Access and Utilization of CAM by Minorities

少数族裔获取和利用 CAM

• 批准号: 7113885
• 负责人: Jose Antonio Pagan
• 金额: $ 18.22万
• 依托单位: UNIVERSITY OF TEXAS RIO GRANDE VALLEY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-06-01 至 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7113885
• 关键词: African American; Asian Americans; Hispanic Americans; alternative medicine; behavioral /social science research tag; caucasian American; clinical research; culture; health care cost /financing; health care policy; health care service availability; health related legal; human data; racial /ethnic difference; socioeconomics

DESCRIPTION (provided by applicant): The use of complementary and alternative medicine (CAM) in the U.S. has increased substantially in recent years and there are significant CAM utilization differences across ethnic/racial minority groups. The increasing use of CAM has been previously linked to factors such as the need for individual empowerment over healthcare use and the philosophical congruence between CAM and personal beliefs, spirituality and values of patients. However, CAM use may also be related to minority subpopulation-specific experiences with the healthcare system and their prior experiences with CAM in other countries and/or with different cultures in the U.S. The objective of the proposed research is to characterize the use of different CAM therapies among racial and ethnic groups and to study how these differences in utilization rates arise. The central hypothesis is that differences in CAM use and the effectiveness of CAM across different racial and ethnic groups are driven by socioeconomic status, personal experiences with the conventional healthcare system, access/cost of conventional healthcare, race/ethnic-specific cultural beliefs, CAM legislation/regulation and personal beliefs as to what conventional medicine can effectively accomplish to improve health. The specific aims of the proposed research are: to analyze CAM utilization and perceived effectiveness across racial/ethnic minority subpopulations; to determine how the cost of conventional medicine is related to CAM use differences across racial/ethnic groups; and to characterize race/ethnic- specific patterns of CAM use by insurance status and state-based regulatory measures. Data from the 2002 National Health Interview Survey will be used to investigate the differences in CAM use across different racial/ethnic minority subpopulations. Logistic and count data models will be estimated to assess the factors that are related to CAM utilization and the perceived effectiveness of the different modalities of CAM. Results will be used to develop testable hypotheses regarding the mechanisms underlying the usage of specific CAM therapies by members of racial/ethnic minority groups.

描述（由申请人提供）：补充和替代医学（CAM）在美国的使用近年来大幅增加，并且在少数民族/种族群体之间存在显著的CAM利用差异。越来越多地使用CAM以前已被链接到的因素，如需要对医疗保健使用的个人赋权和CAM和个人信仰，精神和患者的价值观之间的哲学一致性。然而，CAM的使用也可能与少数群体特定的经验与医疗保健系统和他们以前的经验与CAM在其他国家和/或与不同的文化在美国的拟议研究的目的是描述不同的CAM疗法的使用种族和民族群体之间，并研究这些差异的利用率出现。中心假设是，CAM使用的差异和CAM在不同种族和民族群体的有效性是由社会经济地位，个人经验与传统的医疗保健系统，获得/传统医疗保健的成本，种族/民族特定的文化信仰，CAM立法/法规和个人信仰，传统医学可以有效地实现改善健康。拟议研究的具体目标是：分析不同种族/少数民族亚群的CAM利用率和感知有效性;确定传统药物的成本与不同种族/民族的CAM使用差异有何关系;并描述种族/民族特征通过保险状况和州监管措施来描述特定于种族/民族的CAM使用模式。来自2002年全国健康访谈调查的数据将用于调查不同种族/少数民族亚群中CAM使用的差异。将估计逻辑和计数数据模型，以评估与CAM利用率相关的因素以及CAM不同模式的感知有效性。研究结果将用于开发关于少数种族/民族群体成员使用特定CAM疗法的潜在机制的可检验假设。