Literature DB >> 23728044

Medical skepticism and complementary therapy use among older rural African-Americans and Whites.

Ronny A Bell1, Joseph G Grzywacz, Sara A Quandt, Rebecca Neiberg, Wei Lang, Ha Nguyen, Kathryn P Altizer, Thomas A Arcury.   

Abstract

PURPOSE: This study documents demographic, health, and complementary therapy (CT) correlates of medical skepticism among rural older adults.
METHODS: Older (≥65 years) African Americans and Whites in rural North Carolina (N=198) were interviewed. Medical skepticism was assessed using the four items from the Medical Expenditure Survey. Bivariate associations between medical skepticism and demographic and health characteristics and CT use were assessed, and independent effects on CT use.
FINDINGS: Positive responses to medical skepticism questions ranged from 19.7% (can overcome illness without help) to 59.6% (believes own behavior determines their health). Medical skepticism indicators were associated with few demographic and health characteristics, and one CT category.
CONCLUSIONS: This study shows a high degree of medical skepticism among rural older adults, but limited associations with demographic and health characteristics and CT use. Further research is needed to understand relationships of attitudes towards conventional care and CT use in this population.

Entities:  

Mesh:

Year:  2013        PMID: 23728044      PMCID: PMC3830528          DOI: 10.1353/hpu.2013.0052

Source DB:  PubMed          Journal:  J Health Care Poor Underserved        ISSN: 1049-2089


  15 in total

1.  Does skepticism towards medical care predict mortality?

Authors:  K Fiscella; P Franks; C M Clancy; M P Doescher; J S Banthin
Journal:  Med Care       Date:  1999-04       Impact factor: 2.983

2.  Older persons' evaluations of health care: the effects of medical skepticism and worry about health.

Authors:  Tyrone F Borders; James E Rohrer; K Tom Xu; David R Smith
Journal:  Health Serv Res       Date:  2004-02       Impact factor: 3.402

3.  Person and place: the compounding effects of race/ethnicity and rurality on health.

Authors:  Janice C Probst; Charity G Moore; Saundra H Glover; Michael E Samuels
Journal:  Am J Public Health       Date:  2004-10       Impact factor: 9.308

4.  Access to transportation and health care utilization in a rural region.

Authors:  Thomas A Arcury; John S Preisser; Wilbert M Gesler; James M Powers
Journal:  J Rural Health       Date:  2005       Impact factor: 4.333

5.  Use of complementary and alternative therapies in community-dwelling older adults.

Authors:  Corjena K Cheung; Jean F Wyman; Linda L Halcon
Journal:  J Altern Complement Med       Date:  2007-11       Impact factor: 2.579

6.  Why patients use alternative medicine: results of a national study.

Authors:  J A Astin
Journal:  JAMA       Date:  1998-05-20       Impact factor: 56.272

7.  Use of complementary medicine in older Americans: results from the Health and Retirement Study.

Authors:  Jose Ness; Dominic J Cirillo; David R Weir; Nicole L Nisly; Robert B Wallace
Journal:  Gerontologist       Date:  2005-08

8.  Daily use of complementary and other therapies for symptoms among older adults: study design and illustrative results.

Authors:  Thomas A Arcury; Joseph G Grzywacz; Rebecca H Neiberg; Wei Lang; Ha T Nguyen; Kathryn Altizer; Eleanor P Stoller; Ronny A Bell; Sara A Quandt
Journal:  J Aging Health       Date:  2010-10-11

9.  Healthy skepticism.

Authors:  James E Rohrer; Tyrone F Borders
Journal:  Prev Med       Date:  2004-12       Impact factor: 4.018

10.  Complementary and alternative medicine use in musculoskeletal disorders: does medical skepticism matter?

Authors:  Elizabeth K Wiley-Exley; Thelma J Mielenz; Edward C Norton; Leigh F Callahan
Journal:  Open Rheumatol J       Date:  2007-09-18
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Journal:  Curr Environ Health Rep       Date:  2015-09

2.  Demographic, Health and Diabetes Self-management Correlates of Medical Skepticism Among Rural Older Adults.

Authors:  Ronny A Bell; Thomas A Arcury; Joseph G Grzywacz; Edward H Ip; Julienne K Kirk; Ha Nguyen; Santiago Saldana; Sara A Quandt
Journal:  J Sci Med       Date:  2016-05

3.  Loss of Obstetric Services in Rural Appalachia: A Qualitative Study of Community Perceptions.

Authors:  Caroline R Efird; David Dry; Rachel F Seidman
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4.  The Effects of Website Traits and Medical Skepticism on Patients' Willingness to Follow Web-Based Medical Advice: Web-Based Experiment.

Authors:  Jennifer Claggett; Brent Kitchens; Maria Paino; Kaitlyn Beisecker Levin
Journal:  J Med Internet Res       Date:  2022-02-18       Impact factor: 5.428

  4 in total

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