Complementary Therapy Use and Health Self-Management Among Rural Older Adults

被引:23
作者
Arcury, Thomas A. [1 ]
Grzywacz, Joseph G. [1 ]
Stoller, Eleanor P. [2 ]
Bell, Ronny A. [3 ]
Altizer, Kathryn P. [1 ]
Chapman, Christine [3 ]
Quandt, Sara A. [3 ]
机构
[1] Wake Forest Univ, Bowman Gray Sch Med, Dept Family & Community Med, Winston Salem, NC 27157 USA
[2] Wake Forest Univ, Reynolda Gerontol Program, Dept Sociol, Winston Salem, NC 27157 USA
[3] Wake Forest Univ, Bowman Gray Sch Med, Div Publ Hlth Sci, Dept Epidemiol & Prevent, Winston Salem, NC 27157 USA
来源
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES | 2009年 / 64卷 / 05期
关键词
Complementary and alternative medicine; Health disparities; Health self-management; Minority aging; Rural aging; ALTERNATIVE MEDICINE USE; UNITED-STATES; REMEDY USE; CARE; ACCESS; PEOPLE;
D O I
10.1093/geronb/gbp011
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 article describes dimensions of complementary therapy use among rural older adults, employs these dimensions to delineate sets of complementary therapy use, and describes the personal characteristics related to each set of complementary therapy use. Methods. Data are front in-depth interviews conducted with 62 African American and White rural older adults. Results. Three dimensions of complementary therapy use are delineated: types of therapies used, mindfulness in therapy use. and sharing information with conventional health care providers. The intersection of these dimensions indicates 5 patterned sets of complementary therapy use among rural older adults: (a) mindful use of only home remedies (b) mindful use of home remedies and contemporary supplements: (c) mindful use of home remedies, contemporary supplements, and complementary practices: (d) nonmindful use of home remedies and contemporary supplements and (e) use of conventional care only. Involvement in the 5 sets of therapy use is related to sex, ethnicity. educational attainment, and migration. Discussion. Understanding how older adults include sets of complementary therapies in their health self-management is important for improving their health care resources, expectations, awareness, and priorities.
引用
收藏
页码:635 / 643
页数:9
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