Use of Complementary Health Practices in a Church-Based African American Cohort
Use of Complementary Health Practices in a Church-Based African American Cohort
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DOI：
10.1089/acm.2018.0076
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发表时间：
2018-06-08
影响因子：
2.6
通讯作者：
McNeill, Lorna H.
中科院分区：
文献类型：
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作者：
Escoto, Kamisha Hamilton;Milbury, Kathrin;McNeill, Lorna H.
目的：很少有研究探讨了补充性健康实践的使用（例如，精神/身体实践和膳食补充剂），特别是那些谁确定为精神和/或宗教。此外，对这种补充保健使用者的健康和健康行为概况的研究很少。本研究的目的是探讨使用的补充健康的做法和他们的生活方式和健康指标的相关性在一个大的，以教会为基础的非裔美国人的人口。设计：对来自教会队列研究的1467名非裔美国成年人进行横断面分析。参与者报告了补充健康实践、生活方式行为（例如，饮食和吸烟状况），以及健康指标（例如，身体健康和医疗问题）。进行了多元Logistic回归分析，以检查生活方式变量，健康指标和使用补充健康实践之间的关联。结果测量：结果包括精神/身体实践的流行率（例如，冥想和灵气）和膳食补充剂（多种维生素）沿着健康指标和使用的生活方式相关性。结果：使用补充性健康实践的比例很高; 40%的人报告使用任何身心实践，50%的人报告使用膳食补充剂。身体健康与使用心灵/身体实践相关，而满足水果和蔬菜建议的可能性与膳食补充剂的使用显著相关。结论：在以教会为基础的非裔美国成年人样本中，大量使用了补充性健康实践。使用补充健康实践与身体健康相关，但用户也表现出健康意识行为。鉴于补充性保健做法的参与度很高，谨慎的做法可能是考虑调整补充性保健方法，用于针对信仰环境中的非裔美国人的健康干预措施。
Objectives: Few studies have examined the use of complementary health practices (e.g., mind/body practices and dietary supplements) among African Americans, particularly those who identify as being spiritual and/or religious. Furthermore, research on the health and health behavior profiles of such complementary health users is scant. The purpose of this study was to explore the use of complementary health practices and their lifestyle and health indicator correlates in a large, church-based African American population. Design: Cross-sectional analysis of 1467 African American adults drawn from a church-based cohort study. Participants reported use of complementary health practices, lifestyle behaviors (e.g., diet and smoking status), and health indicators (e.g., physical health and medical problems). Multiple logistic regressions were conducted to examine associations between lifestyle variables, health indicators, and use of complementary health practices. Outcome measures: Outcomes included prevalence of mind/body practices (e.g., meditation and Reiki) and dietary supplements (multivitamins) along with health indicator and lifestyle correlates of use. Results: Use of complementary health practices was high; 40% reported using any mind/body practice and 50% reported using dietary supplements. Poorer physical health was associated with use of mind/body practices, while likelihood of meeting fruit and vegetable recommendations was significantly associated with dietary supplement use. Conclusions: Complementary health practices were used heavily in a church-based sample of African American adults. Poorer physical health was associated with use of complementary health practices, yet users also displayed health conscious behaviors. Given the high engagement in complementary health practices, it may be prudent to consider adapting complementary health approaches for use in wellness interventions targeting African Americans in faith-based settings.