Complementary and alternative medicine use as health self-management: Rural older adults with diabetes

被引:73
作者
Arcury, Thomas A.
Bell, Ronny A.
Snively, Beverly M.
Smith, Shannon L.
Skelly, Anne H.
Wetmore, Lindsay K.
Quandt, Sara A.
机构
[1] Wake Forest Univ, Bowman Gray Sch Med, Dept Family & Community Med, Winston Salem, NC 27157 USA
[2] Wake Forest Univ, Bowman Gray Sch Med, Publ Hlth Sci, Winston Salem, NC 27157 USA
[3] Univ N Carolina, Sch Nursing, Chapel Hill, NC USA
[4] Columbia Univ, Teachers Coll, New York, NY 10027 USA
来源
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES | 2006年 / 61卷 / 02期
关键词
D O I
10.1093/geronb/61.2.S62
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objectives. This study describes complementary and alternative medicine (CAM) use among rural older adults with diabetes. delineates the relationship of health self-management predictors to CAM therapy use, and furthers conceptual development of CAM use within a health self-management framework. Methods. Survey interview data were collected from a random sample of 701 community dwelling African American, Native American, and White elders residing in two rural North Carolina counties. We summarize CAM use for general use and for diabetes care and use multiple logistic modeling to estimate the effects of health self-management predictors on use of CAM therapies. Results. The majority of respondents used some form of CAM for general purpose, whereas far fewer used CAM for diabetes care. The most widely used CAM categories were food home remedies, other home remedies, and vitamins. The following, health self-management predictors were related to the use of different categories of CAM therapies: personal characteristics (ethnicity), health status (number of health conditions), personal resources (education), and financial resources (economic status). Discussion. CAM is a widely used component of health self-management among rural among older adults with diabetes. Research on CAM use will benefit from theory that considers the specific behavior and cognitive characteristics of CAM therapies.
引用
收藏
页码:S62 / S70
页数:9
相关论文
共 45 条
  • [1] [Anonymous], 2004, COMPLEMENTARY HLTH P, DOI [DOI 10.1177/1076167503253433, 10.1177/1076167503253433]
  • [2] Faith and health self-management of rural older adults
    Arcury T.A.
    Quandt S.A.
    McDonald J.
    Bell R.A.
    [J]. Journal of Cross-Cultural Gerontology, 2000, 15 (1) : 55 - 74
  • [3] Arcury TA, 1996, ARTHRIT CARE RES, V9, P384, DOI 10.1002/1529-0131(199610)9:5<384::AID-ANR1790090507>3.0.CO
  • [4] 2-Y
  • [5] Arcury TA, 2002, COMPLEMENT HLTH PRAC, V7, P167
  • [6] Why patients use alternative medicine - Results of a national study
    Astin, JA
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 279 (19): : 1548 - 1553
  • [7] Astin JA, 2000, J GERONTOL A-BIOL, V55, pM4
  • [8] BANDURA A, 1986, SOCIAL FDN THOUGHT A
  • [9] BARNES PM, 2004, ADV DATA VITAL HLTH, V343
  • [10] Demographic and health-related correlates of visits to complementary and alternative medical providers
    Bausell, RB
    Lee, WL
    Berman, BM
    [J]. MEDICAL CARE, 2001, 39 (02) : 190 - 196