Consumer Approach to Acculturation and Complementary/Alternative Medication: Differences between English Speakers, English Speakers of Color, and Spanish Speakers of Color

2021 ◽  
pp. 073998632199614
Author(s):  
Roberto Cancio
Keyword(s):  
Alternative Medicine ◽  
Conventional Care ◽  
Spanish Speakers ◽  
Complementary Alternative Medicine ◽  
English Speakers ◽  
Racial Groups ◽  
Social Mechanisms ◽  
Spanish Speaking ◽  
The Social ◽  
Cam Use

The current study implements a qualitative explanatory framework of consumer acculturation to explore the perceptions of Complementary Alternative Medicine (CAM) among recently medicated persons from three different ethnic and racial groups: whites, Latino minority (English-speakers), and Latino minority (Spanish-speakers) to understand the social mechanisms that contribute to differences in perceptions of and experiences with CAM use. Findings suggest that there is a continuum of receptivity to CAM use based on levels of acculturation. Latinos speaking primarily English mirrored patterns of CAM use among non-Hispanic whites which showed that CAM is complementary rather than a substitute for conventional care. For Spanish-speaking Latinos, CAM was more about expressions of a culture rooted in ethnicity and acculturation. For Spanish-speaking Latinos, CAM is about identity and part of a culture-making process.

scholarly journals The trends of complementary alternative medicine use among cancer patients

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abdul Rahman Jazieh ◽  
Khadega A. Abuelgasim ◽  
Husam I. Ardah ◽  
Mohammad Alkaiyat ◽  
Omar B. Da’ar
Keyword(s):  
Alternative Medicine ◽  
Cancer Patients ◽  
Clinical Information ◽  
Cross Sectional Study ◽  
Complementary Alternative Medicine ◽  
Cultural Changes ◽  
Cross Sectional ◽  
Patients With Cancer ◽  
Cam Use ◽  
The Individual

Abstract Background The use of complementary and alternative medicine (CAM) is common among cancer patients and it may reflect the individual and societal beliefs on cancer therapy. Our study aimed to evaluate the trends of CAM use among patients with cancer between 2006 and 2018. Methods We included 2 Cohorts of patients with cancer who were recruited for Cohort 1 between 2006 and 2008 and for Cohort 2 between 2016 and 2018. The study is a cross-sectional study obtaining demographic and clinical information and inquiring about the types of CAM used, the reasons to use them and the perceived benefits. We compared the changes in the patterns of CAM use and other variables between the two cohorts. Results A total of 1416 patients were included in the study, with 464 patients in Cohort 1 and 952 patients in Cohort 2. Patients in Cohort 2 used less CAM (78.9%) than Cohort 1 (96.8%). Cohort 1 was more likely to use CAM to treat cancer compared to Cohort 2 (84.4% vs. 73%, respectively, p < 0.0001,); while Cohort 2 used CAM for symptom management such as pain control and improving appetite among others. Disclosure of CAM use did not change significantly over time and remains low (31.6% in Cohort 1 and 35.7% for Cohort 2). However, physicians were more likely to express an opposing opinion against CAM use in Cohort 2 compared to Cohort 1 (48.7% vs. 19.1%, p < 0.001, respectively). Conclusion There is a significant change in CAM use among cancer patients over the decade, which reflects major societal and cultural changes in this population. Further studies and interventions are needed to improve the disclosure to physicians and to improve other aspects of care to these patients.

Housing Stability and Transactional Sex among Spanish-Speaking and English-Speaking Transgender Women

2021 ◽  
Vol 2 (2) ◽  
pp. 135-141
Author(s):  
John A. Sauceda ◽  
Edda I. Santiago-Rodriguez ◽  
Gaspar Zaragoza ◽  
Catherine E. Rivas ◽  
Luz Venegas ◽  
...  
Keyword(s):  
Regression Model ◽  
San Francisco ◽  
Transgender Women ◽  
Spanish Speakers ◽  
Transactional Sex ◽  
English Speakers ◽  
Lower Probability ◽  
Housing Stability ◽  
Spanish Speaking ◽  
English Speaking

