Attitudes of Older Adults Regarding Disclosure of Complementary Therapy Use to Physicians

被引:13
作者
Arcury, Thomas A. [1 ]
Bell, Ronny A. [2 ]
Altizer, Kathryn P. [1 ]
Grzywacz, Joseph G. [1 ]
Sandberg, Joanne C. [1 ]
Quandt, Sara A. [3 ]
机构
[1] Wake Forest Sch Med, Dept Family & Community Med, Winston Salem, NC 27157 USA
[2] Wake Forest Sch Med, Dept Epidemiol & Prevent, Div Publ Hlth Sci, Winston Salem, NC 27157 USA
[3] Wake Forest Sch Med, Dept Epidemiol & Prevent, Div Publ Hlth Sci, Maya Angelou Ctr Hlth Equ, Winston Salem, NC 27157 USA
关键词
complementary therapies; patient-provider communication; minority aging; DECISION-MAKING STYLE; ALTERNATIVE MEDICINE; PATIENT COMMUNICATION; POTENTIAL INTERACTIONS; PATIENTS PERCEPTIONS; HEALTH; CARE; ARTHRITIS; PROVIDERS; GENDER;
D O I
10.1177/0733464812443084
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Many older adults use complementary therapies in health self-management but do not disclose this use to their physicians. This article examines factors affecting disclosure of complementary therapy use and considers ethnic and gender differences in disclosure. It is based on a systematic qualitative analysis of in-depth interviews conducted with 62 African American and White adults aged 65 and older. Twenty-three of the 39 older adults who acknowledge using complementary therapies disclose this to their physicians. Themes leading to disclosure are believing that physicians are supportive and the importance of sharing information. Themes for not disclosing complementary therapy use include physicians' negative views, complementary therapy use affecting physicians' incomes, and the need to protect cultural knowledge. African American women were least likely to disclose use. Disclosure by older adults to their physicians is a complex decision process. Medical encounters, including decisions regarding information to disclose, are embedded in broader social structures.
引用
收藏
页码:627 / 645
页数:19
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