Race, Pain, and Beliefs Associated with Interest in Complementary and Alternative Medicine among Inner City Veterans

Goldstein, Jennifer N.; Ibrahim, Said A.; Frankel, Eitan; Mao, Jun J.

doi:10.1111/pme.12756

Cited by 14 publications

(8 citation statements)

References 35 publications

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“…This finding is supported by studies that have shown growing CIH acceptance among Veteran populations, with reported interest in these therapies ranging between 68% and 99.5%. 20,21 Addressing chronic pain and associated narcotic use, polypharmacy, and mental health conditions are current healthcare priorities. Policies to reduce opiate prescribing are being widely implemented, promoting non-pharmaceutical interventions to address pain.…”

Section: Discussionmentioning

confidence: 99%

Biopsychosocial benefits of movement-based complementary and integrative health therapies for patients with chronic conditions

et al. 2018

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Objectives Complementary and integrative health practices are growing in popularity, including use of movement-based therapies such as yoga, tai-chi, and qigong. Movement-based therapies are beneficial for a range of health conditions and are used more frequently by individuals with chronic illness. Yet little is known about how patients with chronic conditions characterize the health benefits of movement-based therapies. Methods We conducted focus groups with 31 patients enrolled in yoga and qigong programs for chronic conditions at two VA medical centers. Transcripts were analyzed using conventional content analysis with codes developed inductively from the data. Participants' descriptions of health benefits were then mapped to Engel's biopsychosocial model. Results Participants described improvements in all biopsychosocial realms, including improved physical and mental health, reduced opiate and psychotropic use, enhanced emotional well-being, and better social relationships. Changes were attributed to physical improvements, development of coping skills, and increased self-awareness. Discussion Patients with chronic illnesses in our sample reported multiple benefits from participation in movement-based therapies, including in physical, mental, and social health realms. Providers treating patients with complex comorbidities may consider referrals to movement-based therapy programs to address multiple concerns simultaneously, particularly among patients seeking alternatives to medication or adjunctive to an opiate reduction strategy.

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Section: Discussionmentioning

confidence: 99%

Biopsychosocial benefits of movement-based complementary and integrative health therapies for patients with chronic conditions

et al. 2018

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“…Goldstein et al found that inner-city African Americans were more likely to express interest in complementary and alternative medicine. 7 Such opinions expressed to a patient's primary care physician or outside referring physician may account for a decrease in neurosurgical referrals. In addition, culture-specific values influence patient roles and expectations, how much information about illness and treatment is desired, sex and family roles, and processes of decision making.…”

Section: Discussionmentioning

confidence: 99%

Racial disparities in the diagnosis and management of trigeminal neuralgia

Reinard

Nerenz

Basheer

et al. 2017

JNS

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OBJECTIVE A number of studies have documented inequalities in care and outcomes for a variety of clinical conditions. The authors sought to identify racial and socioeconomic disparities in the diagnosis and treatment of trigeminal neuralgia (TN), as well as the potential underlying reasons for those disparities, which could serve as areas of focus for future quality improvement initiatives. METHODS The medical records of patients with an ICD-9 code of 350.1, signifying a diagnosis of TN, at the Henry Ford Medical Group (HFMG) in the period from 2006 to 2012 were searched, and clinical and socioeconomic data were retrospectively reviewed. Analyses were conducted to assess potential racial differences in subspecialty referral patterns and the specific type of treatment modality undertaken for patients with TN. RESULTS The authors identified 652 patients eligible for analysis. Compared with white patients, black patients were less likely to undergo percutaneous ablative procedures, stereotactic radiosurgery, or microvascular decompression (p < 0.001). However, there was no difference in the likelihood of blacks and whites undergoing a procedure once they had seen a neurosurgeon (67% vs 70%, respectively; p = 0.712). Blacks and whites were equally likely to be seen by a neurologist or neurosurgeon if they were initially seen in either the emergency room (38% vs 37%, p = 0.879) or internal medicine (48% vs 50%, p = 0.806). Among patients diagnosed (268 patients) after the 2008 publication of the European Federation of Neurological Societies and the American Academy of Neurology guidelines for medical therapy for TN, fewer than 50% were on medications sanctioned by the guidelines, and there were no statistically significant racial disparities between white and black patients (p = 0.060). CONCLUSIONS According to data from a large database from one of the nation's largest comprehensive health care systems, there were significant racial disparities in the likelihood of a patient undergoing a procedure for TN. This appeared to stem from outside HFMG from a difference in referral patterns to the neurologists and neurosurgeons.

