The Role of Spirituality Healing with Perceptions of the Medical Encounter among Latinos
Little is known about the relationship between spirituality healing and perceptions about the medical encounter among Latinos.
To examine the association between spirituality healing and attitudes of self-reported perceptions about the medical encounter.
A cross-sectional telephone survey.
3,728 Latinos aged ≥18 years residing in the United States from Wave 1 of the Pew Hispanic Center/Robert Wood Johnson Foundation Latino Health Survey.
Dependent variables were ever prayed for healing (yes/no), ever asked others to pray for healing (yes/no), considered important spiritual healing (very vs. somewhat or not important), and ever consulted a ‘curandero’ (folk healer in Latin America) (yes/no). The primary independent variables were feelings about the last time seeing a Doctor (confused by information given, or frustrated by lack of information) and perception of quality of medical care (excellent, good, fair or poor) within the past 12 months.
Six percent of individuals reported that they had ever consulted a curandero, 60% prayed for healing, 49% asked others to pray for healing, and 69% considered spiritual healing as very important. In multivariable analyses, feeling confused was associated with increased odds of consulting a curandero (OR = 1.58; 95% CI, 1.02–2.45), praying for healing (OR = 1.30; 95% CI, 1.03–1.64), asking others to pray for healing (OR = 1.29; 95% CI, 1.03–1.62), and considering spiritual healing as very important (OR = 1.30; 95% CI, 1.01–1.66). Feeling frustrated by a lack of information was associated with asking others to pray for healing (OR = 1.29; 95% CI, 1.04–1.60). A better perception of quality of medical care was associated with lower odds of consulting a curandero (OR = 0.83; 95% CI, 0.70–0.98).
Feelings about the medical encounter were associated with spirituality healing, praying for healing, and asking others to pray for healing. Feeling confused and perception of poor quality of medical care were associated with consulting a curandero.
- Koenig HG. Religion, spirituality, and medicine: research findings and implications for clinical practice. South Med J. 2004;97:1194–200. CrossRef
- Hsiao A-F, Wong MD, Goldstein MS, et al. Variation in complementary and alternative medicine (CAM) use across racial/ethnic groups and the development of ethnic-specific measures of CAM use. J Altern Complement Med. 2006;12:281–90. CrossRef
- Barnes P, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. Advance data from vital statistics; No. 343. Hyattsville, Maryland: National Center for Health Statistics; 2004:1–20.
- Mikhail N, Wall S, Ziment I. Use of alternative medicine among Hispanics. J Altern Complement Med. 2004;10:851–9.
- Kronenberg F, Cushman LF, Wade CM, Kalmuss D, Chao MT. Race/ethnicity and women's use of complementary and alternative medicine in the United States: results of a national survey. Am J Public Health. 2006;96:1236–42. CrossRef
- Ortiz BI, Shields KM, Clauson KA, Clay PG. Complementary and alternative medicine use among Hispanics in the United States. Ann Pharmacother. 2007;41:994–1004. CrossRef
- Graham RE, Ahn AC, Davis RD. Use of complementary and alternative medical therapies among racial and ethnic minority adults: Results from the 2002 National Health Interview Survey. J Natl Med Assoc. 2005;97:535–45.
- Campesino M, Schwartz GE. Spirituality among Latinas/os: implications of culture in conceptualization and measurement. ANS Adv Nurs Sci. 2006;29:69–81.
- Levin J, Markides K, Ray L. Religious attendance and psychological well-being in Mexican Americans: a panel analysis of three-generations of data. Gerontologist. 1996;36:454–63.
