Kronenberg Fredi, Cushman Linda F, Wade Christine M, Kalmuss Debra, Chao Maria T
Richard and Hinda Rosenthal Center for Complementary Medicine, Department of Rehabilitation Medicine, College of Physicians & Surgeons, Columbia University, New York, NY 10032, USA.
Am J Public Health. 2006 Jul;96(7):1236-42. doi: 10.2105/AJPH.2004.047688. Epub 2006 May 30.
We studied the use of complementary and alternative medicine (CAM) among women in 4 racial/ethnic groups: non-Hispanic Whites, African Americans, Mexican Americans, and Chinese Americans.
We obtained a nationally representative sample of women aged 18 years and older living in the United States in 2001. Oversampling obtained 800 interviews in each group, resulting in a sample of 3068 women.
Between one third and one half of the members of all groups reported using at least 1 CAM modality in the year preceding the survey. In bivariate analyses, overall CAM use among Whites surpassed that of other groups; however, when CAM use was adjusted for socioeconomic factors, use by Whites and Mexican Americans were equivalent. Despite the socioeconomic disadvantage of African American women, socioeconomic factors did not account for differences in CAM use between Whites and African Americans.
CAM use among racial/ethnic groups is complex and nuanced. Patterns of CAM use domains differ among groups, and multivariate models of CAM use indicate that ethnicity plays an independent role in the use of CAM modalities, the use of CAM practitioners, and the health problems for which CAM is used.
我们研究了4个种族/族裔群体的女性使用补充和替代医学(CAM)的情况,这4个群体分别是非西班牙裔白人、非裔美国人、墨西哥裔美国人以及华裔美国人。
我们获取了2001年居住在美国的18岁及以上女性的全国代表性样本。通过过采样,每个群体获得了800份访谈,最终形成了一个包含3068名女性的样本。
在所有群体中,三分之一至二分之一的成员报告称在调查前一年至少使用过一种补充和替代医学方式。在双变量分析中,白人总体上使用补充和替代医学的情况超过其他群体;然而,在对社会经济因素进行调整后,白人和墨西哥裔美国人的使用情况相当。尽管非裔美国女性存在社会经济劣势,但社会经济因素并不能解释白人和非裔美国人在使用补充和替代医学方面的差异。
种族/族裔群体中使用补充和替代医学的情况复杂且微妙。不同群体在补充和替代医学使用领域的模式存在差异,补充和替代医学使用的多变量模型表明,种族在补充和替代医学方式的使用、补充和替代医学从业者的使用以及使用补充和替代医学所针对的健康问题方面发挥着独立作用。