CAM Use in Hispanics 75+ Years Old in US & Mexico

美国 75 岁西班牙裔人群使用 CAM

基本信息

批准号：
7028878
负责人：
JOSE A LOERA
金额：
$ 22.12万
依托单位：
UNIVERSITY OF TEXAS MED BR GALVESTON
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-03-15 至 2008-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7028878
关键词：
Mexican Americans Mexico United States alternative medicine behavioral /social science research tag clinical research culture folk medicine functional ability geographic difference health behavior health care service utilization human old age (65+)human subject interview longitudinal human study social support network

项目摘要

DESCRIPTION (provided by applicant): The use of complementary and alternative medicine (CAM) is widespread throughout the US and the world, although different ethnicities may vary in their use of CAM. Although CAM use is common to all socioeconomic and demographic groups, most of our knowledge is based on studies of non-Hispanic White adults, or very small studies of Hispanics. Preliminary studies indicate relatively common CAM use among older Mexican Americans with chronic medical conditions, but relatively few who rely solely on CAM. Among Mexican Americans, the popularity of herbal medicines may represent a strong link to traditional culture and belief. In this study, we will undertake the first comparative analysis of the use of CAM and related health services by older adults in Mexico and the USA. The data sets to be analyzed are: The Hispanic-Established Populations for the Epidemiologic Study for the Elderly (H-EPESE) and the INEGI (Institute Nacional de Estadistica, Geografia, e Informatica) National Mexican Health and Aging Study (NMHAS). We will focus on the 75+ year old Hispanic population, a group most commonly affected by chronic medical conditions such as pain-arthritis, depression, diabetes, heart disease and hypertension. We will systematically examine the relationship between self-reported functional status, social networks, health beliefs and similarities in usage patterns of CAM, pharmacists and health care services. Our Specific Aims are to: 1)document the prevalence, correlates and effects of CAM use over a 10 year period in a well-defined sample of Mexican American elderly 75+ years (Hispanic EPESE) in relation to the contribution of functional status, family and social networks, and health beliefs and preferences regarding use of standard health care services and CAM; and 2) compare the prevalence and correlates of CAM use for the Mexican Americans in the Hispanic EPESE cohort to CAM use among Mexicans of the same age and living in Mexico, using data from the NMHAS. Through this secondary analyses of data on CAM use in Hispanics in the US and Mexico, we seek to understand not only longitudinal CAM use in an elderly population, but also to compare, for the first time, similar variables across two data sets, and operationalize them in the same way. The unique characteristics of the available data sets will make possible secondary analyses such as a comparison of health behaviors between Mexicans born in the USA and those who emigrated from Mexico.

描述（由申请人提供）：补充和替代医学 (CAM) 的使用在美国和世界各地都很广泛，尽管不同种族对 CAM 的使用可能有所不同。尽管 CAM 的使用对于所有社会经济和人口群体来说都很常见，但我们的大部分知识都是基于对非西班牙裔白人成年人的研究，或对西班牙裔美国人的极少数研究。初步研究表明，在患有慢性病的墨西哥裔美国人中，CAM 使用相对普遍，但仅依赖 CAM 的人相对较少。在墨西哥裔美国人中，草药的流行可能代表了与传统文化和信仰的紧密联系。在这项研究中，我们将对墨西哥和美国老年人使用 CAM 和相关健康服务的情况进行首次比较分析。要分析的数据集是：西班牙裔老年人流行病学研究 (H-EPESE) 和 INEGI (Institute Nacional de Estadistica, Geografia, e Informatica) 国家墨西哥健康与老龄化研究 (NMHAS)。我们将重点关注 75 岁以上的西班牙裔人群，他们是最常受慢性疾病影响的群体，如疼痛关节炎、抑郁症、糖尿病、心脏病和高血压。我们将系统地研究自我报告的功能状态、社交网络、健康信念以及 CAM、药剂师和医疗保健服务使用模式的相似性之间的关系。我们的具体目标是：1) 记录 75 岁以上墨西哥裔美国老年人（西班牙裔 EPESE）的明确样本中 10 年来 CAM 使用的普遍性、相关性和影响，与功能状态、家庭的贡献相关社交网络，以及有关使用标准医疗保健服务和 CAM 的健康信念和偏好； 2) 使用 NMHAS 的数据，将西班牙裔 EPESE 队列中墨西哥裔美国人的 CAM 使用率和相关性与同龄且居住在墨西哥的墨西哥人的 CAM 使用率和相关性进行比较。通过对美国和墨西哥西班牙裔 CAM 使用数据的二次分析，我们不仅试图了解老年人口中 CAM 的纵向使用情况，而且还首次比较两个数据集的相似变量，并可操作化他们以同样的方式。可用数据集的独特特征将使二次分析成为可能，例如对在美国出生的墨西哥人和从墨西哥移民的墨西哥人之间的健康行为进行比较。