Beliefs in traditional Chinese medicine efficacy among Chinese Americans: implications for mental health service utilization.
Beliefs in traditional Chinese medicine efficacy among Chinese Americans: implications for mental health service utilization.
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华裔美国人对中医功效的信念：对心理健康服务利用的影响。
DOI：
10.1097/nmd.0b013e3181999513
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Phelan,JoC
中科院分区：
文献类型：
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作者：
Yang,LawrenceH;Corsini-Munt,Serena;Link,BruceG;Phelan,JoC
我们研究了社区对中国传统健康观念和西方疾病二分法的态度如何影响对中医功效的看法，以确定美籍华人精神科服务利用不足的潜在因素。我们管理的实验小插曲，以评估感知疾病，严重程度，并通过全国电话调查确定的90名华裔美国人的身体和精神疾病的中医疗效的信念。自觉病情严重程度与中医疗效评定无关。然而，精神疾病往往被视为与身体疾病不同，与身体疾病相比，中医药对精神疾病的疗效较低。此外，在美国出生的受访者中，中医疗效的差异似乎被放大了，美国出生的受访者对精神疾病的疗效低于外国出生的受访者。这些研究结果表明，中医药用于精神疾病可能会随着西化而减少，但可能会延迟第一代移民获得精神病服务。
We examined how community attitudes towards traditional Chinese conceptions of health and Western dichotomization of illness might affect perceptions of traditional Chinese medicine (TCM) efficacy in order to identify factors underlying psychiatric service underutilization among Chinese-Americans. We administered an experimental vignette to assess perceived illness, severity, and beliefs of TCM efficacy for physical and psychiatric disorders among 90 Chinese-Americans ascertained through a national telephone survey. Perceived illness severity was unrelated to assessment of TCM effectiveness. However, psychiatric conditions tended to be viewed as distinct from physical disorders, and TCM use was endorsed as less effective for psychiatric illnesses when compared with physical illnesses. Furthermore, differences in perceived TCM efficacy appeared to be magnified among US-born respondents, with US-born respondents endorsing lower efficacy for psychiatric disorders than foreign-born respondents. These findings suggest that TCM use for psychiatric disorders may decrease with Westernization, but might delay access to psychiatric services among first-generation immigrants.