Use of complementary and alternative medicine among Dominican emergency department patients

Allen, Rebecca; Cushman, Linda F.; Morris, Stephen A.; Feldman, Joseph; Wade, Christine; McMahon, Don; Moses, Michael J.; Kronenberg, Fredi

doi:10.1016/s0735-6757(00)90048-2

Cited by 42 publications

(32 citation statements)

References 9 publications

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“…However, the consistency of our prevalence results with convenience samples in other regions [3][4][5] is reassuring. Fourth, some patients who were questioned regarding the use of CAM might have been embarrassed to report usage in our in-person interview, which may have led to inaccurate results.…”

Section: Limitationssupporting

confidence: 76%

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A Multicenter Study of Complementary and Alternative Medicine Usage among ED Patients

Kim

Hohrmann

Clark

et al. 2005

Academic Emergency Medicine

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Objectives: To estimate the prevalence of complementary and alternative medicine (CAM) usage among emergency department (ED) patients. Methods: This study was a crosssectional study in four Boston-area EDs. For two 24-hour periods, the authors interviewed consecutive patients age 18 and older about whether they had ever used or had recently (within the past year) used CAM ''remedies'' (e.g., herbal treatments) or ''therapies'' (e.g., chiropractic). The authors also asked about the patient's disclosure of CAM usage to allopathic health care providers. Results: Of 978 patients, 752 patients were eligible. Among these, 539 (72%) were interviewed. Of these patients, ever having used CAM was reported by 57% (95% CI = 52% to 61%), and 37% (95% CI = 33% to 41%) reported use in the past year. In a multivariate model of recent CAM usage, independent predictors were younger age, higher education level, and chronic pain. Patients who spoke Spanish as their primary language were less likely to report CAM usage. Disclosure of CAM usage to allopathic providers was low, yet .80% reported that they would be comfortable discussing their CAM usage with allopathic providers. Conclusions: CAM usage was common among ED patients enrolled in our study, despite underreporting to ED staff. Given the growing evidence of benefits and hazards from popular CAM remedies and therapies, ED staff should consider raising this health issue with their patients.

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Section: Limitationssupporting

confidence: 76%

“…2 A few studies have reported CAM usage among emergency department (ED) patients. [3][4][5] Although these single-center studies provided prevalence estimates, their reliance on convenience samples raised concerns that estimates may have been biased. Moreover, two of these studies excluded non-Englishspeaking patients.…”

Section: Introductionmentioning

confidence: 99%

A Multicenter Study of Complementary and Alternative Medicine Usage among ED Patients

Kim

Hohrmann

Clark

et al. 2005

Academic Emergency Medicine

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“…One study examined the use of complementary and alternative medicine by 50 Dominican immigrants in a New York City emergency department (Allen et al, 2000). The researchers found that almost half the patients used complementary and alternative medicines in the past year for a complaint.…”

Section: Studies Of Dominican Immigrantsmentioning

confidence: 99%

“…(Allen et al, 2000;Bearison et al, 2002;Ososki et al, 2002;Person et al, 2006). Knowledge gained regarding folk practices, incorporated into nursing education through textbooks, articles, and expert sources, can assist nurses in promoting transcultural understanding of these practices.…”

Section: Culture Care Accommodation/negotiationmentioning

confidence: 99%

Culture Care Meanings, Beliefs, and Practices in Rural Dominican Republic

Schumacher

2010

J Transcult Nurs

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Purpose: This ethnonursing study explored the meanings, beliefs, and practices of care for rural Dominicans in the Dominican Republic. Design: Leininger’s culture care diversity and universality theory, ethnonursing, and four-phase analysis method guided the study. Interviews were conducted with 19 general and 10 key informants. Findings: Analysis of interviews revealed three main themes: (a) family presence is essential for meaningful care experiences and care practices, (b) respect and attention are central to the meaning of care and care practices, and (c) rural Dominicans value and use both generic (folk) and professional care practices. Discussion and Conclusion: Implications and recommendations for nursing practice, education, and research are described.

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“…The findings include high rates of self-treatment and home remedies (balanced diets and other alternative medicines) for Chinese immigrants to the United States; medium rates of utilization of integrated Western and traditional health services, including travel to country of origin for care; and low rates of exclusive utilization of Western or traditional Chinese treatments (Ma, 1999). Similar practices were also found among Mexican Americans and Dominicans (Allen et al, 2000). Keegan (2000) reported that Mexican Americans used CAM twice as often as Anglo-Americans, including visits to the traditional curanderos (Mexican folk healers) (Keegan, 1996).…”

Section: Geographic Variablesmentioning

confidence: 54%

Complementary and alternative medicine: Consumers in search of wellness or an expression of need by the sick?

Spence

Ribeaux

2003

Psychology and Marketing

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The provision of health care in Western societies is examined in relation to the arrival of complementary and alternative medicine (CAM) as a serious provider in the latter half of the 20th century. This article examines the underlying components of the increasing uptake of CAM and attempts to cluster health-care consumers according to their attitudes and motivation toward the use of healthcare products and services. The analysis does not support the idea of a widespread uptake of CAM practitioner treatments on the part of the general public except for particular segments of that public, including the seriously ill. There is also little evidence of exclusive use of CAM for personal health care. On the other hand, there is significant evidence for an uptake of non-practitioner-based CAM by wider segments of the population. The findings raise issues regarding the evidence for the efficacy of CAM and the methodology for testing it. These are discussed. ᭧ 2004 Wiley Periodicals, Inc.

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Use of complementary and alternative medicine among Dominican emergency department patients

Cited by 42 publications

References 9 publications

A Multicenter Study of Complementary and Alternative Medicine Usage among ED Patients

A Multicenter Study of Complementary and Alternative Medicine Usage among ED Patients

Culture Care Meanings, Beliefs, and Practices in Rural Dominican Republic

Complementary and alternative medicine: Consumers in search of wellness or an expression of need by the sick?

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