncture services, including several that are also associated with conventional health care services. NIH Public Access

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Assessing the effects of race and ethnicity on use of complementary and alternative therapies in the USA

Cited by 38 publications

References 34 publications

Prevalence and Correlates of Complementary and Alternative Medicine Services Use in Low-Income African Americans and Whites: A Report from the Southern Community Cohort Study

Prevalence and Correlates of Complementary and Alternative Medicine Services Use in Low-Income African Americans and Whites: A Report from the Southern Community Cohort Study

'They Don't Ask Me So I Don't Tell Them': Patient-Clinician Communication About Traditional, Complementary, and Alternative Medicine

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

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