- Astin JA. Why patients use alternative medicine: Results of a national survey. JAMA. 1998;279:1548–53. CrossRef
- Lee GBW, Charn TC, Chew ZH, Ng TP. Complementary and alternative medicine use in patients with chronic diseases in primary care is associated with perceived quality of care and cultural beliefs. Family Practice. 2004;21:654–60. CrossRef
- Ritchie CS, Gohmann SF, McKinney WP. Does use of CAM for specific health problems increase with reduced access to care? J Med Systems. 2005;29:143–53. CrossRef
- Chao MT, Wade C, Kronenberg F, Kalmuss D, Cushman LF. Women’s reasons for complementary and alternative medicine use: racial/ethnic differences. J Altern Complement Med. 2006;12:719–20. CrossRef
- Shmueli A, Shuval J. Satisfaction with family physicians and specialists and the use of complementary and alternative medicine in Israel. Evid Based Complement Alternat Med. 2006;3:273–8. CrossRef
- Schattner A, Rudin D, Jellin N. Good physicians from the perspective of their patients. BMC Health Serv Res. 2004;4(1):26. Sep 12. CrossRef
- Nápoles-Springer AM, Livaudais JC, Bloom J, Hwang S, Kaplan CP. Information exchange and decision making in the treatment of Latina and white women with ductal carcinoma in situ. J Psychosoc Oncol. 2007;25(4):19–36. CrossRef
- Anderson K, Devitt J, Cunningham J, Preece C, Cass A. “All they said was my kidneys were dead”: Indigenous Australian patients’ understanding of their chronic kidney disease. Med J Aust. 2008;189:499–503.
- Hispanics and Health Care in the United States: Access, Information and Knowledge. A joint pew hispanic center and robert wood johnson foundation research report. Washington, DC: August, 2008.
- Grzywacz JG, Lang W, Suerken C, Quandt SA, Bell RA, Arcury TA. Age, race, and ethnicity in the use of complementary and alternative medicine for health self-management. J Aging Health. 2005;17:547–72. CrossRef
- Pagan JA, Pauly MV. Access to conventional medical care and the use of complementary and alternative medicine. Health Affairs. 2005;24:255–62. CrossRef
- Su D, Li L, Pagan JA. Acculturation and the use of complementary and alternative medicine. Soc Sci Med. 2008;66:439–53. CrossRef
- Pagán JA, Tanguma J. Health care affordability and complementary and alternative medicine utilization by adults with diabetes. Diabetes Care. 2007;30:2030–1. CrossRef
- Bazargan M, Ani CO, Hindman DW, et al. Correlates of complementary and alternative medicine utilization in depressed, underserved African American and Hispanic patients in primary care settings. J Altern Complement Med. 2008;14:537–44. CrossRef
- Keith VM, Kronenfeld JJ, Rivers PA, Liang S-Y. Assessing the effects of race and ethnicity on use of complementary and alternative therapies in the USA. Ethn Health. 2005;10:19–32. CrossRef
- Loera J, Reyes-Ortiz CA, Kuo YF. Predictors of complementary and alternative medicine use among older Mexican Americans. Complement Ther Clin Pract. 2007;13:224–31. CrossRef
- Mackenzie ER, Taylor L, Bloom BS, Hufford DJ, Johnson JC. Ethnic minority use of complementary and alternative medicine (CAM): a national probability survey of CAM utilizers. Altern Ther Health Med. 2003;9(4):50–6.
- Lee JH, Goldstein MS, Richard Brown E, Ballard-Barbash R. How does acculturation affect the use of complementary and alternative medicine providers among Mexican- and Asian- Americans? J Immigr Minor Health. 2008 Aug 3. [Epub ahead of print]
- Higginbotham JC, Trevino FM, Ray LA. Utilization of curanderos by Mexican Americans. Prevalence and predictors. Findings from HHANES 1982–84. Am J Public Health. 1990;80(suppl):32–5. CrossRef
- Palinkas LA, Kabongo ML. San Diego unified practice research in family medicine network. The use of complementary and alternative medicine by primary care patients. A SURF*NET study. J Fam Pract. 2000;49:1121–30.
