Ethnic Differences in Use of Complementary and Alternative Medicine at Midlife: Longitudinal Results From SWAN Participants

Bair, Yali A.; Gold, Ellen B.; Greendale, Gail A.; Sternfeld, Barbara; Adler, Shelley R.; Azari, Rahman; Harkey, Martha R.

doi:10.2105/ajph.92.11.1832

Cited by 118 publications

(93 citation statements)

References 21 publications

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“…The use of CAM is assessed with a modified two-part self-administered questionnaire based on previous studies [18][19][20][21]. Part 1 is a checklist asking for ever use of five main modalities: herbal and botanical supplements such as black cohosh, ginseng, and mistletoe (90 items); other natural products such as co-enzyme Q10, DHEA, and melatonin (26 items); special diets such as low-fat, macrobiotic, or vegan (12 items); mind-body healing such as hypnosis, support groups, or yoga (17 items); and body-based, energy-based, and other treatments such as acupuncture, naturopathy, or reiki (23 items).…”

Section: Complementary and Alternative Medicine (Cam)mentioning

confidence: 99%

“…Diablo 54 (16) 65 (14) 54 (12) 40 (13) 213 (14) 310 (12) East Bay 49 (14) 84 (18) 71 (16) 33 (11) 237 (15) 381 (15) Golden Gate 74 (22) 109 (23) 80 (19) 73 (25) 336 (22) 420 (17) Napa/Solano 23 (7) 33 (7) 29 (7) 27 (9) 112 (7) 167 (7) Capital 61 (18) 75 (16) 89 (21) 69 (23) 294 (19) 516 (21) South Bay 63 (18) 86 (18) 81 (19) 44 (15) 274 (18) 442 (18) Central California 18 (5) 17 (4) 26 (6) 12 (4) 73 (5) 242 (10) Data available in KPNCCR <0.89…”

Section: <0001unclassified

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The Pathways Study: a prospective study of breast cancer survivorship within Kaiser Permanente Northern California

Kwan

Ambrosone

Lee

et al. 2008

Cancer Causes Control

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106

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Objective-With 2.3 million breast cancer survivors in the U.S. today, identification of modifiable factors associated with breast cancer recurrence and survival is increasingly important. Only recently new studies have been designed to examine the impact of lifestyle factors on prognosis, including Pathways, a prospective study of women with breast cancer in Kaiser Permanente Northern California (KPNC).Methods-Pathways aims to examine the effect on recurrence and survival of 1) lifestyle factors such as diet, physical activity, quality of life, and use of alternative therapies and 2) molecular factors such as genetic polymorphisms involved in metabolism of chemotherapeutic agents. Eligibility includes any woman diagnosed with invasive breast cancer within KPNC, no previous diagnosis of other invasive cancer, age 21 years or older, and ability to speak English, Spanish, Cantonese, or Mandarin. Newly-diagnosed patients are identified daily from electronic pathology records and are enrolled within two months of diagnosis. An extensive baseline interview is conducted, blood and saliva samples are collected, and body measurements are taken. Women are followed for lifestyle updates, treatment, and outcomes by self-report and query of KPNC databases.Results-Recruitment began in January 9, 2006, and as of January 16, 2008, 1,539 women have been enrolled along with collection of 1,323 blood samples (86%) and 1,398 saliva samples (91%). Conclusions-ThePathways Study will become a rich resource to examine behavioral and molecular factors and breast cancer prognosis.

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Section: Complementary and Alternative Medicine (Cam)mentioning

confidence: 99%

Section: <0001unclassified

The Pathways Study: a prospective study of breast cancer survivorship within Kaiser Permanente Northern California

Kwan

Ambrosone

Lee

et al. 2008

Cancer Causes Control

Self Cite

106

View full text Add to dashboard Cite

show abstract

“…[1][2][3] Use of CAM has been associated with being older, more educated, and in poorer health, 1 but little research examines why menopausal women use CAM. A small study (n=14) noted women using CAM for menopausal symptoms felt in control through their choices, and described CAM as "natural" and effective.…”

Section: Introductionmentioning

confidence: 99%

Complementary and Alternative Medicine for Menopause: A Qualitative Analysis of Women’s Decision Making

2008

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“…Researchers also failed to ask about marital status in the survey as some other CAM researchers have done. 4,24 Being married has been correlated with a significant increase in lifespan among non-Hispanic black men and the likelihood that they will engage in better health care choices. 66 In addition, researchers regretted not asking patients about their viewpoint on conventional medicine.…”

Section: Limitationsmentioning

confidence: 99%

“…22 Most CAM use research does not break down the amount of use of each CAM subtype (eg, chiropractic, herbal medicine, acupuncture) by minorities. 24 Because of the unique intrinsic cultural differences that minority groups possess, 24 their reasons for using or not using different forms of CAM remain a gap in existing research.…”

Section: Introductionmentioning

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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Ethnic Differences in Use of Complementary and Alternative Medicine at Midlife: Longitudinal Results From SWAN Participants

Abstract: Baseline CAM use, rather than presence of symptoms, was the major predictor of subsequent CAM use. Premenopausal health behaviors are important determinants of choice of therapy during midlife.

Cited by 118 publications

References 21 publications

The Pathways Study: a prospective study of breast cancer survivorship within Kaiser Permanente Northern California

The Pathways Study: a prospective study of breast cancer survivorship within Kaiser Permanente Northern California

Complementary and Alternative Medicine for Menopause: A Qualitative Analysis of Women’s Decision Making

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

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