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Complementary and Alternative Medicine for Mental Disorders Among African Americans, Black Caribbeans, and Whites

机译:非洲裔美国人,黑色加勒比海和白人精神障碍的互补和替代医学

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摘要

OBJECTIVES: This study examined racial and ethnic differences in the use of complementary and alternative medicine (CAM) for the treatment of mental and substance use disorders.METHODS: Data were from the National Survey of American Life (NSAL) and the National Comorbidity Survey-Replication (NCS-R). The analytic sample included 631 African Americans and 245 black Caribbeans from the NSAL and 1,393 non-Hispanic whites from the NCS-R who met criteria for a mood, anxiety, or substance use disorder in the past 12 months. Logistic regression was used to examine racial and ethnic differences in the use of any CAM and in the use of CAM only versus the use of CAM plus services in another treatment sector.RESULTS: Thirty-four percent of respondents used some form of CAM. Whites were more likely than blacks to use any CAM, although there was no racial or ethnic difference in CAM use only versus CAM use plus traditional services. A higher proportion of blacks than whites used prayer and other spiritual practices. Among those with a mood disorder, black Caribbeans were less likely than African Americans to use any CAM.CONCLUSIONS: Findings of this study were similar to those of previous studies that examined physical illness in relation to CAM use in terms of its overall prevalence, the predominant use of CAM in conjunction with traditional service providers, and racial and ethnic differences in the use of CAM. The use of prayer was a major factor in differences between blacks and whites in CAM use; however, there were also differences among black Americans that warrant further research.
机译:目的:本研究检测了在使用互补和替代医学(CAM)的种族和民族差异,以治疗精神和物质使用障碍。方法:数据来自美国美国生活(NSAL)和国家合并症调查 - 复制(NCS-R)。分析样品包括631名非洲裔美国人和来自NSAL的245名黑色加勒比海,来自NCS-R的1,393个非西班牙裔白人,他在过去12个月内达到了情绪,焦虑或物质使用障碍的标准。 Logistic回归用于检查在使用任何凸轮的种族和种族差异,在使用凸轮和使用凸轮加服务中的另一个治疗部门的使用。结果:35%的受访者使用某种形式的凸轮。白人比黑人更有可能使用任何凸轮,虽然CAM使用没有种族或种族差异,但VAM使用加传统服务。比白人比例更高比例使用祈祷和其他精神习俗。在那些有情绪障碍的人中,黑色加勒比人比非洲裔美国人不太可能使用任何CAM。结论:本研究的结果类似于先前研究的研究,这些研究中检查了与凸轮使用相对于其总体普遍存在的身体疾病的研究与传统的服务提供商一起使用CAM,以及使用CAM的种族和种族差异。祷告的使用是凸轮使用中黑人与白人之间差异的主要因素;但是,黑人美国人也有差异,以进一步研究。

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