Complementary and Alternative Medicine Use Among Asian-American Subgroups: Prevalence, Predictors, and Lack of Relationship to Acculturation and Access to Conventional Health Care

Hsiao, An-Fu; Wong, Mitchell D.; Goldstein, Michael S.; Becerra, Lida; Cheng, Eric M.; Wenger, Neil S.

doi:10.1089/acm.2006.12.1003

Cited by 54 publications

(59 citation statements)

References 21 publications

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“…Asian American elderly-the majority of whom are foreign-born immigrants-appear to use emotional self-care to counteract depressive experiences, and are less likely to seek professional medical help or take prescription medicine then are native-born American elderly (Hsiao et al, 2006). Specific self-care strategies for Asian mental health include cognitive, religious, physical, social and artistic approaches of coping (Pang, 1996;Sue, 2005).…”

Section: Asian American Mental Health and Resiliencymentioning

confidence: 99%

Religious/Spiritual and Other Adaptive Coping Strategies Among Chinese American Older Immigrants

Lee

Chan

2009

Journal of Gerontological Social Work

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Although recent scholarship focuses on the importance of religion to ethnic minorities and immigrants, relatively little attention has been given to how faith and spirituality help Asian immigrant elderly cope with life's challenges. This exploratory study was undertaken via in-depth interviews with 12 Chinese American older adults to further explore the meaning of suffering and faith as a coping mechanism for these challenges. Findings reveal that these respondents have developed particular adaptive strategies in managing their life challenges incorporating socio-emotional, cognitive, and instrumental aspects. Religious/spiritual coping was found to be embedded with respondents' values, faith, and cultural beliefs, and seem to be an important factor in developing effective coping strategies. Implications for the importance of culturally sensitive social work practice are discussed.

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Section: Asian American Mental Health and Resiliencymentioning

confidence: 99%

Religious/Spiritual and Other Adaptive Coping Strategies Among Chinese American Older Immigrants

Lee

Chan

2009

Journal of Gerontological Social Work

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“…A study showed that non-Latino whites and Japanese Americans who were more religious were less likely to use overall CAM, whereas increased spirituality was associated with higher overall CAM use. 24 However, this study was unable to examine the role of religiosity and spirituality with non-R/S CAM use in the cancer population.…”

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confidence: 94%

Role of Religiosity and Spirituality in Complementary and Alternative Medicine Use Among Cancer Survivors in California

et al. 2008

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Objectives. Cancer survivors often turn to religion, spirituality, and complementary and alternative medicine (CAM) because they perceive these areas as being more holistic and patient-centered than conventional medicine. Because increased religiosity and spirituality have been found to be associated with higher CAM use in the general population, it was hypothesized that these factors would be important predictors of CAM use in cancer survivors. Design and Subjects. The study included a subsample of 1844 people with cancer or a history of cancer from the 2003 California Health Interview Survey of CAM, a cross-sectional survey of a population-based sample of adults in California. Prevalence and predictors of religious/spiritual forms of CAM (R/S CAM) and nonreligious/nonspiritual forms of CAM (non-R/S CAM) were compared. Multivariate logistic regression was used to identify the predictors of R/S CAM and non-R/S CAM. Results. Nearly two thirds of participants reported using at least 1 type of R/S CAM, and 85% reported ever using non-R/S CAM. The majority of cancer survivors reported that they were very/moderately religious or spiritual. Both religiosity and spirituality were strongly related to non-R/S CAM use, but in opposite directions. Very or moderately religious cancer survivors were less likely (odds ratio = 0.30; 95% confidence interval, 0.12-0.40) than nonreligious cancer survivors to use non-R/S CAM. In contrast, very or moderately spiritual cancer survivors were more likely (odds ratio = 2.42; 95% confidence interval, 1.16-6.02) than nonspiritual cancer survivors to use non-R/S CAM. Conclusions. The use of R/S CAM and non-R/S CAM is very high in cancer survivors. It may be helpful for clinicians to ascertain their patients' use of these types of CAM to integrate all forms of care used to managing their cancer.

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“…1,28,31,42 Unfortunately, small sample sizes of Asian subgroups precluded more detailed examination of variation by country of origin. 43,44 The effects of the remaining predisposing factors were in the expected directions, similar to those for general CAM use and for acupuncture. 1,10,17,30,33,45 A limitation of the NHIS is that it does not include information on health and illness beliefs and values, predisposing factors known to be associated with CAM use.…”

mentioning

confidence: 56%

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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Complementary and Alternative Medicine Use Among Asian-American Subgroups: Prevalence, Predictors, and Lack of Relationship to Acculturation and Access to Conventional Health Care

Abstract: CAM use varies across Asian-American subgroups. Acculturation and access to conventional medical care is unrelated to any CAM use for most Asian-American subgroups.

Cited by 54 publications

References 21 publications

Religious/Spiritual and Other Adaptive Coping Strategies Among Chinese American Older Immigrants

Religious/Spiritual and Other Adaptive Coping Strategies Among Chinese American Older Immigrants

Role of Religiosity and Spirituality in Complementary and Alternative Medicine Use Among Cancer Survivors in California

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

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