TY - JOUR
T1 - Complementary and alternative medicine use among older urban African Americans: Individual and neighborhood associations
AU - Ryder, Priscilla T.
AU - Wolpert, Beverly
AU - Orwig, Denise
AU - Carter-Pokras, Olivia
AU - Black, Sandra A.
PY - 2008/1/1
Y1 - 2008/1/1
N2 - Purpose: Older African Americans may be vulnerable to risks due to impaired healthcare access and understudied complementary and alternative medicine (CAM) use and other traditions. We describe C AM use among older African Americans in Baltimore, MD, examining associations among CAM and sociodemographic, health status, healthcare utilization and neighborhood factors. Methods: Cross sectional telephone survey of 95 African Americans ages ≥60 on use of CAM modalities (herb/home remedies, prayer, group spiritual practices, meditation/visualization, massage, chiropractic, acupuncture, relaxation/ biofeedback) in prior year. Results: A large majority (88.4%) reported CAM use in the previous year; 50.5% reported CAM use excluding individual prayer. T he most commonly reported modalities were individual prayer (96.8%), herbs/home remedies (29.5%) and group spiritual practices (17.0%). Most (77.3%) herbal/home remedy users disclosed use to providers. In multivariable logistic regression at the individual level, C AM was associated with higher number of comorbidities (OR=1.24, 95% C I: 1.06–1.45), older age (OR=1.09, 95% C I: 1.01–1.17) and more years of education (OR=1.24, 95% C I: 1.03–1.49). Adding neighborhood variables attenuated effects of comorbidity (OR=1.17, 95% C I: 0.99–1.39); residence in more racially integrated neighborhoods (OR=1.03, 95% C I: 1.00–1.06; p=0.047) was also important. Conclusions: CAM use was greater than expected. Although disclosure of herb use was high, providers should probe for CAM use.
AB - Purpose: Older African Americans may be vulnerable to risks due to impaired healthcare access and understudied complementary and alternative medicine (CAM) use and other traditions. We describe C AM use among older African Americans in Baltimore, MD, examining associations among CAM and sociodemographic, health status, healthcare utilization and neighborhood factors. Methods: Cross sectional telephone survey of 95 African Americans ages ≥60 on use of CAM modalities (herb/home remedies, prayer, group spiritual practices, meditation/visualization, massage, chiropractic, acupuncture, relaxation/ biofeedback) in prior year. Results: A large majority (88.4%) reported CAM use in the previous year; 50.5% reported CAM use excluding individual prayer. T he most commonly reported modalities were individual prayer (96.8%), herbs/home remedies (29.5%) and group spiritual practices (17.0%). Most (77.3%) herbal/home remedy users disclosed use to providers. In multivariable logistic regression at the individual level, C AM was associated with higher number of comorbidities (OR=1.24, 95% C I: 1.06–1.45), older age (OR=1.09, 95% C I: 1.01–1.17) and more years of education (OR=1.24, 95% C I: 1.03–1.49). Adding neighborhood variables attenuated effects of comorbidity (OR=1.17, 95% C I: 0.99–1.39); residence in more racially integrated neighborhoods (OR=1.03, 95% C I: 1.00–1.06; p=0.047) was also important. Conclusions: CAM use was greater than expected. Although disclosure of herb use was high, providers should probe for CAM use.
KW - complementary and alternative medicines
KW - urban population
UR - https://digitalcommons.butler.edu/cophs_papers/83
UR - http://www.researchgate.net/publication/23405795_Complementary_and_alternative_medicine_use_among_older_urban_African_Americans_individual_and_neighborhood_associations/file/79e4150fefd501254b.pdf
M3 - Article
VL - 100
JO - Scholarship and Professional Work – COPHS
JF - Scholarship and Professional Work – COPHS
IS - 10
ER -