Use of traditional health practices among native Americans in a primary care setting
Use of traditional health practices among native Americans in a primary care setting
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DOI：
10.1097/00005650-200012000-00006
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发表时间：
2000-12-01
期刊：
影响因子：
3
通讯作者：
Manson, SM
中科院分区：
文献类型：
--
作者：
Buchwald, D;Beals, J;Manson, SM
背景。本研究旨在确定城市美洲印第安人/阿拉斯加原住民 (AI/AN) 初级保健患者使用传统健康做法的程度，以确定相关患者特征，确定与健康状况和功能的关联，并描述对所接受护理的态度。方法。本研究对 869 名成年 AI/AN 患者进行了简短的自我报告调查，这些患者是在 14 个月的时间内从综合城市初级保健计划中随机抽样的。目前的药物治疗是通过随访病历审查确定的。 结果。初级保健中 70% 的城市 AI/AN 患者经常采用传统的医疗方法；使用与文化归属密切相关 在双变量分析中，使用与男性性别、文化归属、功能状态不佳、酗酒和创伤显着相关，并且除肌肉骨骼疼痛外，与特定的医疗问题无关。任何使用与不使用的多元逻辑回归模型均显着（P 小于或等于 0.001）。男性（P 小于或等于 0.001）、高中以上学历（P 小于或等于 0.05）、在保留地拜访朋友/亲戚（P 小于或等于 0.01）、按原住民生活方式（P 小于或等于 0.001）而非白人生活方式（P 小于或等于 0.05）、经历背痛（P 小于或等于0.01），并且受到家庭成员造成的身体伤害（P小于或等于0.001）是使用的预测因素。结论。这一临床环境的结果表明，医疗保健提供者应预见到城市 AI/AN 患者会采用传统的健康做法。使用是通过重要的人口、临床和文化特征来预测的。
BACKGROUND. This study was undertaken to ascertain the extent that traditional health practices are used by urban American Indian/Alaska Native (AI/AN) primary care patients, to identify related patient characteristics, to determine associations with health status and functioning, and to describe attitudes about care received.METHODS. This study used a brief self-report survey of 869 adult AI/AN patients randomly sampled over a 14-month period from a comprehensive urban primary care program. Current medications were determined by follow-up medical record review.RESULTS. Seventy percent of urban AI/AN patients in primary care often used traditional health practices; use was strongly associated with cultural affiliation In bivariate analyses, use was significantly associated with male gender, cultural affiliation, poor functional status, alcohol abuse, and trauma and, except for musculoskeletal pain, not with specific medical problems. The multiple logistic regression model for any use versus no use was significant (P less than or equal to 0.001). Being of male gender (P less than or equal to 0.001), having more than a high school education (P less than or equal to 0.05), visiting friends/relatives on a reservation (P less than or equal to 0.01), living the Native way of life (P less than or equal to 0.001) and not the white way (P less than or equal to 0.05), experiencing back pain (P less than or equal to 0.01), and having a physical injury inflicted by a family member (P less than or equal to 0.001) were predictive of use.CONCLUSIONS. The results in this clinical setting suggest that health care providers should anticipate use of traditional health practices among urban AI/AN patients. Use was predicted by important demographic, clinical, and cultural characteristics.