Influence of race and ethnicity on alternative medicine as a self-treatment preference for common medical conditions in a population of multi-ethnic urban elderly

Cherniack, E. Paul; Ceron-Fuentes, Jose; Flórez, Hermes; Sandals, Lauran; Rodriguez, Osvaldo; Palacios, Juan C.

doi:10.1016/j.ctcp.2007.11.002

Cited by 47 publications

(38 citation statements)

References 33 publications

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“…We did not find significant differences between HMD and NHW in their global sleep quality or in their reported sleep latency, sleep duration, daytime dysfunction and sleep disturbances as measured by the PSQI. However, a few differences were noted: NHW reported greater use of sleep medications compared to HMD, which conforms to previous reports [37,38]. Potential reasons have been advanced including racial/ethnic differences in the perception of illness, safety and efficacy of medications, and reduced access to physicians and prescription medications among minorities [39].…”

Section: Discussionsupporting

confidence: 66%

Sleep Quality among Hispanics of Mexican Descent and Non-Hispanic Whites: Results from the Sleep Health and Knowledge in US Hispanics Study

Soler¹,

Díaz-Piedra²,

Bardwell³

et al. 2013

OJRD

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Objectives: To investigate differences in sleep quality between Hispanics of Mexican descent (HMD) and Non-Hispanic Whites (NHW) and evaluate the effect of acculturation to the US lifestyle in sleep health. We hypothesize that the detrimental effect of acculturation on health outcomes will impact sleep quality among HMD. Design: We performed a population-based random digit dialing telephone survey to determine sleep quality in HMD and NHW. We collected from 3667 subjects, demographics, previous diagnosis of depression or anxiety, past treatment for sleep disorders, the Pittsburgh Sleep Quality Index (PSQI) and the Short Acculturation Scale for Hispanics. Results: The prevalence of poor sleep quality (PSQI > 5) was 64.4% for HMD and 64.3% for NHW (p = 0.93). A prior diagnosis of depression or anxiety was an independent predictor of poor sleep quality in both groups (OR 3.4 and 2.7 for HMD and NHW. Ethnicity was not a predictor of poor sleep quality in HMD or NHW. Acculturation was not a predictor of poor sleep quality in HMD. However, highly acculturated young HMD males had significantly more prevalence of poor sleep quality compared to NHW (64.8% vs. 49.8%, p < 0.001). Conclusion: The absence of sleep quality differences in a large sample of HMD and NHW living in San Diego County is contrary to current data of having poorer sleep quality among Latinos. We found that neither ethnicity nor acculturation were predictors of poor sleep quality in HMD. However, we demonstrated a highly prevalent poor sleep quality among the two ethnic groups. The finding of significantly lower sleep quality in young highly acculturated HMD men may represent the heterogeneity of ethnicity related to sleep. Programs to improve sleep quality in subjects with depression and/or anxiety, and in young highly-acculturated HMD seems warranted.

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Section: Discussionsupporting

confidence: 66%

Sleep Quality among Hispanics of Mexican Descent and Non-Hispanic Whites: Results from the Sleep Health and Knowledge in US Hispanics Study

Soler¹,

Díaz-Piedra²,

Bardwell³

et al. 2013

OJRD

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“…Americans made an estimated 425 million visits to alternative health care providers in 1990 (1) and 629 million visits in 2005 (2) This is almost double the number of annual visits to primary care physicians (2). Prevalence of CAM use among adults aged 65 and older varies widely across studies ranging from 31% to 88% in both nationally representative surveys (3–5) and smaller regional studies (6–8). A 2007 AARP telephone survey suggests variation in CAM use among older adults with the proportion of people using CAM is less common with age (9).…”

Section: Objectivementioning

confidence: 99%

“…A 2007 AARP telephone survey suggests variation in CAM use among older adults with the proportion of people using CAM is less common with age (9). CAM use is also higher use among women and some racial/ethnic minorities, although there is some variation depending on the type of CAM (4,8). …”

Section: Objectivementioning

confidence: 99%

Use of Complementary and Alternative Medicine among Older Adults: Differences between Baby Boomers and Pre-Boomers

Groden

Woodward

Chatters

et al. 2017

The American Journal of Geriatric Psychiatry

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Objectives Compares use of complementary and alternative medicine (CAM) across age cohorts. Design Secondary analysis of data from the Collaborative Psychiatric Epidemiology Surveys. Participants Adults born in 1964 or earlier (n=11,371). Over half (61.3%) are baby boomers and fifty-three percent are female. Seventy-five percent of the sample is white, 10.2% African American, .6% black Caribbean, 9.35 Latino, and 4.1% Asian. Measurements The dependent variable is a dichotomous variable indicating use of any CAM, The main predictor of interest is age cohort categorized as pre-boomers (those born in 1945 or earlier) and baby boomers (those born between 1946 and 1964). Covariates include the use of traditional service providers in the past 12 months and 12-month mood, anxiety, and substance disorder. Disorders were assessed with the Diagnostic and Statistical manual World Mental Health Composite International Diagnostic Interview (WMH-CIDI). Logistic regression was used to test the association between use of CAM and age cohort. Results Baby boomers were more likely than pre-boomers to report using CAM for a mental disorder. Among identified CAM users, a higher proportion of baby boomers reported using most individual CAM modalities. Prayer and spiritual practices was the only CAM used by more pre-boomers. Conclusions Age cohort plays a significant role in shaping individual health care behaviors and service use and may influence future trends in the use of CAM for behavioral health. Health care providers need to be aware of patient use of CAM and communicate with them about the pros and cons of alternative therapies.

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“…As we develop and test behavioral interventions that we design to be culturally sensitive 8–10 and address sleep and health issues in the general population, 11–17 a better understanding of not only typical sleep-related behaviors but beliefs and attitudes about sleep as they vary across groups is necessary.…”

Section: Introductionmentioning

confidence: 99%

Sleep-Related Behaviors and Beliefs Associated With Race/Ethnicity in Women

Grandner

Patel

Jean‐Louis

et al. 2013

Journal of the National Medical Association

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Explore how social factors influence sleep, especially sleep-related beliefs and behaviors. Sleep complaints, sleep hygiene behaviors, and beliefs about sleep were studied in 65 black/African American and white/European American women. Differences were found for snoring and discrepancy between sleep duration and need. Sleep behaviors differed across groups for napping, methods for coping with sleep difficulties, and nonsleep behaviors in bed. Beliefs also distinguished groups, with differences in motivation for sleep and beliefs about sleep being important for health and functioning. These findings have important public health implications in terms of developing effective sleep education interventions that include consideration of cultural aspects.

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Influence of race and ethnicity on alternative medicine as a self-treatment preference for common medical conditions in a population of multi-ethnic urban elderly

Cited by 47 publications

References 33 publications

Sleep Quality among Hispanics of Mexican Descent and Non-Hispanic Whites: Results from the Sleep Health and Knowledge in US Hispanics Study

Sleep Quality among Hispanics of Mexican Descent and Non-Hispanic Whites: Results from the Sleep Health and Knowledge in US Hispanics Study

Use of Complementary and Alternative Medicine among Older Adults: Differences between Baby Boomers and Pre-Boomers

Sleep-Related Behaviors and Beliefs Associated With Race/Ethnicity in Women

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