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“…This study is guided by the Anderson-Newman behavioural model, a conceptual framework widely used to analyze the determinants of health-care utilization. This theory postulates that an individual's access to and use of health-care services is considered to be a function of three characteristics: predisposing, enabling and need factors (Andersen, 1995;Andersen and Newman, 1973). Using the model, Li et al (2016) showed that age, gender, marital status, ethnicity and family size are significant predisposing factors affecting health service utilization.…”

Section: Methodology and Data Source Theoretical Frameworkmentioning

confidence: 99%

Household wealth and maternal health: evidence from Ghana

Osei

Nketiah‐Amponsah

Lambon‐Quayefio

2020

IJSE

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PurposeIn 2016, the World Health Organization (WHO) revised upwards the recommended contacts for antenatal care (ANC) by expectant mothers with a health provider from a minimum of four to eight over the pregnancy period. Although Ghana is yet to adopt the new recommendation, some women choose to adhere to the new protocol because of its enormous health benefits to the expecting mother and the unborn child. As part of ANC, family planning services are also provided to ensure child spacing and birth control. To reduce health costs, government introduced the free maternal health policy, Community-based Health Planning Services, Livelihood Empowerment Against Poverty and established the Northern Development Authority to increase access to healthcare and also create wealth. Given these interventions, the study hypothesizes that household wealth would not have a significant influence on antenatal visits and modern contraceptive use. Therefore, this paper aims to examine whether household wealth would play any significant role on the new minimum contacts proxied by antenatal visits and also on the use of modern contraceptives as a family planning counselling tool during ANC visits. The study further examines a possible heterogeneity effect of paternal characteristic on maternal health service utilization.Design/methodology/approachThe study used data from the most recent Ghana Demographic and Health Survey (GDHS, 2014). Both bivariate and multivariate analyses were used to investigate the effects of household wealth on the number of antenatal visits and modern contraceptive use. The bivariate analysis employed the use of chi-square test whiles, the multivariate analysis involved estimations using logistic regressions.FindingsThe findings show that household wealth would play a critical role given the revised WHO minimum ANC contacts by expectant mothers. Household wealth exerts a positive and significant effect on ANC for all wealth quintiles for women who attended at least eight ANC visits, but was insignificant for the poorer and middle quintiles of those who attended four to seven visits. Wealth, however, had an insignificant relationship with modern contraceptive use. Generally, education, age, birth order, media exposure as well as geographical locations had a significant influence on both ANC visits and modern contraceptive use. The study further revealed a heterogeneous effect on ANC attendance. In particular, despite the relatively poor conditions, women in rural areas whose partners/husbands have attained a minimum of secondary education are about twice more likely to attend 4–7 antenatal visits compared to their counterparts whose husbands/partners are without education. Hence, a holistic health education, which includes husbands/partners in the rural areas as well as strengthening interventions that improve livelihoods, is crucial.Originality/valueHealth guidelines are constantly reviewed, and government policies must adapt accordingly. This paper looks at the significant role household wealth still plays on modern contraceptive use and ANC visits, given the revised WHO minimum ANC contacts and uniquely underscores the influence of paternal characteristics on the utilization of these maternal health services.

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Race, Pain, and Beliefs Associated with Interest in Complementary and Alternative Medicine among Inner City Veterans

Cited by 14 publications

References 35 publications

Biopsychosocial benefits of movement-based complementary and integrative health therapies for patients with chronic conditions

Biopsychosocial benefits of movement-based complementary and integrative health therapies for patients with chronic conditions

Racial disparities in the diagnosis and management of trigeminal neuralgia

Household wealth and maternal health: evidence from Ghana

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