There is evidence for a relationship between housing instability and transactional sex among transgender women. However, less is known about this relationship among monolingual Spanish-speaking transgender women. We compared Spanish- and English-speaking transgender women for differences in ever reporting transactional sex, and if perceived housing stability moderated these differences. Using a cross-sectional design, we surveyed 186 Spanish- and English-speaking transgender women in Philadelphia, Pennsylvania, and the San Francisco Bay Area, California. All variables in this study were from a brief demographic questionnaire in a larger parent study. Using a multivariate regression model for moderation, we tested whether the odds for reporting transactional sex were different between English and Spanish speakers, and whether housing stability moderated these odds. Overall, Spanish and English speakers reporting similar percentages of transactional sex (52.3–53.8%) and similar scores on the housing stability measure. In the moderation regression model, Spanish speakers had 7.9 times the adjusted odds of transaction sex, versus English speakers, but housing stability moderated the probability of transactional sex in the form of a crossover interaction. That is, lesser housing stability was associated with a higher probability of reporting transactional sex among Spanish speakers, yet greater housing stability was also associated with lower probability of reporting transactional sex. Housing stability evidenced both a risk and protective role for Spanish-speaking transgender women, which highlight the importance of this basic health need.

scholarly journals The Use of Complementary and Alternative Medicine Strategies, Opioids, and Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) Among Patients Attending a Free Clinic

2020 ◽  
Vol 7 (6) ◽  
pp. 1701-1707
Author(s):  
Akiko Kamimura ◽  
Sullivan Howard ◽  
Shannon Weaver ◽  
Samin Panahi ◽  
Jeanie Ashby
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Care Facility ◽  
Health Care Facility ◽  
Spanish Speakers ◽  
English Speakers ◽  
Free Clinic ◽  
The Us ◽  
Inflammatory Drugs ◽  
Complementary And Alternative

The purpose of this study was to describe the use of opioids and complementary and alternative medicine (CAM) among uninsured free clinic patients. A self-administered paper survey was collected to describe the use of opioids, complementary, and alternative medicine, and other pain relievers from 877 free clinic patients from January to April 2018. The US born English speakers are more likely to use CAM, nonprescription pain relievers, and prescription opioids, and to be more knowledgeable about opioids compared to non-US born English speakers and Spanish speakers. The main source of opioids for free clinic patients is a health care facility other than a free clinic as well as friends. Although nonprescription pain relievers are commonly used among free clinic patients, CAM is less common to use for pain control. More health education programs are needed to increase the knowledge of opioid risks among free clinic patients as well as other underserved population.

Use of conventional care and complementary/alternative medicine among US adults with arthritis

2012 ◽  
Vol 54 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Katherine D. Hoerster ◽  
Dalila A. Butler ◽  
Joni A. Mayer ◽  
Tracy Finlayson ◽  
Linda C. Gallo
Keyword(s):  
Alternative Medicine ◽  
Conventional Care ◽  
Complementary Alternative Medicine

Exploring adolescent complementary/alternative medicine (CAM) use in Canada

2008 ◽  
Vol 22 (1) ◽  
pp. 45-55 ◽  
Author(s):  
Chris Patterson ◽  
Heather Arthur ◽  
Charlotte Noesgaard ◽  
Patricia Caldwell ◽  
Julie Vohra ◽  
...  
Keyword(s):  
Alternative Medicine ◽  
Complementary Alternative Medicine ◽  
Cam Use

scholarly journals Patient Motivations for Using Complementary and Alternative Medicine

2004 ◽  
Vol 9 (2) ◽  
pp. 81-92 ◽  
Author(s):  
John K. Testerman ◽  
Kelly R. Morton ◽  
Rachel A. Mason ◽  
Ann M. Ronan
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Functional Status ◽  
Health Beliefs ◽  
Personal Control ◽  
Explanatory Models ◽  
Holistic Health ◽  
Conventional Care ◽  
Cam Use ◽  
Complementary And Alternative

Although use of complementary and alternative medicine (CAM) is widespread, the underlying reasons patients choose CAM are not clearly understood. Several explanatory models have been suggested, including desire for personal control, compatibility with holistic beliefs, and dissatisfaction with conventional care. Methods: The relationship between CAM use and health functional status, desire for personal control over health, holistic beliefs, spirituality, and patient satisfaction were assessed in a mailed survey of 230 family practice outpatients using validated, multi-item measures. Patients with osteoarthritis, depression, or both were compared to healthy patients. Results: Holistic health beliefs, higher spirituality scores, and lower health functional status were predictive of more CAM use. Personal control over health and satisfaction with physicians were not. Conclusion: Patients use CAM when it is consistent with their worldview and conventional care is not relieving their symptoms.