- Sleath BL, Williams JW Jr. Hispanic ethnicity, language, and depression: physician-patient communication and patient use of alternative treatments. Int J Psychiatry Med. 2004;34:235–46. CrossRef
- Padilla R, Gomez V, Biggerstaff SL, Mehler PS. Use of curanderismo in a public health care system. Arch Intern Med. 2001;161:1336–40. CrossRef
- Lopez RA. Use of alternative folk medicine by Mexican American women. J Immigr Health. 2005;7:23–31. CrossRef
- Keegan L. A comparison of the use of alternative therapies among Mexican Americans and Anglo-Americans in the Texas Rio Grande Valley. J Holist Nurs. 2000;18:280–95. CrossRef
- Cheung CK, Wyman JF, Halcon LL. Use of complementary and alternative therapies in community-dwelling older adults. J Altern Complement Med. 2007;13:997–1006. CrossRef
- Espinosa G, Elizondo V, Miranda J. Hispanic Churches in American Public Life: Summary of findings, 2003. Accessed May 15, 2009 at: http://www.nd.edu/%7Elatino/research/pubs/HispChurchesEnglishWEB.pdf
- Pew Research Center. Changing faiths: Latinos and the transformation of American religion. Washington, DC: Pew Research Center; 2007.
- Pew Hispanic Center/ Kaiser Family Foundation 2002 National Survey on Latinos. 2002. Accessed on May 12, 2009 at: http://www.kff.org/kaiserpolls/upload/2002-National-Survey-of-Latinos-Summary-of-Findings.pdf
- Reyes-Ortiz CA, Pelaez M, Koenig HG, Mulligan T. Religiosity and self-rated health among Latin American and Caribbean elders. Int J Psychiatry Med. 2007;37:425–43. CrossRef
- Kuo GM, Hawley ST, Weiss LT, Balkrishnan R, Volk RJ. Factors associated with herbal use among urban multiethnic primary care patients: a cross-sectional survey. BMC Complement Altern Med. 2004 Dec 2; 4:18. CrossRef
- Engebretson J. Culture and complementary therapies. Complement Ther Nursing Midwifery. 2002;8:177–84. CrossRef
- Reyes-Ortiz CA, Ayele H, Mulligan T, Espino DV, Berges IM, Markides KS. Higher church attendance predicts lower fear of falling in older Mexican Americans. Aging Ment Health. 2006;10:13–8. CrossRef
- Hill TD, Angel JL, Ellison CG, Angel RJ. Religious attendance and mortality: an 8-year follow-up of older Mexican Americans. J Gerontol B Psychol Sci Soc Sci. 2005;60:S102–9.
- Levine EG, Yoo G, Aviv C, Ewing C, Au A. Ethnicity and spirituality in breast cancer survivors. J Cancer Surviv. 2007;1:212–25. CrossRef
- Nápoles-Springer AM, Ortíz C, O'Brien H, Díaz-Méndez M, Pérez-Stable EJ. Use of cancer support groups among Latina breast cancer survivors. J Cancer Surviv. 2007;1:193–204. CrossRef
- Hill TD, Burdette AM, Angel JL, Angel RL. Religious attendance and cognitive functioning among older Mexican Americans. J Gerontol Psychol Sci Soc Sci. 2006;61B:3–9.
- Reyes-Ortiz CA, Berges IM, Raji MA, Koenig HG, Kuo YF, Markides KS. Church attendance mediates the association between depressive symptoms and cognitive functioning among older Mexican Americans. J Gerontol A Biol Sci Med Sci. 2008;63A:480–6.
- The Role of Spirituality Healing with Perceptions of the Medical Encounter among Latinos
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
Journal of General Internal Medicine
Volume 24, Issue 3 Supplement, pp 542-547
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- medical encounter
- spirituality healing
- praying for healing
- Industry Sectors
- Author Affiliations
- 1. Department of Social & Behavioral Sciences (CARO), School of Public Health, University of North Texas Health Science Center, 3500 Camp Bowie Boulevard (EAD-711B), Fort Worth, TX, 76107-2699, USA
- 2. Department of Family Medicine (MR), David Geffen School of Medicine, UCLA, Los Angeles, CA, USA
- 3. Department of Preventive Medicine & Community Health (KSM), University of Texas Medical Branch, Galveston, TX, USA