Differences in CAM Use Among Minority Older Adults

少数族裔老年人 CAM 使用情况的差异

• 批准号: 6893355
• 负责人: Thomas A. Arcury
• 金额: $ 20.23万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-05-15 至 2007-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6893355
• 关键词: African American; Hispanic Americans; Native Americans; academic achievement; age difference; alternative medicine; caucasian American; chronic disease /disorder; culture; functional ability; gender difference; generation difference; geographic difference; health care service availability; health care service utilization; health insurance; health services research tag; human data; human old age (65+); racial /ethnic difference; rural area; self care; socioeconomics; urban area

DESCRIPTION (provided by applicant): Large numbers of Americans use complementary and alternative medicine (CAM). Despite the high prevalence of CAM use, knowledge of factors related to CAM use is incomplete. In particular, minority group differences in the use of CAM modalities, especially among minority elders, are poorly documented or understood. This project will address minority elder use of CAM through the analysis of several existing data sets. This project is based on a conceptual model in which CAM is understood as one component of an individual's overall approach to selfcare, or activities undertaken to maintain or improve health. It will incorporate the analysis of several existing data sets to address 3 specific aims: (1) to describe ethnic differences in CAM use, and delineate how these ethnic differences are influenced by gender, age/generation, and rural-urban residence; (2) to delineate the predisposing, enabling and need factors (including social, economic, cultural, health status and health care access variables) related to CAM modality use among minority older adults and to estimate the effect size of these factors, and (3) to determine the factors related to CAM use for highly prevalent chronic conditions among minority older adults. The data sets include (a) the 2002 National Health Interview Survey (NHIS) CAM supplement; (b) the 1993-1994 wave of National Survey of Self-Care and Aging; (c) the 1993-1994 Hispanic Established Populations for the Epidemiologic Study of the Elderly (I-IEPESE); and (d) the Evaluating Long-term Diabetes Self management among Elder Rural Adults (ELDER) Study. Together, these data sets allow this project to address national rates in CAM use among African Americans and Hispanics and regional CAM use rates among African Americans and Native Americans in the Southeast and Hispanics in the Southwest, while also allowing it to consider understudied CAM modalities that are most likely to be used by minority elders, as well as specific conditions for which CAM is used. This project will enhance the understanding of CAM use by racial and ethnic minority populations. It will delineate the types of CAM used and the patterns of use among older minority adults, the duration of use, the conditions for which CAM is used, the preventive, palliative and therapeutic uses of CAM, and differences in these domains among older adults from different minority groups. The results of this project will provide the foundation for a study in which the investigators will collect primary data that will delineate ethnic differences in the use and integration of specific CAM modalities among minority older adults into health self-management regime for (a) maintaining existing health status or preventing the onset of a new condition, (b) treating a newly experienced illness, and (c) treatment or palliative activities for a specific, existing health condition; and determinin8 the predisposing, enabling and need factors related to the uptake or maintenance of CAM.

描述（由申请人提供）：大量美国人使用互补和替代医学（CAM）。尽管CAM使用率很高，但与CAM使用有关的因素的了解是不完整的。特别是，少数群体群体的使用方式差异，尤其是在少数族裔长者中，被遗忘或理解。该项目将通过对几个现有数据集的分析来解决CAM的少数族裔使用。该项目基于一个概念模型，在该模型中，CAM被理解为个人自我护理的总体方法的一个组成部分，或为维持或改善健康而开展的活动。它将结合对几个现有数据集的分析，以解决3个具体目的：（1）描述CAM使用中的种族差异，并描述这些种族差异如何受性别，年龄/年龄和农村生活的影响； （2）描绘与少数族裔老年人之间的CAM模态使用相关的诱人，实现和需求因素（包括社会，经济，文化，健康状况和医疗保健访问变量），并估算这些因素的效果大小，以及（3）确定与CAM相关的因素，以确定少数族裔老年人在高度普遍的慢性病中使用的因素。数据集包括（a）2002年国家健康访谈调查（NHIS）CAM补充； （b）1993 - 1994年全国自我保健和衰老调查浪潮； （c）1993 - 1994年的西班牙裔人群建立了老年人（I-iepese）流行病学研究的人群； （d）在农村成年人（老年）研究中评估长期糖尿病的自我管理。这些数据集共同允许该项目解决非洲裔美国人以及西班牙裔美国人的CAM使用率以及东南部的非洲裔美国人和美国原住民的区域使用率，以及西南地区的西班牙裔，同时还可以考虑将其考虑在少数派长者以及使用的特定条件的情况下使用，这些模式最有可能被使用。该项目将增强种族和少数民族人群对CAM使用的理解。它将描述使用的凸轮类型以及老年人成年人中使用的使用方式，使用时间，使用CAM的条件，CAM的预防，姑息和治疗用途以及来自不同少数群体的老年人的这些领域的差异。该项目的结果将为一项研究提供基础，研究人员将收集主要数据，这些数据将描绘出少数族裔老年人在使用和整合特定CAM模式的种族差异中，以（a）维持现有健康状况或保持新疾病的现有健康状况或防止新经验丰富的疾病治疗或（c）治疗或特定的健康状况，以治疗新经验的疾病或特定的健康状况；并确定与摄入或维持CAM有关的易感性，启用和需求因素。

项目成果

Complementary and alternative medicine use among adults with diabetes in the United States.

• 发表时间: 2006-09
• 期刊: Alternative therapies in health and medicine
• 影响因子: 1.5
• 作者: R. Bell;C. Suerken;J. Grzywacz;W. Lang;S. Quandt;T. Arcury

Complementary and alternative medicine use among older adults: ethnic variation.

老年人补充和替代医学的使用：种族差异。

• 发表时间: 2006
• 期刊: Ethnicity & disease
• 影响因子: 3.2
• 作者: Arcury,ThomasA;Suerken,CynthiaK;Grzywacz,JosephG;Bell,RonnyA;Lang,Wei;Quandt,SaraA
• 通讯作者: Quandt,SaraA