Alternative therapy use by elderly African Americans attending a community clinic
Alternative therapy use by elderly African Americans attending a community clinic
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DOI：
10.1046/j.1532-5415.2003.51562.x
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发表时间：
2003-12-01
影响因子：
6.3
通讯作者：
Sikka, M
中科院分区：
文献类型：
--
作者：
Sternberg, SA;Chandran, A;Sikka, M
目的：描述一个社区居住的，主要是非洲裔美国人的老年人样本口服摄入替代疗法（OAT）的使用情况。设计：面对面调查。设置：大学附属老年医学初级保健诊所。参与者：102名老年OAT使用者和100名非使用者，他们在2000年6月至8月之间有预约。测量：人口统计学特征，OAT产品，使用的原因，和影响因素导致use.Results：二百九十二名受试者进行了筛选：102（35%）OAT用户，100（34%）nonusers，和90（31%）谁拒绝参加。OAT使用者为78%的女性和67%的非裔美国人，平均年龄+/-标准差为79.7+/-6.2。他们是一个虚弱的群体，平均有5.2+/-2.3种医疗条件，4.5+/-2.3种药物，52%的人至少有一种日常生活活动障碍。非使用者有更多的医疗条件和药物记录，家庭收入中位数较低。最受欢迎的燕麦产品是多种维生素（65%），维生素E（42%）和钙（31%）。97%的使用者报告同时使用OAT和处方药。患者服用燕麦补充饮食（23%）和保持健康（15%），以及各种医疗条件。OAT使用的影响因素是媒体广告（37%），医生的建议（36%）和直系亲属（19%）。60%的老年人与医生讨论了他们使用OAT的情况。结论：社区居民，主要是非洲裔美国人，尽管身体虚弱，财政资源有限，但老年人仍在使用OAT。OAT使用者比不使用者更健康、更富有。与文献预期相比，更多受试者同时使用OAT和处方药，并与医生讨论其使用情况。对少数族裔老年人使用OAT的大型全国性调查可以探索这些发现。
Objectives: To describe the use of orally ingested alternative therapies (OAT) by a community-dwelling, primarily African-American sample of elders.Design: Face-to-face survey.Setting: University-affiliated geriatric medicine primary care clinic.Participants: One hundred two elderly OAT users and 100 nonusers who had an appointment between June and August 2000.Measurements: Demographic characteristics, OAT products used, reasons for use, and influencing factors leading to use.Results: Two hundred ninety-two subjects were screened: 102 (35%) OAT users, 100 (34%) nonusers, and 90 (31%) who refused to participate. The OAT users were 78% female and 67% African American, with a mean age+/-standard deviation of 79.7+/-6.2. They were a frail group, with an average of 5.2+/-2.3 medical conditions, 4.5+/-2.3 medications, and 52% with at least one impairment in activities of daily living. Nonusers had more documented medical conditions and medications and a lower median household income. The most popular OAT products were multivitamins (65%), vitamin E (42%), and calcium (31%). Ninety-seven percent of users reported concurrent OAT and prescription medication use. The patients took OATs to supplement their diet (23%) and stay well (15%), as well as for various medical conditions. Influencing factors for OAT use were media advertisements (37%), physicians' advice (36%), and immediate family members (19%). Sixty percent of elders discussed their OAT use with their physiciansConclusion: Community-dwelling, primarily African-American, elders are using OATs despite physical frailty and limited financial resources. OAT users are healthier and wealthier than nonusers. More subjects used concurrent OAT and prescription medications and discussed their use with their physicians than would be expected from the literature. A large national survey of OAT use by minority elders could explore these findings.