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美国菲律宾裔成年人补充替代医学的使用模式与医学多元主义:对2012年国家健康访谈调查的二次分析

U.S. Filipino Adults' Patterns of CAM Use and Medical Pluralism: Secondary Analysis of 2012 National Health Interview Survey.

作者信息

Felicilda-Reynaldo Rhea Faye, Choi Soyung

机构信息

University of Hawaii at Manoa, Honolulu, Hawaii, USA.

University of Hawaii, John A. Burns School of Medicine, Honolulu, Hawaii, USA.

出版信息

Asian Pac Isl Nurs J. 2018;3(3):93-104. doi: 10.31372/20180303.1003.

Abstract

The cultural health beliefs of the Filipino population and colonial history of medicine in the Philippines could mean high use of complementary and alternative therapies (CAM) and increased engagement in medical pluralism (i.e., combined use of conventional medicine and CAM) among the U.S. Filipino population, the fourth largest immigrant group in the United States. However, there is limited research regarding U.S. Filipinos' health behaviors related to CAM use and medical pluralism engagement. The purpose of this study was to explore patterns of CAM use and medical pluralism practices of Filipino adults living in the United States. Data from Filipino adult respondents of the 2012 National Health Interview Survey adult CAM supplement were analyzed to determine most common CAM used, most common conditions for which CAM was used as a treatment, reasons for using CAM for treatment of health conditions, and sources of recommendations for CAM as a treatment in this population. Dietary supplements were the most common CAM used by Filipino adults living in the United States. A small number of U.S. Filipino adults reported using CAM to treat pain-related and cardiovascular conditions, with the most common source of recommendations coming from friends and family members. Most common reasons for using CAM for treatment of health condition were: CAM is natural; CAM had a holistic approach, and CAM could be taken/practiced independently. Based on the findings of the study, Filipino adults living in the United States engage in a pluralistic approach to health by using CAM for treatment of health conditions. Analysis of the 2012 NHIS adult CAM supplement provided an overview of Filipino adults' patterns of CAM use and medical pluralism; however, future research is still needed to explain such health behavior patterns.

摘要

菲律宾人口的文化健康观念以及菲律宾的医学殖民历史,可能意味着在美国人数排名第四的移民群体——美籍菲律宾人中,补充和替代疗法(CAM)的使用率较高,且更多人会采用医学多元主义(即同时使用传统医学和补充与替代疗法)。然而,关于美籍菲律宾人使用补充和替代疗法以及采用医学多元主义的健康行为的研究有限。本研究的目的是探讨居住在美国的菲律宾成年人使用补充和替代疗法的模式以及医学多元主义实践。对2012年全国健康访谈调查成人补充和替代疗法补充部分中菲律宾成年受访者的数据进行了分析,以确定最常使用的补充和替代疗法、使用补充和替代疗法治疗的最常见疾病、使用补充和替代疗法治疗健康问题的原因,以及该人群中补充和替代疗法治疗建议的来源。膳食补充剂是居住在美国的菲律宾成年人最常使用的补充和替代疗法。少数美籍菲律宾成年人报告使用补充和替代疗法治疗疼痛相关和心血管疾病,最常见的建议来源是朋友和家人。使用补充和替代疗法治疗健康问题的最常见原因是:补充和替代疗法天然;补充和替代疗法采用整体方法,且补充和替代疗法可以独立服用/实施。基于该研究的结果,居住在美国的菲律宾成年人通过使用补充和替代疗法治疗健康问题,采取了多元主义的健康方法。对2012年全国健康访谈调查成人补充和替代疗法补充部分的分析概述了菲律宾成年人使用补充和替代疗法的模式以及医学多元主义;然而,仍需要未来的研究来解释这种健康行为模式。

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