Discrimination in Health Care and CAM Use in a Representative Sample of U.S. Adults

Thorburn, Sheryl; Faith, Jennifer; Keon, Karen Levy; Tippens, Kimberly M

doi:10.1089/acm.2012.0586

Cited by 10 publications

(7 citation statements)

References 10 publications

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“…The reasons for these behaviours are unclear, however it may be that those who are combining herbal medicines with pharmaceuticals are concerned about disclosing this to their health care providers for fear of discrimination. Discrimination in health care was found to be related to self-prescribed herbal medicine use in a representative sample of US adults [ 28 ]. In addition, being dissatisfied with the medical encounter has been found to predict CAM use in both cancer [ 29 , 30 ] and general population samples [ 31 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Herbal medicine use behaviour in Australian adults who experience anxiety: a descriptive study

McIntyre

Saliba

Wiener

et al. 2016

BMC Complement Altern Med

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BackgroundAnxiety disorders are the most prevalent mental health condition in Australia. In addition, there are many people who experience problematic anxiety symptoms who do not receive an anxiety disorder diagnosis but require treatment. As herbal medicine use is popular in Australia, and little is known about how adults experiencing anxiety are using these medicines, this study aimed to identify how Australian adults who experience anxiety are using herbal medicines.MethodsAn online cross-sectional descriptive study was conducted using purposive convenience sampling to recruit Australian adults who have experienced anxiety symptoms and have used herbal medicines (N = 400). Descriptive statistics, chi-square test of contingency, analysis of variance, and simple logistic regression was used to analyse the data.ResultsEighty two percent of participants experienced anxiety symptoms in the previous 12 months, with 47 % reporting having previously been diagnosed with an anxiety disorder. In addition, 72.8 % had used herbal medicines specifically for anxiety symptoms in their lifetime, while 55.3 % had used prescribed pharmaceuticals, with 27.5 % having used herbal medicines concurrently with prescribed pharmaceuticals. The Internet and family and friends were the most frequently used sources of information about herbal medicines. Forty eight percent of participants did not disclose their herbal medicine use to their doctor.ConclusionsHerbal medicines are being used by adults with anxiety and are commonly self-prescribed for anxiety symptoms. Health practitioners who are experts in herbal medicine prescribing are consulted infrequently. In addition, herbal medicine use is often not disclosed to health practitioners. These behaviours are concerning as people may not be receiving the most suitable treatments, and their use of herbal medicines may even be dangerous. It is critical we develop a better understanding of why people are using these medicines, and how we can develop improved health literacy to help with treatment decision making to ensure people receive optimal care.

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Section: Discussionmentioning

confidence: 99%

Herbal medicine use behaviour in Australian adults who experience anxiety: a descriptive study

McIntyre

Saliba

Wiener

et al. 2016

BMC Complement Altern Med

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“…5 Data from the 2001 Health Care Quality Survey suggested that individuals who experienced unmet medical needs and discrimination based on ability to pay, ability to speak English, racial or ethnic background, and sex were statistically significantly more likely than other individuals to use CAM (P<.01). 9 Health care workers were more likely than the general population to use all forms of CAM (P<.01). 10 Despite the use of CAM by health care workers, nearly two-thirds of the users have reported not discussing their use of CAM with their physicians.…”

Section: Background and Significance Of Cammentioning

confidence: 96%

Introduction to Complementary, Alternative, and Traditional Therapies

Kramlich

2014

Critical Care Nurse

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The use of complementary, alternative, and traditional therapies is increasing in the United States, and patients and their families are bringing these practices into the acute care setting. Acute and critical care nurses are in a unique and trusted position to advocate for their patients and to promote safe incorporation of complementary, alternative, and traditional therapies into the plan of care.

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“…In addition, researchers found that non-Hispanic black women marginally use chiropractic services more often than men, which is in congruence with existing CAM research overall. 3 Studies have demonstrated that blacks trust the medical system less than whites 42,43 and that health 48,49 This is believed to result in them suffering from higher morbidity and mortality. 49 For example, Schwamm et al 48 performed a study where they found that blacks had lower odds compared to white patients of receiving intravenous thrombolysis, deep vein These were the exact questions asked.…”

Section: Discussionmentioning

confidence: 99%

Attributes of Non-Hispanic Blacks That Use Chiropractic Health Care: A Survey of Patients in Texas and Louisiana

Ward

Humphries

Coats

et al. 2015

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to describe non-Hispanic blacks that use chiropractic health care to better understand this underserved demographic. Methods: E-mail and telephone calls were used to recruit doctors of chiropractic (DCs) in Texas and Louisiana to distribute anonymous surveys to their non-Hispanic black patients. Twenty doctors volunteered to participate. Each was sent 10 surveys and self-addressed envelopes to distribute. All doctors were given at least 3 months to distribute surveys to as many non-Hispanic black patients that they had. The survey contained 20 questions designed to develop a profile of non-Hispanic black patients that used chiropractic care. Descriptive statistics were used to summarize demographic and other patient attributes. Results: Two-hundred surveys were distributed and 44 were completed, yielding a response rate of 22%. Non-Hispanic black patients were more likely to be female (54.5%), be older than 50 years (56.8%), be a college graduate (59.1%), be employed (61.9%), report not receiving public assistance in the past 5 years (81.4%), report a household income of $20 000 to $60 000 a year (48.8%), and born in the United States (83.7%). Participants reported that there was a DC within 30 minutes of their address (81.4%), their DC always explained things to them in an easy-to-understand manner (81.8%), their DC always showed respect for what they had to say (88.6%), and their DC always cared about them as a person (86.4%). Conclusions: In the sample surveyed, non-Hispanic black patients tended to be female, be older, be college educated, be employed, and have a positive viewpoint on their interactions with their DC.

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Discrimination in Health Care and CAM Use in a Representative Sample of U.S. Adults

Abstract: Objectives: Discrimination in medical settings may influence patient attitudes about health care and healthseeking behaviors.

Cited by 10 publications

References 10 publications

Herbal medicine use behaviour in Australian adults who experience anxiety: a descriptive study

Herbal medicine use behaviour in Australian adults who experience anxiety: a descriptive study

Introduction to Complementary, Alternative, and Traditional Therapies

Attributes of Non-Hispanic Blacks That Use Chiropractic Health Care: A Survey of Patients in Texas and Louisiana

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