Age, Ethnicity, and Use of Complementary and Alternative Medicine in Health Self-Management

Author:

Grzywacz Joseph G.1,Suerken Cynthia K.2,Neiberg Rebecca H.3,Lang Wei4,Bell Ronny A.5,Quandt Sara A.6,Arcury Thomas A.7

Affiliation:

1. Joseph G. Grzywacz is an Associate Professor in the Department of Family and Community Medicine of the School of Medicine at Wake Forest University. His research program focuses on the health-related consequences of adults' daily work and family lives. An important component of this research is the social stratification of health-related behaviors.

2. Cynthia K. Suerken was a biostatistician in the Division of Public Health Sciences at Wake Forest University School of Medicine when this research was initiated. She currently is a doctoral student in the Department of Educational Psychology at the University of North Carolina at Greensboro.

3. Rebecca H. Neiberg is a biostatistician in the Division of Public Health Sciences at Wake Forest University School of Medicine.

4. Wei Lang is an Assistant Professor of Biostatistical Sciences in the Division of Public Health Sciences at Wake Forest University School of Medicine. His research interests include physical activity and weight loss, as well as the modeling of correlated data and analysis of missing data.

5. Ronny A. Bell is an Associate Professor in the Department of Epidemiology and Prevention of the School of Medicine at Wake Forest University. His research focuses on chronic diseases epidemiology, with particular emphasis on ethnic minority populations.

6. Sara A. Quandt is Professor of Epidemiology and Prevention in the Division of Public Health Sciences at Wake Forest University School of Medicine. Her research focuses on rural and minority health, including aging and occupational and environmental health.

7. Thomas A. Arcury is Professor and research director in the Department of Family and Community Medicine of the School of Medicine at Wake Forest University. His research program is focused on rural and minority health, including occupational and environmental health.

Abstract

Drawing on models of health self-management, we develop hypotheses that age and ethnicity will modify associations among indicators of poor health and use of complementary and alternative medicine. These hypotheses are evaluated using the 2002 National Health Interview Survey with the Alternative Health Supplement. Results produced partial support for hypotheses that the effects of ailments on use of complementary and alternative medicine differ by age. Results suggest that ailments such as bodily pain, chronic conditions, and functional impairment are associated with use of complementary and alternative medicine among midlife and younger adults, but these associations are generally attenuated among older adults. Hypothesized ethnic differences received weak support. These findings suggest that different interpretations of ailments and appropriate responses may explain why complementary and alternative medicine is used by fewer older adults. The results also highlight the significance of social and cultural factors in understanding patterns of complementary and alternative medicine use in the adult population.

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health,Social Psychology

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