Racial Differences in CAM for Common Medical Conditions

常见医疗状况 CAM 的种族差异

• 批准号: 6941093
• 负责人: ELLEN P MCCARTHY
• 金额: $ 8.5万
• 依托单位: BETH ISRAEL DEACONESS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-07-01 至 2006-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6941093
• 关键词: alternative medicine; behavioral /social science research tag; clinical research; combination therapy; epidemiology; health behavior; health care personnel; health care service utilization; health disparity; human data; interdisciplinary collaboration; low socioeconomic status; patient care personnel relations; racial /ethnic difference

DESCRIPTION (provided by applicant): Complementary and alternative medicine (CAM) is increasingly used by Americans, but little is known about CAM use in racial and ethnic minorities and economically disadvantaged individuals. Racial and ethnic disparities in health care are well established and are related to poor health outcomes. Moreover, the prevalence of many common medical problems such as cardiovascular disease, stroke, and lower extremity mobility problems is higher among African Americans than non-Hispanic white Americans. Similarly, African Americans and Hispanics have a higher prevalence of diabetes, obesity, and worse health status than their white counterparts. Previous research suggests that CAM is commonly used by non-Hispanic white Americans for the treatment of common medical conditions and that they are often used in combination with conventional medical care. Relatively little is known about patterns of CAM use for treatment of common medical conditions in racial and ethnic minorities. We propose to use data from the 2002 National Health Interview Survey to: 1) estimate the prevalence of use of individual CAM therapies and overall CAM use across racial/ethnic and economically disadvantaged groups; 2) identify racial and ethnic variations in CAM use for common medical conditions; 3) examine the extent to which CAM complements or substitutes for conventional medical care in racial/ethnic minorities and economically disadvantaged individuals; 4) examine the extent to which racial/ethnic minorities and economically disadvantaged persons use CAM for specific medical conditions and relative to use for overall health and well-being; and 5) examine utilization of CAM therapies as supervised or unsupervised (i.e., without any visits to a CAM practitioner) by race/ethnicity and economic status, and 6) examine the extent to which use of CAM therapies is disclosed to medical professionals. This study will provide important insight into national rates of CAM use by racial and ethnic minorities and economically disadvantaged individuals; the reasons for CAM use, such as treatment of common medical conditions and promotion of overall health and well-being, and the relationship between CAM and conventional medical care. The proposed study is an essential first step to better understand current practices of CAM in the US. Findings will provide a fundamental understanding of CAM in minority populations that will be used to plan for future studies.

补充和替代医学（CAM）越来越多地被美国人使用，但很少有人知道CAM在种族和少数民族以及经济上处于不利地位的个人中的使用。医疗保健方面的种族和族裔差异是公认的，与不良的健康结果有关。此外，许多常见的医疗问题，如心血管疾病，中风和下肢活动问题的患病率在非洲裔美国人中高于非西班牙裔白色美国人。同样，非洲裔美国人和西班牙裔美国人比他们的白色同龄人有更高的糖尿病、肥胖和更差的健康状况。以前的研究表明，CAM通常被非西班牙裔白色美国人用于治疗常见的医疗条件，并且它们通常与传统医疗护理结合使用。对CAM用于治疗种族和少数民族常见疾病的模式知之甚少。我们建议使用来自2002年全国健康访谈调查的数据：1）估计在种族/民族和经济弱势群体中使用个体CAM疗法和总体CAM使用的流行率; 2）确定CAM用于常见医疗状况的种族和民族差异; 3）研究CAM在何种程度上补充或替代了少数种族/族裔和经济弱势个人的传统医疗保健; 4）检查少数种族/民族和经济弱势群体在特定医疗条件下使用CAM的程度，以及相对于整体健康和福祉的使用;以及5）检查CAM治疗的监督或不监督（即，没有任何访问CAM从业者）的种族/民族和经济地位，和6）检查CAM疗法的使用被披露给医疗专业人员的程度。这项研究将提供重要的洞察力，以国家的比例CAM使用的种族和少数民族和经济上处于不利地位的个人; CAM使用的原因，如治疗常见的医疗条件和促进整体健康和福祉，以及CAM和传统医疗保健之间的关系。拟议的研究是一个重要的第一步，以更好地了解目前的做法CAM在美国。研究结果将提供一个基本的了解CAM在少数民族人口，将用于规划未来的研究。