老年农村非裔美国人和白人中的医学怀疑主义与补充疗法的使用情况
Medical skepticism and complementary therapy use among older rural African-Americans and Whites.
作者信息
Bell Ronny A, Grzywacz Joseph G, Quandt Sara A, Neiberg Rebecca, Lang Wei, Nguyen Ha, Altizer Kathryn P, Arcury Thomas A
机构信息
Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest School of Medicine, Winston- Salem, NC 27157, USA.
出版信息
J Health Care Poor Underserved. 2013 May;24(2):777-87. doi: 10.1353/hpu.2013.0052.
PURPOSE
This study documents demographic, health, and complementary therapy (CT) correlates of medical skepticism among rural older adults.
METHODS
Older (≥65 years) African Americans and Whites in rural North Carolina (N=198) were interviewed. Medical skepticism was assessed using the four items from the Medical Expenditure Survey. Bivariate associations between medical skepticism and demographic and health characteristics and CT use were assessed, and independent effects on CT use.
FINDINGS
Positive responses to medical skepticism questions ranged from 19.7% (can overcome illness without help) to 59.6% (believes own behavior determines their health). Medical skepticism indicators were associated with few demographic and health characteristics, and one CT category.
CONCLUSIONS
This study shows a high degree of medical skepticism among rural older adults, but limited associations with demographic and health characteristics and CT use. Further research is needed to understand relationships of attitudes towards conventional care and CT use in this population.
目的
本研究记录了农村老年人中对医学持怀疑态度的人口统计学、健康状况及补充疗法（CT）相关因素。
方法
对北卡罗来纳州农村地区年龄在65岁及以上的非裔美国人和白人（N = 198）进行了访谈。使用医疗支出调查中的四个项目评估对医学的怀疑态度。评估了对医学的怀疑态度与人口统计学、健康特征及补充疗法使用之间的双变量关联，以及对补充疗法使用的独立影响。
结果
对医学怀疑问题的肯定回答比例从19.7%（无需帮助就能战胜疾病）到59.6%（相信自身行为决定健康）不等。对医学的怀疑态度指标与少数人口统计学和健康特征以及一种补充疗法类别相关。
结论
本研究表明农村老年人对医学存在高度怀疑态度，但与人口统计学、健康特征及补充疗法使用的关联有限。需要进一步研究以了解该人群对传统医疗和补充疗法使用的态度之间的关系。
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