Use of Complementary and Alternative Therapies by Asian Americans. Results from the National Health Interview Survey

Harvard University, Cambridge, Massachusetts, United States
Journal of General Internal Medicine (Impact Factor: 3.42). 06/2007; 22(6):762-7. DOI: 10.1007/s11606-007-0166-8
Source: PubMed


Very little is known about complementary and alternative medicine (CAM) use in Asian Americans (AA), especially on a national level. To compare CAM use, reasons for use, and disclosure rates between Asian and non-Hispanic white Americans (NHW), and examine ethnic variations among AA. Data on CAM use in the past year (excluding prayer) were used from the 2002 National Health Interview Survey for 917 AA and 20,442 NHW. Compared with NHW, AA were as likely to use any CAM modality [42 vs. 38%; adjusted prevalence ratio = 1.09, 95% confidence interval (0.94, 1.27)]. Asian Americans were less likely than NHW to disclose the use of herbal medicines (16 vs. 34%, p < 0.001) and mind/body therapies (15 vs. 25%, p < 0.05). Mind/body therapies were used more often by Asian Indians (31%) than by Chinese (21%) and Filipinos (22%), whereas herbal medicines were used more often by Chinese (32%) than by Filipinos (26%) and Asian Indians (19%). Among AA, CAM use was associated with being female, having higher education, and having a chronic medical condition; foreign-birth was not associated with CAM use. Complementary and alternative medicine use is common among AA, and there are important ethnic variations in use. Asian Americans are less likely than NHW to disclose CAM use to conventional healthcare providers, suggesting that it is particularly important that physicians query AA patients about CAM use.

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    • "Sixteen (29.1 %) articles comprised analyses of six nationally representative datasets: the 2002 and 2007 NHIS, a 1997/1998 telephone survey on CAM use, the Nurse's Health Study (Buettner et al., 2006), American Cancer Society's cancer survivor studies (Stein et al., 2009), the Study of Women's Health Across the Nation (Gold et al., 2007), and the Health Survey for England (HSE; Ding & Stamatakis, 2014). Recently, the NHIS included a CAM component; 10 (18.2 %) articles were sub-analyses of specific populations drawn from the NHIS, nine from the 2002 report (Bertisch et al., 2008, 2009; Birdee et al., 2008; Fouladbakhsh & Stommel, 2010; Garrow & Egede, 2006; Graham et al., 2005; Mao et al., 2010; Mehta et al., 2007; Shah et al., 2008) and one from the 2007 report (Wells et al., 2011). Two (3.6 %) analyses of a 1997/1998 telephone survey on CAM use were published (Conboy et al., 2005; Saper et al., 2004). "
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    • "In Western populations, the reasons for the use of TCM include experiencing failure of standard health care, the need for autonomy, and preference for natural therapies [6-8]. Based on the 2007 National Health Interview Survey, the prevalence of complementary and alternative medicine use was 38% in American adults [9]. Unlike the health system in many Western countries, TCM is regarded as an important part of the Chinese health care system. "
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    ABSTRACT: Large-scale pharmaco-epidemiological studies of Chinese herbal medicine (CHM) for treatment of urticaria are few, even though clinical trials showed some CHM are effective. The purpose of this study was to explore the frequencies and patterns of CHM prescriptions for urticaria by analysing the population-based CHM database in Taiwan. This study was linked to and processed through the complete traditional CHM database of the National Health Insurance Research Database in Taiwan during 2009. We calculated the frequencies and patterns of CHM prescriptions used for treatment of urticaria, of which the diagnosis was defined as the single ICD-9 Code of 708. Frequent itemset mining, as applied to data mining, was used to analyse co-prescription of CHM for patients with urticaria. There were 37,386 subjects who visited traditional Chinese Medicine clinics for urticaria in Taiwan during 2009 and received a total of 95,765 CHM prescriptions. Subjects between 18 and 35 years of age comprised the largest number of those treated (32.76%). In addition, women used CHM for urticaria more frequently than men (female:male = 1.94:1). There was an average of 5.54 items prescribed in the form of either individual Chinese herbs or a formula in a single CHM prescription for urticaria. Bai-Xian-Pi (Dictamnus dasycarpus Turcz) was the most commonly prescribed single Chinese herb while Xiao-Feng San was the most commonly prescribed Chinese herbal formula. The most commonly prescribed CHM drug combination was Xiao-Feng San plus Bai-Xian-Pi while the most commonly prescribed triple drug combination was Xiao-Feng San, Bai-Xian-Pi, and Di-Fu Zi (Kochia scoparia). In view of the popularity of CHM such as Xiao-Feng San prescribed for the wind-heat pattern of urticaria in this study, a large-scale, randomized clinical trial is warranted to research their efficacy and safety.
    Full-text · Article · Aug 2013 · BMC Complementary and Alternative Medicine
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    • "The motives for the use of CAM include perceived failure of standard health care, the need of a patient for autonomy, and preference for holistic or natural therapy in Western populations [4-6]. CAM is commonly used together with conventional medicine and has entered mainstream society and culture [7-9]. According to the 2007 National Health Interview Survey, the prevalence of CAM use is about 38% in American adults [9]. "
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