The impact of acculturation on the use of traditional Chinese medicine in newly diagnosed Chinese cancer patients
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Goals of work
This study assessed the impact of acculturation on the prevalence of traditional Chinese medicine and other complementary and alternative medicine (TCM/CAM) use in newly diagnosed Chinese cancer patients. The individual determinants of TCM/CAM use among patients were also investigated.
Materials and methods
A consecutive sample of Chinese cancer patients treated at the British Columbia Cancer Agency was surveyed at admission using a 15-item questionnaire. Items included TCM/CAM use, sociodemographics, as well as medical and cultural factors. Data were analyzed using bivariate methods including Pearson’s X 2 test and Student’s t test. As well, multiple logistic regression was used to obtain the final causal model.
Of the 230 respondents, 57% completed the survey in Chinese and 94% were immigrants. The average age was 59. Participants had a mean disease duration of approximately 2 months and 79% had already received at least one conventional treatment. Overall, TCM/CAM was used by 47% of respondents. Herbal remedies, vitamins/minerals, and prayer were the most commonly used therapies. Multivariable analysis showed that prior TCM/CAM use (p < 0.001), having received conventional treatment(s) (p = 0.029), and being less acculturated (p = 0.028) were associated with TCM/CAM use.
Prevalence and type of use were found to vary as a function of the degree of acculturation. Health care practitioners would be well advised to discuss TCM/CAM use with their patients, especially those who are less acculturated to Western society, since they are the most likely users of TCM/CAM.
- The impact of acculturation on the use of traditional Chinese medicine in newly diagnosed Chinese cancer patients
Supportive Care in Cancer
Volume 15, Issue 8 , pp 985-992
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- Complementary and alternative medicine
- Traditional Chinese medicine
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- Author Affiliations
- 1. Department of Community Health and Epidemiology, University of Saskatchewan, Health Science Building, 107 Wiggins Road, Saskatoon, Saskatchewan, S7N 5E5, Canada
- 6. Department of Epidemiology and Biostatistics, University of Western Ontario, Kresge Building, Room K201, London, Ontario, N6A 5C1, Canada
- 2. Sociobehavioural Research Centre, British Columbia Cancer Agency, 600-750 West Broadway, Vancouver, British Columbia, V5Z 1H5, Canada
- 4. School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, British Columbia, V6T 2B5, Canada
- 5. AMBER TCM Healing Centre, 104-2419 Bellevue Avenue, West Vancouver, British Columbia, V7V 4T4, Canada
- 3. Department of Health Care and Epidemiology, University of British Columbia, Mather Building, 5804 Fairview Avenue, Vancouver, British Columbia, V6T 1Z3, Canada