Abstract
Asian Americans (AAs) are more likely to use complementary and alternative medicine (CAM) compared to other race/ethnicities, yet previous studies have conflicting results. The 2012 National Health Interview Survey data was analyzed to investigate AA’s (n = 2214) CAM use for treatment. AAs were divided into four subgroups: Chinese, Asian Indian, Filipino, and Other Asian. Only 9% of AAs reported using CAM for treatment, with 6% indicating CAM use specifically for chronic conditions. This could be a form of medical pluralism, a mixture of Eastern and Western health approaches. The “Other Asian” subgroup reported highest use of CAM for treatment. Significant predictors included age (≥ 65 years) and high educational attainment (≥ college degree). Sociodemographic factors were also significant predictors within Asian subgroups. Further investigation of this and other forms of medical pluralism among AAs are needed to explore potential cofounders and risks like underreporting, CAM schedules/dosages, cultural influences, and CAM’s impact on one’s health.
Similar content being viewed by others
References
Hsiao AF, et al. Complementary and alternative medicine use among Asian-American subgroups: prevalence, predictors, and lack of relationship to acculturation and access to conventional health care. J Altern Complement Med. 2006;12:1003–10.
Keith VM, et al. Assessing the effects of race and ethnicity on use of complementary and alternative therapies in the USA. Ethn Health. 2005;10:19–32.
Mackenzie ER, et al. Ethnic minority use of complementary and alternative medicine (CAM): a national probability survey of CAM utilizers. Altern Ther Health Med. 2003;9:50–7.
Mehta DH, et al. Use of complementary and alternative therapies by Asian Americans. Results from the National Health Interview Survey. J Gen Intern Med. 2007;22:762–7. https://doi.org/10.1007/s11606-007-0166-8.
Lu A, et al. An integrative approach of linking traditional Chinese medicine pattern classification and biomedicine diagnosis. J Ethnopharmacol. 2012;141:549–56.
Mukherjee PK, et al. Development of Ayurveda—tradition to trend. J Ethnopharmacol. 2017;197:10–24.
Mukherjee PK, et al. Changing scenario for promotion and development of Ayurveda—way forward. J Ethnopharmacol. 2012;143:424–34.
Xue CCL, et al. Traditional Chinese medicine: an update on clinical evidence. J Altern Complement Med. 2010;16:301–12.
National Health Interview Survey (NHIS) public use data release: NHIS survey description. National Center for Health Statistics. ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/NHIS/2012/srvydesc.pdf. Accessed 15 Apr 2018.
Bromfield SG, McGwin G Jr. Use of complementary and alternative medicine for eye-related diseases and conditions. Curr Eye Res. 2013;38:1283–7.
Dossett ML, et al. Complementary and alternative medicine use by US adults with gastrointestinal conditions: results from the 2012 National Health Interview Survey. Am J Gastroenterol. 2014;109:1705–11.
Falci L, Shi Z, Greenlee H. Multiple chronic conditions and use of complementary and alternative medicine among US adults: results from the 2012 National Health Interview Survey. Prev Chronic Dis. 2016. https://doi.org/10.5888/pcd13.150501.
Garrow D, Egede LE. National patterns and correlates of complementary and alternative medicine use in adults with diabetes. J Altern Complement Med. 2006;12:895–902.
Hoerster KD, et al. Use of conventional care and complementary/alternative medicine among US adults with arthritis. Prev Med. 2012;54(1):13–7.
Nahin RL, et al. Disease severity is associated with the use of complementary medicine to treat or manage type-2 diabetes: data from the 2002 and 2007 National Health Interview Survey. BMC Complement Altern Med. 2012;12:193. https://doi.org/10.1186/1472-6882-12-193.
Upchurch DM, Rainisch BW. The importance of wellness among users of complementary and alternative medicine: findings from the 2007 National Health Interview Survey. BMC Complement Altern Med. 2015;15(1):362.
Ghildayal N, et al. Complementary and alternative medicine use in the US adult low back pain population. Glob Adv Health Med. 2016;5(1):69–78.
Bertisch SM, et al. Use of relaxation techniques and complementary and alternative medicine by American adults with insomnia symptoms: results from a national survey. J Clin Sleep Med. 2012;8:681–91.
Griffith LG. Medical pluralism: what health behaviors do people have and why does it matter? University of Birmingham Institute of Research into Superdiversity. https://www.birmingham.ac.uk/Documents/college-social-sciences/social-policy/iris/2015/presentations/medical-pluralism-LG.pdf. Accessed 2 May 2018.
Nissen N, Manderson L. Researching alternative and complementary therapies: mapping the field. Med Anthropol. 2013;32:1–7.
Kaptchuk TJ, Eisenberg DM. Varieties of healing. 1: medical pluralism in the United States. Ann Intern Med. 2001;135(3):189–95.
Lupton D. Medicine as culture: illness, disease and the body. 3rd ed. Thousand Oaks: Sage; 2012.
