Literature DB >> 12776475

Use of complementary and alternative medicine among the ethnic elderly.

Wadie Najm1, Sibylle Reinsch, Fred Hoehler, Jerome Tobis.   

Abstract

OBJECTIVE: We sought to explore whether the elderly are high users of complementary and alternative medicine (CAM), and to determine which modalities they use. We also sought to describe patterns and positive predictors of CAM use among 3 ethnically diverse groups of community-residing elderly.
DESIGN: A 7-page questionnaire was developed and translated into Spanish and Vietnamese. PARTICIPANTS: A population of 525 community-residing elderly completed personal interviews.
RESULTS: Two hundred and fifty-one respondents (47.8%) reported using CAM over the past year. Dietary supplements (47.4%), chiropractic (16.3%), home remedies (15.9%), acupuncture (15.1%), and Oriental medicine (12.8%), were the most frequently cited therapies. The majority of CAM users (62.4%) did not inform their physicians that they were using it, but 58% consulted their physician for the same problem for which they used CAM. Family and friends were most relied upon for making the choice of therapy. Among the 3 ethnic groups studied, Asians were higher users of acupuncture (28%) and Oriental medicine (31%), Hispanics were higher users of dietary supplements (56%), home remedies (25%), and curanderos (8%), while white non-Hispanics were higher users of chiropractic (42%), massage (20%), vitamins (20%), diet (17%), and psychospiritual (15%) modalities. Pain was a higher indicator of CAM use among Asians, gastrointestinal problems and diabetes among Hispanics, and stress/fatigue and cardiovascular problems among white non-Hispanics.
CONCLUSION: Findings indicated a high use of CAM among the elderly and emphasize the likelihood that elderly immigrants use those therapies with which they are familiar. Modalities and conditions varied with the ethnicity of respondents.

Entities:  

Mesh:

Year:  2003        PMID: 12776475

Source DB:  PubMed          Journal:  Altern Ther Health Med        ISSN: 1078-6791            Impact factor:   1.305


  35 in total

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Authors:  Robert E Graham; Andrew C Ahn; Roger B Davis; Bonnie B O'Connor; David M Eisenberg; Russell S Phillips
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2.  Plants from many healing landscapes: gathering information and teaching clinicians about the cultural use of medicinal herbs.

Authors:  Julia S Whelan; Lana Dvorkin
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3.  Ethnic differences in elders' home remedy use: sociostructural explanations.

Authors:  Joseph G Grzywacz; Thomas A Arcury; Ronny A Bell; Wei Lang; Cynthia K Suerken; Shannon L Smith; Sara A Quandt
Journal:  Am J Health Behav       Date:  2006 Jan-Feb

4.  Harvesting the best: evidence-based analysis of herbal handbooks for clinicians.

Authors:  Lana Dvorkin; Julia S Whelan; Samira Timarac
Journal:  J Med Libr Assoc       Date:  2006-10

5.  Use of complementary and alternative therapies by Asian Americans. Results from the National Health Interview Survey.

Authors:  Darshan H Mehta; Russell S Phillips; Roger B Davis; Ellen P McCarthy
Journal:  J Gen Intern Med       Date:  2007-03-14       Impact factor: 5.128

6.  The complementarity and substitution between unconventional and mainstream medicine among racial and ethnic groups in the United States.

Authors:  K Tom Xu; Tommie W Farrell
Journal:  Health Serv Res       Date:  2007-04       Impact factor: 3.402

7.  Predictors of complementary and alternative medicine use among older Mexican Americans.

Authors:  Jose A Loera; Carlos Reyes-Ortiz; Yong-Fang Kuo
Journal:  Complement Ther Clin Pract       Date:  2007-04-18       Impact factor: 2.446

8.  Complementary and alternative medicine use as health self-management: rural older adults with diabetes.

Authors:  Thomas A Arcury; Ronny A Bell; Beverly M Snively; Shannon L Smith; Anne H Skelly; Lindsay K Wetmore; Sara A Quandt
Journal:  J Gerontol B Psychol Sci Soc Sci       Date:  2006-03       Impact factor: 4.077

9.  Use of Complementary Therapies for Health Promotion Among Older Adults.

Authors:  Thomas A Arcury; Ha T Nguyen; Joanne C Sandberg; Rebecca H Neiberg; Kathryn P Altizer; Ronny A Bell; Joseph G Grzywacz; Wei Lang; Sara A Quandt
Journal:  J Appl Gerontol       Date:  2013-07-19

10.  Racial disparities in the use of chiropractic care under Medicare.

Authors:  James M Whedon; Yunjie Song
Journal:  Altern Ther Health Med       Date:  2012 Nov-Dec       Impact factor: 1.305

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