Complementary and Alternative Medication (CAM) Use and Asthma Outcomes in Children: An Urban Perspective

Adams, Sue K.; Murdock, Karla Klein; McQuaid, Elizabeth L.

doi:10.1080/02770900701645835

Cited by 30 publications

(41 citation statements)

References 30 publications

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“…In contrast to previous cross sectional studies that suggested a link between CAM use and decreased adherence to asthma medications, 18,19 we found that CAM use does not affect future adherence with daily asthma medications. To our knowledge, this is the first study to examine this issue by using longitudinal data.…”

Section: Discussioncontrasting

confidence: 56%

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Complementary and Alternative Medicine Use and Adherence With Pediatric Asthma Treatment

Philp¹,

Maselli

Pachter

et al. 2012

Pediatrics

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BACKGROUND AND OBJECTIVE: Complementary and alternative medicine (CAM) use for pediatric asthma is increasing. The authors of previous studies linked CAM use with decreased adherence to conventional asthma medicines; however, these studies were limited by cross-sectional design. Our objective was to assess the effect of starting CAM on pediatric adherence with daily asthma medications. METHODS: We used a retrospective cohort study design. Telephone surveys were administered to caregivers of patients with asthma annually from 2004 to 2007. Dependent variables were percent missed doses per week and a previously validated “Medication Adherence Scale score.” Independent variables included demographic factors, caregiver perception of asthma control, and initiation of CAM for asthma. We used multivariate linear regression to assess the relationship between medication adherence and previous initiation of CAM. RESULTS: From our longitudinal data set of 1322 patients, we focused on 187 children prescribed daily medications for all 3 years of our study. Patients had high rates of adherence. The mean percent missed asthma daily controller medication doses per week was 7.7% (SD = 14.2%). Medication Adherence Scale scores (range: 4–20, with lower scores reflecting higher adherence) had an overall mean of 7.5 (SD = 2.9). In multivariate analyses, controlling for demographic factors and asthma severity, initiation of CAM use was not associated with subsequent adherence (P > .05). CONCLUSIONS: The data from this study suggest that CAM use is not necessarily “competitive” with conventional asthma therapies; families may incorporate different health belief systems simultaneously in their asthma management. As CAM use becomes more prevalent, it is important for physicians to ask about CAM use in a nonjudgmental fashion.

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Section: Discussioncontrasting

confidence: 56%

“…Studies have suggested that parents who use CAM may use it in place of biomedical asthma medications. [16][17][18] Similarly, herbal remedy use has been linked to decreased adherence with asthma medications among adults. 19 However, these studies were limited by crosssectional design.…”

mentioning

confidence: 99%

Complementary and Alternative Medicine Use and Adherence With Pediatric Asthma Treatment

Philp¹,

Maselli

Pachter

et al. 2012

Pediatrics

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“…Studies have found as many as 72% to 89% of Hispanics use or are aware of ethnomedical, complementary and alternative medicine (CAM), and home or folk remedies for asthma. [21][22][23][24][25][26][27][28] In light of the high prevalence of asthma among Puerto Ricans and the great number of Hispanics who use ethnomedical therapies for asthma, it is important to understand which ethnomedical treatments Puerto Ricans use. Many studies of ethnomedical use in general 29,30 and asthma specifi cally 21,22,25 have grouped Hispanics together into 1 category for data presentation and analysis, focused on other Hispanic subgroups (eg, Dominican), 24 or included only small numbers of Puerto Ricans.…”

mentioning

confidence: 99%

“…Many studies of ethnomedical use in general 29,30 and asthma specifi cally 21,22,25 have grouped Hispanics together into 1 category for data presentation and analysis, focused on other Hispanic subgroups (eg, Dominican), 24 or included only small numbers of Puerto Ricans. 23 Few studies have focused on mainland Puerto Ricans [26][27][28] and examined the infl uence of ethnomedical treatment type [26][27][28] and information source 25 on use or perceived effi cacy. In the context of this study, ethnomedical treatments are nonallopathic treatments that are part of a system of healing practices, beliefs, and social relations of an ethnic group, derived mostly from the popular (lay, nonprofessional, nonspecialist) and folk (nonprofessional, specialist) health care sectors.…”

mentioning

confidence: 99%

“…Studies have found as many as 72% to 89% of Hispanics use or are aware of ethnomedical, complementary and alternative medicine (CAM), and home or folk remedies for asthma. [21][22][23][24][25][26][27][28] [26][27][28] and information source 25 on use or perceived effi cacy. In the context of this study, ethnomedical treatments are nonallopathic treatments that are part of a system of healing practices, beliefs, and social relations of an ethnic group, derived mostly from the popular (lay, nonprofessional, nonspecialist) and folk (nonprofessional, specialist) health care sectors.…”

