Impact of Immigration on Complementary and Alternative Medicine Use in Hispanic Patients

White, Brett; Knox, Lyndee; Zepeda, Monica; Mull, Dennis; Nunez, Felix L.

doi:10.3122/jabfm.2009.03.080210

Cited by 18 publications

(13 citation statements)

References 2 publications

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“…The selective migration perspective (or ‘healthy migrant hypothesis’) posits that immigrants are healthier than non-migrants in their origin countries and may be healthier than U.S. natives [36–38], and therefore do not need formal health services, even routine ones. In addition, immigrants may rely on other forms of health promotion such as traditional healing practices, e.g., acupuncture, or familial and communal social support [39–42]. Both of these explanations hinge on the idea that immigrants understand their health status and the role of formal healthcare differently than the U.S. born, since most originate from countries with distinct (or limited) healthcare systems and beliefs about what constitutes a healthy and happy life [43].…”

Section: Discussionmentioning

confidence: 99%

Immigrant-Native Disparities in Perceived and Actual Met/Unmet Need for Medical Care

Hasanali

2014

J Immigrant Minority Health

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This study compares the unmet medical needs of foreign-born and U.S.-born adults. Both subjective and objective unmet medical needs are considered, and the roles of duration of U.S. residence, English language proficiency, and state-level destination type in explaining immigrants’ unmet need are assessed. Multivariate analyses of the 2007–2009 Medical Expenditure Panel Survey reveal that immigrants reported less subjective unmet need and equal or greater objective unmet need vis-à-vis natives. Among immigrants only, living less than 5 years in the U.S. and in a new or traditional, high-skill destination state versus a traditional, low-skill state is significantly associated with greater objective, but not subjective, unmet need. While this study reinforces the importance of stable health insurance and, to a lesser extent, income for gaining entry to the formal healthcare system for both immigrants and natives, it also highlights the need to identify factors that influence immigrants’ positive health-related perceptions, including characteristics of the healthcare system in origin countries.

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Section: Discussionmentioning

confidence: 99%

Immigrant-Native Disparities in Perceived and Actual Met/Unmet Need for Medical Care

Hasanali

2014

J Immigrant Minority Health

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“…30 While our population was primarily concerned about weight loss, justification for CAM use is diverse. For example, 2 separate studies conducted in Los Angeles, California, showed that digestive problems 17 and pain 9 were the most common reasons for CAM usage. In addition, a study of a Hispanic community in South Carolina reported infection as the main reason for CAM use.…”

Section: Discussionmentioning

confidence: 99%

Use of and Interests in Complementary and Alternative Medicine by Hispanic Patients of a Community Health Center

Nguyen

Liu

et al. 2015

The Journal of the American Board of Family Medicine

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Introduction:We evaluated complementary and alternative medicine (CAM) use among a medically underserved, predominately Hispanic community at the University of California Irvine Family Health Center, a federally qualified health center.Methods: A cross-sectional, anonymous survey assessed patient use of, interest in, and communication preferences concerning CAM.Results: The 150 respondents primarily self-identified as Hispanic (74%), were born outside the United States (55%), were medically insured (56%), and had a high school education or less (55%). Of these respondents, 63% used at least 1 type of CAM; the most commonly used were: vitamins/supplements (32%), herbal medicine (29%), dietary/nutritional therapy (26%), massage (24%), meditation/ relaxation (15%) and chiropractic (11%). Therapies that patients most desired to see provided at the clinic included massage, healthier cooking, guidance on herbs/supplements, and diet/nutrition. Among respondents, 61% were comfortable disclosing CAM use to physicians, 58% agreed physicians should have basic knowledge of CAM, and 47% desired that physicians ask about CAM use.

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“…However, similar to other Hispanic groups [35][36][37], the specific methods, usage frequency, and conditions under which CAM methods are employed appears by MSFW group and illness [10,13,35,38,39]. It has been reported that older foreign-born immigrants appear to preferentially use CAM [35] but it is uncertain whether this is also the case for aging MSFW.…”

mentioning

confidence: 95%

Exploratory Study of the Occupational Health and Health-Seeking of Migrant and Seasonal Farmworkers on the U.S.–Mexico Border

Weigel

Armijos

2011

J Immigrant Minority Health

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The U.S. migrant and seasonal farmworker (MSFW) workforce is aging. Aging causes functional changes that can affect work performance and increase injury/accident risk. It also has been linked with deferred health-seeking. The exploratory study was conducted to investigate occupational injuries and health-seeking in Hispanic MSFW on the U.S.-Mexico border. Data were collected using an abbreviated Spanish-version of the California Agricultural Worker Health Survey. Nearly 60% of the 141 participants were middle-aged or older. Musculoskeletal injuries and those consistent with agrochemical and environmental exposures were common. Farmworkers aged >40 years were 2.5-5 times more likely than younger MSFW to report persistent single and multiple injuries involving the knees, shoulder, feet, and hands. Except for neck and back injuries, few received any medical treatment. Although many self-treated with traditional home remedies, few used CAM practitioners. The study findings highlight the multiple workplace health and health-seeking challenges faced by aging immigrant MSFW.

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Impact of Immigration on Complementary and Alternative Medicine Use in Hispanic Patients

Cited by 18 publications

References 2 publications

Immigrant-Native Disparities in Perceived and Actual Met/Unmet Need for Medical Care

Immigrant-Native Disparities in Perceived and Actual Met/Unmet Need for Medical Care

Use of and Interests in Complementary and Alternative Medicine by Hispanic Patients of a Community Health Center

Exploratory Study of the Occupational Health and Health-Seeking of Migrant and Seasonal Farmworkers on the U.S.–Mexico Border

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