Factors associated with herbal use among urban multiethnic primary care patients: a cross-sectional survey.
Factors associated with herbal use among urban multiethnic primary care patients: a cross-sectional survey.
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DOI：
10.1186/1472-6882-4-18
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发表时间：
2004-12-02
影响因子：
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通讯作者：
Volk, Robert J
中科院分区：
文献类型：
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作者：
Kuo, Grace M;Hawley, Sarah T;Volk, Robert J
背景：在美国，草药补充剂的使用越来越普遍。在以往的研究中，初级保健患者使用草药的流行程度各不相同；在城市不同种族/民族的初级保健患者中，草药的使用模式尚未得到广泛研究。本研究的主要目的是描述大都市地区不同种族的初级保健患者对草药的使用情况，并检查与此类使用相关的因素。次要目的是调查人们对草药使用的看法和模式。方法：从2002年9月到2003年3月，在德克萨斯州休斯顿南部初级保健城市研究网络（spr - net）附属的初级保健实践中收集了横断面调查的数据。要参加这项研究，患者必须年满18岁，并且必须在spr - net诊所之一接受常规的非急性护理。调查问题有英文和西班牙文两种版本。结果：共有322名具有完整种族/民族信息的患者被纳入分析。总体而言，36%的被调查患者（n = 322）表示使用草药，在种族群体中有很大的差异：50%的西班牙裔，50%的亚洲人，41%的白人和22%的非洲裔美国人。与个体使用草药相关的重要因素是非裔美国人以外的种族，有移民家族史，以及报告其他家庭成员使用草药。约40%的受访者认为，处方药和草药一起服用比单独服用更有效。三分之一的草药使用者报告说他们每天都使用草药。更多的白人（67%）向他们的医疗保健提供者披露了他们使用草药的情况，而非裔美国人（45%）、西班牙裔美国人（31%）或亚洲人（31%）。结论：在城市多民族成人初级保健患者样本中，草药使用的种族/民族差异很明显。使用草药的相关因素是非裔美国人种族、移民家族史和家庭成员使用草药。尽管西班牙裔和亚洲人使用草药的比例最高，但他们最不可能向卫生保健专业人员透露自己的使用情况。这些发现对于确保初级保健实践中的用药安全具有重要意义。
BACKGROUND: The use of herbal supplements in the United States has become increasingly popular. The prevalence of herbal use among primary care patients varies in previous studies; the pattern of herbal use among urban racially/ethnically diverse primary care patients has not been widely studied. The primary objectives of this study were to describe the use of herbs by ethnically diverse primary care patients in a large metropolitan area and to examine factors associated with such use. The secondary objective was to investigate perceptions about and patterns of herbal use.METHODS: Data for a cross-sectional survey were collected at primary care practices affiliated with the Southern Primary-care Urban Research Network (SPUR-Net) in Houston, Texas, from September 2002 to March 2003. To participate in the study, patients had to be at least 18 years of age and visiting one of the SPUR-Net clinics for routine, nonacute care. Survey questions were available in both English and Spanish.RESULTS: A total of 322 patients who had complete information on race/ethnicity were included in the analysis. Overall, 36% of the surveyed patients (n = 322) indicated use of herbs, with wide variability among ethnic groups: 50% of Hispanics, 50% of Asians, 41% of Whites, and 22% of African-Americans. Significant factors associated with an individual's herbal use were ethnicity other than African-American, having an immigrant family history, and reporting herbal use by other family members. About 40% of survey respondents believed that taking prescription medications and herbal medicines together was more effective than taking either alone. One-third of herbal users reported using herbs on a daily basis. More Whites (67%) disclosed their herbal use to their health-care providers than did African-Americans (45%), Hispanics (31%), or Asians (31%).CONCLUSIONS: Racial/ethnic differences in herbal use were apparent among this sample of urban multiethnic adult primary care patients. Associated factors of herbal use were non-African-American ethnicity, immigrant family history, and herbal use among family members. Whereas Hispanics and Asians reported the highest rates of herbal use, they were the least likely to disclose their use to health-care professionals. These findings are important for ensuring medication safety in primary care practices.