Health literacy and complementary and alternative medicine use among underserved inpatients in a safety net hospital.

Health literacy and complementary and alternative medicine use among underserved inpatients in a safety net hospital.
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DOI:
10.1080/10810730.2013.830663
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发表时间:
2013
影响因子:
4.4
通讯作者:
Jack BW
Jack BW
中科院分区:
医学3区
文献类型:
--
作者:
Gardiner P;Mitchell S;Filippelli AC;Sadikova E;White LF;Paasche-Orlow MK;Jack BW

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关于低收入种族多样化患者的健康素养与补充和替代医学(CAM)使用之间的关系知之甚少。作者对参加Re-Engineered出院临床试验的581名参与者的基线数据进行了二次分析。作者评估了社会人口学特征、CAM使用和健康素养。他们使用双变量和多变量逻辑回归来检验健康素养与四种CAM使用模式的关联。在581名参与者中,50%报告使用任何CAM,28%使用提供者提供的CAM疗法,27%使用放松技巧,21%使用草药。在健康素养较高的人中,55%使用CAM。虽然非西班牙裔黑人参与者的健康素养与CAM使用之间没有关联,但如果非西班牙裔白色(OR = 3.68,95% CI [1.27,9.99])和西班牙裔其他种族(OR = 3.40,95% CI [1.46,7.91])参与者具有较高的健康素养,则他们更有可能使用CAM。对于每个种族/民族群体,在健康素养较高的人群中使用放松技巧的几率更高。服务不足的住院患者使用CAM。不分种族,健康素养高的患者更多地使用放松技巧。
Little is known about the relationship between health literacy and complementary and alternative medicine (CAM) use in low-income racially diverse patients. The authors conducted a secondary analysis of baseline data from 581 participants enrolled in the Re-Engineered Discharge clinical trial. The authors assessed sociodemographic characteristics, CAM use, and health literacy. They used bivariate and multivariate logistic regression to test the association of health literacy with four patterns of CAM use. Of the 581 participants, 50% reported using any CAM, 28% used provider-delivered CAM therapies, 27% used relaxation techniques, and 21% used herbal medicine. Of those with higher health literacy, 55% used CAM. Although there was no association between health literacy and CAM use for non-Hispanic Black participants, non-Hispanic White (OR = 3.68, 95% CI [1.27, 9.99]) and Hispaniclother race (OR = 3.40, 95% CI [1.46, 7.91]) participants were significantly more likely to use CAM if they had higher health literacy. For each racial/ethnic group, there were higher odds of using relaxation techniques among those with higher health literacy. Underserved hospitalized patients use CAM. Regardless of race, patients with high health literacy make greater use of relaxation techniques.
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