Boyd E L, Taylor S D, Shimp L A, Semler C R
College of Pharmacy, University of Michigan, Ann Arbor 48109-1065, USA.
J Natl Med Assoc. 2000 Jul;92(7):341-53.
This analysis represents the first national look at family and individual use of home remedies by African Americans. The purpose is to examine home remedy usage by African-American individuals and their families and assess the relationship between sociodemographic characteristics and home remedy usage for African-American families and African-American individuals. Using logistic regression, a secondary analysis of the National Survey on Black Americans (NSBA) data (N = 2107) was conducted to examine factors associated with home remedy use. Multivariate analysis indicated that parent's education, importance of religion, living with a grandparent, and living in a rural area were associated with families' use of home remedies. Age, gender, living with a grandparent, education, and geographic region were associated with individual home remedy use. The results of this research may provide insight to health care practitioners in their challenge of appropriately integrating self-care practices (i.e., home remedy use) and the use of the formal health care system among the patients that utilize both "scientific" and "folk" medical systems. When possible, treatment plans should be adapted to consider patients' demographics, health beliefs, and self-care practices. Health care providers should encourage patient and family involvement and dialogue regarding therapeutic approaches. As more information becomes available, health care practitioners will be better able to ascertain the possible health consequences of concurrent usage of home remedies and prescription drug therapies.
该分析首次对非裔美国人家庭及个人使用家庭疗法的情况进行了全国性研究。目的是调查非裔美国人个人及其家庭使用家庭疗法的情况,并评估社会人口统计学特征与非裔美国家庭及个人使用家庭疗法之间的关系。利用逻辑回归,对《美国黑人全国调查》(NSBA)数据(N = 2107)进行了二次分析,以研究与使用家庭疗法相关的因素。多变量分析表明,父母的教育程度、宗教信仰的重要性、与祖父母同住以及居住在农村地区与家庭使用家庭疗法有关。年龄、性别、与祖父母同住、教育程度和地理区域与个人使用家庭疗法有关。这项研究的结果可能会为医疗保健从业者在适当整合自我护理做法(即使用家庭疗法)以及在同时使用“科学”和“民间”医疗体系的患者中使用正规医疗体系方面所面临的挑战提供见解。在可能的情况下,治疗计划应加以调整,以考虑患者的人口统计学特征、健康观念和自我护理做法。医疗保健提供者应鼓励患者及其家人参与并就治疗方法进行对话。随着更多信息的出现,医疗保健从业者将能够更好地确定同时使用家庭疗法和处方药疗法可能产生的健康后果。