Wade C, et al. Medical pluralism of Chinese women living in the United States. J Immigr Minor Health. 2007;9:255–67.
Wade C, et al. Medical pluralism among American women: results of a national survey. J Women’s Health. 2008;17(5):829–40.
Arcury TA, et al. Use of complementary therapies for health promotion among older adults. J Appl Gerontol. 2015;34:552–72.
Sivén J, Mishtal J. Yoga as entrée to complementary and alternative medicine and medically pluralistic practices. Hum Organ. 2012;2012(71):348–57.
Barnes PM, et al. Complementary and alternative medicine use among adults: United States, 2002. Semin Integr Med. 2004;2(2):54–71.
Brown CM, et al. Patterns of complementary and alternative medicine use in African Americans. J Altern Complement Med. 2007;13(7):751–8.
Elewonibi BR, BeLue R. Prevalence of complementary and alternative medicine in immigrants. J Immigr Minor Health. 2016;18(3):600–7.
R Development Core Team. R: a language and environment for statistical computing. Vienna: R Foundation for Statistical Computing; 2008. http://www.R-project.org.
Lumley T. Survey: analysis of complex survey samples. R package version 3.32, 2017.
Field T. Yoga clinical research review. Complement Ther Clin Pract. 2011;17:1–8.
Misra R, et al. Complementary and alternative medicine use among Asian Indians in the United States: a national study. J Altern Complement Med. 2010;16:843–52.
Yu F, et al. Traditional Chinese medicine and Kampo: a review from the distant past for the future. J Int Med Res. 2006;34(3):231–9.
Cha WS, et al. Historical difference between traditional Korean medicine and traditional Chinese medicine. Neurol Res. 2007;29(sup1):5–9.
Bodeker G, Ong CK. WHO global atlas of traditional, complementary and alternative medicine. Geneva: World Health Organization; 2005.
Li JX, et al. Tai chi: physiological characteristics and beneficial effects on health. Br J Sports Med. 2001;35(3):148–56.
Xu J. Body, discourse, and the cultural politics of contemporary Chinese Qigong. J Asian Stud. 1999;58(4):961–91.
Mongiovi J, et al. Complementary and alternative medicine use and absenteeism among individuals with chronic disease. BMC Complement Altern Med. 2016. https://doi.org/10.1186/s12906-016-1195-9.
Thorne S, et al. Complementary/alternative medicine in chronic illness as informed self-care decision making. Int J Nurs Stud. 2002;39:671–83.
Kim W, Keefe R. Barriers to healthcare among Asian Americans. Soc Work Public Health. 2010;25:286–95.
Lee S. Barriers to health care access in 13 Asian American communities. Am J Health Behav. 2010. https://doi.org/10.5993/AJHB.34.1.3.
MacDuff S, et al. The use of complementary and alternative medicine among refugees: a systematic review. J Immigr Minor Health. 2011;13:585–99.
Jackson JC, et al. Development of a cervical cancer control intervention program for Cambodian American women. J Commun Health. 2000;25(5):359–75.
Buchwald D, et al. Use of traditional health practices by Southeast Asian refugees in a primary care clinic. West J Med. 1992;156(5):507.
Bengiamin M, et al. Understanding traditional Hmong health and prenatal care beliefs, practices, utilization, and needs. http://health-equity.lib.umd.edu/3854/1/HmongReportWEB.pdf. Accessed 8 June 2018.
Büssing A, et al. Effects of yoga on mental and physical health: a short summary of reviews. Evid Based Complement Altern Med. 2012. https://doi.org/10.1155/2012/165410.
Kalavar JM, Van Willigen J. Older Asian Indians resettled in America: narratives about households, culture, and generation. J Cross-Cult Gerontol. 2005;20:213–30.
De Guzman AB, et al. Developing a model of medication adherence among Filipino elderly. Educ Gerontol. 2013;39(5):298–313.
McLaughlin LA, Braun KL. Asian and Pacific Islander cultural values: considerations for health care decision making. Health Soc Work. 1998;23:116–26.
Nahin RL, et al. Costs of complementary and alternative medicine (CAM) and frequency of visit to CAM practitioners, United States, 2007. Center for Disease Control and Prevention. https://stacks.cdc.gov/view/cdc/11548 (2009). Accessed 8 June 2018.
Funding
This work was partially supported by the National Institutes of Health (NIH) under Grants U54MD007584 and U54MD007601. The content is solely the responsibility of the authors and does not necessarily represent official views of NIH.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
No potential conflict of interest was reported by the authors.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Felicilda-Reynaldo, R.F.D., Choi, S.Y., Driscoll, S.D. et al. A National Survey of Complementary and Alternative Medicine Use for Treatment Among Asian-Americans. J Immigrant Minority Health 22, 762–770 (2020). https://doi.org/10.1007/s10903-019-00936-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10903-019-00936-z