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confidence: 99%

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Knowledge and Use of Ethnomedical Treatments for Asthma Among Puerto Ricans in an Urban Community

Zayas¹,

Wisniewski²,

Cadzow³

et al. 2011

The Annals of Family Medicine

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PURPOSE Puerto Ricans have higher lifetime and current asthma prevalence than other racial and ethnic groups in the United States. A great many Hispanics use ethnomedical therapies for asthma. This study elicited participant knowledge of ethnomedical therapies, developed a typology of the therapies, and considered whether some types are used or deemed effi cacious based, in part, on information source.METHODS Eligible participants were randomly selected from the medical records of an inner-city primary care clinic serving a predominantly Hispanic community in Buffalo, New York. Thirty adult Puerto Ricans who had asthma or were caregivers of children with asthma were interviewed in person using a semistructured instrument. Qualitative data analysis followed a content-driven immersion-crystallization approach. Outcome measures were ethnomedical treatments for asthma known to participants, whether these treatments were used or perceived effective, and the participant's information source about the treatment. RESULTSParticipants identifi ed 75 ethnomedical treatments for asthma. Behavioral strategies were signifi cantly more likely to be used or perceived effective compared with ingested and topical remedies (P <.001). Among information sources for ingested and topical remedies, those recommended by community members were signifi cantly less likely to be used or perceived effective (P <.001) compared with other sources. CONCLUSIONS This sample of Puerto Ricans with a regular source of medical care was signifi cantly more likely to use or perceive as effective behavioral strategies compared with ingested and topical remedies. Allopathic clinicians should ask Puerto Rican patients about their use of ethnomedical therapies for asthma to better understand their health beliefs and to integrate ethnomedical therapies with allopathic medicine.Ann Fam Med 2011;9:50-56. doi:10.1370/afm.1200. INTRODUCTIONI n general, Hispanics have worse access to care, and the health care they receive is of poorer quality than that received by non-Hispanic whites.1 Compared with other Hispanic subgroups (eg, MexicanAmericans, Cubans), Puerto Ricans have poorer self-assessed health status, more activity limitations, and more medical conditions. 2,3 This disparity exists despite their eligibility for public health care programs as US citizens. Lifetime and current asthma prevalence are higher in Puerto Rico than any other state or territory of the United States. [4][5][6] Among Hispanics in the United States, Puerto Rican children and adults have higher lifetime asthma prevalence, 6-13 current asthma prevalence, [6][7][8][13][14][15][16] E T HNO MEDIC A L T R E AT MEN T S F OR A S T HM AAmericans, Dominicans, Cubans). One study found Puerto Ricans have higher current asthma prevalence than Dominicans and other Hispanic subgroups, even when they have the same living environment and a similar socioeconomic status. 18 The reasons for this disparity are not known. In Buffalo, New York, where this study was conducted, Hispanics, most of w...

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Asthma bronchiale bei Kindern

Petermann

Schauerte

2008

Bundesgesundheitsbl.

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Success in treating and managing bronchial asthma in children and adolescents is known to rely on active cooperation on behalf of both the patients and their parents. Compliance in terms of pharmaceutical or behavioural intervention is often insufficient to prevent further aggravation and exacerbation. Specific measures for enhancing therapy compliance have been well received in the German Health Care System, and research results indicate their effectiveness in reducing health care utilization and in improving quality of life. Studies that would ascribe such effects to regular medication intake or reduced exposure to allergic elicitors, however, are still lacking.

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Complementary and Alternative Medication (CAM) Use and Asthma Outcomes in Children: An Urban Perspective

Cited by 30 publications

References 30 publications

Complementary and Alternative Medicine Use and Adherence With Pediatric Asthma Treatment

Complementary and Alternative Medicine Use and Adherence With Pediatric Asthma Treatment

Knowledge and Use of Ethnomedical Treatments for Asthma Among Puerto Ricans in an Urban Community

Asthma bronchiale bei Kindern

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