Traditional Chinese Medicine Use and Health in Community-Dwelling Chinese-American Older Adults in Chicago.
Traditional Chinese Medicine Use and Health in Community-Dwelling Chinese-American Older Adults in Chicago.
复制标题
芝加哥社区居住的华裔美国老年人的中药使用和健康状况。
DOI：
10.1111/jgs.13828
复制
发表时间：
2015
影响因子：
6.3
通讯作者：
Chang,E-Shien
中科院分区：
文献类型：
--
作者：
Dong,XinQi;Bergren,StephanieM;Chang,E-Shien
中国人已经实践了数千年的中医（TCM），但在美国的中国老年移民中使用TCM的研究很少。本研究的目的是提供一个整体的估计，中医药使用的中国老年人在美国，并检查社会人口特征，健康措施，中医药使用之间的关联。数据通过芝加哥中国老年人人口研究收集，这是一项基于社区的参与性研究，调查了3，158名60岁及以上的中国老年人。使用八项量表测量TCM的使用，该量表检查了八种TCM。76%的参与者报告在过去一年中使用过TCM。在调整了潜在的混杂因素后，健康状况与更多地使用针灸有关（比值比（OR）= 1.33，95%可信区间（CI）= 1.06-1.68）与推拿治疗（OR = 1.53，95%CI = 1.21-1.93），生活质量与较少使用处方草药产品相关太极拳（OR = 0.62，95% CI = 0.50 - 0.78）、其他中药（OR = 0.47，95% CI = 0.40-0.56）。这些发现需要进一步调查中国老年人使用中医药的情况，特别是那些健康状况不佳和生活质量较好的老年人。在临床环境中，医生在治疗中国老年人时应了解中医，并考虑与西医结合，以获得更适合文化的，以患者为中心的护理。
Chinese people have practiced traditional Chinese medicine (TCM) for thousands of years, but there is a paucity of research regarding TCM use in Chinese older adult immigrants in the United States. This study aims to provide an overall estimate of TCM use for Chinese older adults in the United States and to examine associations between sociodemographic characteristics, health measures, and TCM use. Data were collected through the Population Study of Chinese Elderly in Chicago, a community‐based participant research study that surveyed 3,158 Chinese older adults aged 60 and older. TCM use was measured using an eight‐item scale that examined eight kinds of TCM. Seventy‐six percent of participants reported any use of TCM within the past year. After adjusting for potential confounding factors, health status was associated with greater use of acupuncture (odds ratio (OR) = 1.33, 95% confidence interval (CI) = 1.06–1.68) and massage therapy (OR = 1.53, 95% CI = 1.21–1.93), and quality of life was associated with less use of prescribed herbal products (OR 0.69, 95% CI = 0.55–0.87), tai chi (OR = 0.62, 95% CI = 0.50–0.78), and other traditional medicine (OR = 0.47, 95% CI = 0.40–0.56). These findings call for further investigation of TCM use by Chinese older adults, especially those with poor health and those with better quality of life. In the clinical setting, physicians should have awareness of TCM when treating Chinese older adults and look toward possible integration with Western medicine for more culturally appropriate, patient‐centered care.