Variation in Complementary and Alternative Medicine (CAM) Use Across Racial/Ethnic Groups and the Development of Ethnic-Specific Measures of CAM Use

Hsiao, An-Fu; Wong, Mitchell D.; Goldstein, Michael S.; Yu, Hongjian; Andersen, Ronald; Brown, E. Richard; Becerra, Lida M.; Wenger, Neil S.

doi:10.1089/acm.2006.12.281

Cited by 107 publications

(94 citation statements)

References 21 publications

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“…[71][72][73] For example, population studies suggest that the ethnic groups that are low users of conventional supportive group interventions may be relatively high users of CAM. 25,28 As the fields of cancer survivorship and health disparities grow, it will be important to access hardto-reach and underserved populations. Therefore, we need to continue exploring novel interventions and options for support for the growing and diverse population of cancer survivors.…”

Section: Psychosocial Stress and Cancermentioning

confidence: 99%

“…27 Although, at this point, there has been little formal assessment of patterns and predictors of CAM use among cancer survivors from diverse ethnic groups, some data suggest that CAM use is overall similarly high across ethnic groups, with subgroup variations in patterns of use. 25,28 For example, although use of mind-body therapies is consistently high on the list of commonly used CAM modalities overall, it is particularly high in some minority subgroups such as African Americans. 25 There are potential advantages for practitioners to be able to discuss CAM with their patients and, in some cases, to integrate it with conventional care.…”

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confidence: 99%

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Potential role of mind-body therapies in cancer survivorship

Monti

Sufian

Peterson

2008

Cancer

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The use of complementary and alternative medicine (CAM) by cancer survivors is high, particularly among those with psychosocial distress, poor quality of life, culturally based health beliefs, and those who experience health disparities in the mainstream healthcare system. As the number of cancer survivors continues to increase, so does the diversity of the survivorship population, making it increasingly important to understand and address the CAM culture in different survivor groups. Given the known communication barriers between cancer patients and their physicians regarding CAM, it would be useful for oncology providers to have a platform from which to discuss CAM-related issues. It is proposed that mind-body therapies with some basis in evidence could provide such a platform and also serve as a possible means of connecting cancer survivors to psychosocial supportive services. This article reviews a few mind-body therapies that may have particular relevance to cancer survivors, such as hypnosis and meditation practices. A theoretical foundation by which such therapies provide benefit is presented, with particular emphasis on self-regulation.

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Section: Psychosocial Stress and Cancermentioning

confidence: 99%

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confidence: 99%

Potential role of mind-body therapies in cancer survivorship

Monti

Sufian

Peterson

2008

Cancer

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“…7 A limitation of most studies' designs was that patient surveys were available in only English. 8 When multilanguage surveys or interpreters were accessible, a study showed an even higher percentage of Hispanic CAM users (63%). 9 Variation in results may also be attributed to different definitions of CAM across studies.…”

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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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“…[2][3][4][5][6][7][8][9] In one study, for example, Barnes et al 10 demonstrated that 43.1% of white adults sought out CAM treatments in comparison to 25.5% of blacks. Furthermore, there is minimal research that provides an explanation as to why blacks use CAM less often.…”

Section: Introductionmentioning

confidence: 99%

“…25 All existing survey research studies demonstrate that blacks use chiropractic health care services less often than whites. [2][3][4][5][6][7]9,15,16,[26][27][28][29] In many instances, whites used chiropractic at least twice as often as blacks. 2,4,6,7,9,15,16,26,29 Some have attributed this difference to the perception of discrepancies of health care treatment by blacks, lower average educational levels of blacks compared to whites, and the lack of accessibility to doctors of chiropractic (DCs) in black communities.…”

Section: Introductionmentioning

confidence: 99%

Attributes of Non-Hispanic Blacks That Use Chiropractic Health Care: A Survey of Patients in Texas and Louisiana

Ward

Humphries

Coats

et al. 2015

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to describe non-Hispanic blacks that use chiropractic health care to better understand this underserved demographic. Methods: E-mail and telephone calls were used to recruit doctors of chiropractic (DCs) in Texas and Louisiana to distribute anonymous surveys to their non-Hispanic black patients. Twenty doctors volunteered to participate. Each was sent 10 surveys and self-addressed envelopes to distribute. All doctors were given at least 3 months to distribute surveys to as many non-Hispanic black patients that they had. The survey contained 20 questions designed to develop a profile of non-Hispanic black patients that used chiropractic care. Descriptive statistics were used to summarize demographic and other patient attributes. Results: Two-hundred surveys were distributed and 44 were completed, yielding a response rate of 22%. Non-Hispanic black patients were more likely to be female (54.5%), be older than 50 years (56.8%), be a college graduate (59.1%), be employed (61.9%), report not receiving public assistance in the past 5 years (81.4%), report a household income of $20 000 to $60 000 a year (48.8%), and born in the United States (83.7%). Participants reported that there was a DC within 30 minutes of their address (81.4%), their DC always explained things to them in an easy-to-understand manner (81.8%), their DC always showed respect for what they had to say (88.6%), and their DC always cared about them as a person (86.4%). Conclusions: In the sample surveyed, non-Hispanic black patients tended to be female, be older, be college educated, be employed, and have a positive viewpoint on their interactions with their DC.

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Variation in Complementary and Alternative Medicine (CAM) Use Across Racial/Ethnic Groups and the Development of Ethnic-Specific Measures of CAM Use

Abstract: Patterns of CAM use and ethnic-specific CAM use vary across racial/ethnic groups. Evaluation of CAM use in ethnically diverse populations should recognize ethnic-specific modalities and variation across ethnicity.

Cited by 107 publications

References 21 publications

Potential role of mind-body therapies in cancer survivorship

Potential role of mind-body therapies in cancer survivorship

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

Attributes of Non-Hispanic Blacks That Use Chiropractic Health Care: A Survey of Patients in Texas and Louisiana

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