scholarly journals A Survey of Perceptions and Practices of Complementary Alternative Medicine among Canadian Gastroenterologists

2014 ◽  
Vol 28 (1) ◽  
pp. 45-49 ◽  
Author(s):  
Zane Gallinger ◽  
Brian Bressler ◽  
Shane M Devlin ◽  
Sophie Plamondon ◽  
Geoffrey C Nguyen
Keyword(s):  
Alternative Medicine ◽  
Formal Education ◽  
Complementary Alternative Medicine ◽  
Web Based ◽  
Adjunct Treatment ◽  
Physician Knowledge ◽  
Canadian Association ◽  
High Prevalence ◽  
Inflammatory Bowel ◽  
Cam Use

BACKGROUND: Despite a high prevalence of complementary alternative medicine (CAM) use among inflammatory bowel disease (IBD) patients, there is a dearth of information about the attitudes and perceptions of CAM among the gastroenterologists who treat these patients.OBJECTIVE: To characterize the beliefs, perceptions and practices of gastroenterologists toward CAM use in patients with IBD.METHODS: A web-based survey was sent to member gastroenterologists of the Canadian Association of Gastroenterology. The survey included multiple-choice and Likert scale questions that queried physician knowledge and perceptions of CAM and their willingness to discuss CAM with patients.RESULTS: Fifty-three per cent of respondents considered themselves to be IBD subspecialists. The majority (86%) of gastroenterologists reported that less than one-half of their patient population had mentioned the use of CAM. Only 8% of physicians reported initiating a conversation about CAM in the majority of their patient encounters. Approximately one-half (51%) of respondents were comfortable with discussing CAM with their patients, with lack of knowledge being cited as the most common reason for discomfort with the topic. Most gastroenterologists (79%) reported no formal education in CAM. While there was uncertainty as to whether CAM interfered with conventional medications, most gastroenterologists believed it could be effective as an adjunct treatment.CONCLUSION: Our findings demonstrate that gastroenterologists were hesitant to initiate discussions about CAM with patients. Nearly one-half were uncomfortable or only somewhat comfortable with the topic, and most may benefit from CAM educational programs. Interestingly, most respondents appeared to be receptive to CAM as adjunct therapy alongside conventional IBD treatment.

Use of Complementary/Alternative Medicine by Breast Cancer Survivors in Ontario: Prevalence and Perceptions

2000 ◽  
Vol 18 (13) ◽  
pp. 2515-2521 ◽  
Author(s):  
Heather Boon ◽  
Moira Stewart ◽  
Mary Ann Kennard ◽  
Ross Gray ◽  
Carol Sawka ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Alternative Medicine ◽  
Cancer Survivors ◽  
Support Group ◽  
Breast Cancer Survivors ◽  
Multiple Logistic Regression Analysis ◽  
Herbal Medicines ◽  
Complementary Alternative Medicine ◽  
Health Care Practitioners ◽  
Cam Use

PURPOSE: To determine the prevalence of use of complementary/alternative medicine (CAM) by breast cancer survivors in Ontario, Canada, and to compare the characteristics of CAM users and CAM nonusers. PATIENTS AND METHODS: A questionnaire was mailed to a random sample of Ontario women diagnosed with breast cancer in 1994 or 1995. RESULTS: The response rate was 76.3%. Overall, 66.7% of the respondents reported using CAM, most often in an attempt to boost the immune system. CAM practitioners (most commonly chiropractors, herbalists, acupuncturists, traditional Chinese medicine practitioners, and/or naturopathic practitioners) were visited by 39.4% of the respondents. In addition, 62.0% reported use of CAM products (most frequently vitamins/minerals, herbal medicines, green tea, special foods, and essiac). Almost one half of the respondents informed their physicians of their use of CAM. Multiple logistic regression analysis determined that support group attendance was the only factor significantly associated with CAM use. CONCLUSION: CAM use is common among Canadian breast cancer survivors, many of whom are discussing CAM therapy options with their physicians. Knowledge of CAM therapies is necessary for physicians and other health care practitioners to help patients make informed choices. CAM use may play a role in the positive benefits associated with support group attendance.

Sign in / Sign up

Export Citation Format

Share Document