Department of Social Work, California State University, Fullerton, CA, USA.
Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA, USA.
J Immigr Minor Health. 2024 Jun;26(3):527-538. doi: 10.1007/s10903-024-01583-9. Epub 2024 Feb 9.
We conducted an analysis to identify factors influencing the use of traditional complementary and alternative medicine (TCAM), with a particular emphasis on ethnic variations. Using the 2015 Asian American Quality of Life survey (N = 2,609), logistic regression analyses were performed, considering acculturation, health status, healthcare accessibility/utilization, and socio-demographic factors. Ethnicity, specifically being Chinese or Korean Americans, having chronic medical conditions, experiencing unmet healthcare needs, and having regular check-ups were significant predictors of TCAM use among Asian Americans as a whole. However, when we delved into sub-ethnic groups, different patterns were found. Among Vietnamese and Filipino Americans, having unmet healthcare needs emerged as the most prominent predictor of TCAM use. Furthermore, acculturation level and English proficiency were significant in predicting Vietnamese and Filipino Americans' TCAM use, with the direction varying by sub-ethnicity. Being old emerged as a predictor of TCAM use for Chinese, Indian, Korean, and 'other' Americans. Our findings underscore the importance of adopting an ethnically sensitive approach when addressing the healthcare needs of diverse Asian American populations.
我们进行了一项分析,以确定影响传统补充和替代医学(TCAM)使用的因素,特别强调了种族差异。使用 2015 年亚裔美国人生活质量调查(N=2609),考虑了文化适应、健康状况、医疗保健可及性/利用情况以及社会人口因素,进行了逻辑回归分析。在亚裔美国人中,种族,特别是华裔或韩裔美国人、患有慢性疾病、存在未满足的医疗保健需求以及定期体检是 TCAM 使用的重要预测因素。然而,当我们深入研究亚种族群体时,发现了不同的模式。对于越南裔和菲律宾裔美国人来说,未满足的医疗保健需求是 TCAM 使用的最显著预测因素。此外,文化适应程度和英语水平在预测越南裔和菲律宾裔美国人的 TCAM 使用方面具有重要意义,其方向因亚种族而异。年龄增长是华裔、印度裔、韩裔和“其他”美国人使用 TCAM 的预测因素。我们的研究结果强调了在满足不同亚裔美国人的医疗保健需求时采取种族敏感方法的重要性。