Skip to main content

Advertisement

Log in

Utilization of Traditional Complementary and Alternative Medicine Across Ethnically Diverse Asian Americans

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

We conducted an analysis to identify factors influencing the use of traditional complementary and alternative medicine (TCAM), with a particular emphasis on ethnic variations. Using the 2015 Asian American Quality of Life survey (N = 2,609), logistic regression analyses were performed, considering acculturation, health status, healthcare accessibility/utilization, and socio-demographic factors. Ethnicity, specifically being Chinese or Korean Americans, having chronic medical conditions, experiencing unmet healthcare needs, and having regular check-ups were significant predictors of TCAM use among Asian Americans as a whole. However, when we delved into sub-ethnic groups, different patterns were found. Among Vietnamese and Filipino Americans, having unmet healthcare needs emerged as the most prominent predictor of TCAM use. Furthermore, acculturation level and English proficiency were significant in predicting Vietnamese and Filipino Americans’ TCAM use, with the direction varying by sub-ethnicity. Being old emerged as a predictor of TCAM use for Chinese, Indian, Korean, and ‘other’ Americans. Our findings underscore the importance of adopting an ethnically sensitive approach when addressing the healthcare needs of diverse Asian American populations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Institute of Medicine of the National Academics. Complementary and alternative medicine in the United States. DC: National Academies; 2005.

    Google Scholar 

  2. Peltzer K, Pengpid S. Prevalence and determinants of traditional, complementary and alternative medicine provider use among adults from 32 countries. Chin J Integr Med. 2018. https://doi.org/10.1007/s11655-016-2748-y.

    Article  PubMed  Google Scholar 

  3. Agu JC, Yun HJ, Steel A, Adams J. A systematic review of traditional, complementary and alternative medicine use amongst ethnic minority populations: a focus upon prevalence, drivers, integrative use, health outcomes, referrals and use of information sources. J Immigr Minor Health. 2019. https://doi.org/10.1007/s10903-018-0832-4.

  4. Mehta DH, Phillips RS, Davis RB, McCarthy EP. Use of complementary and alternative therapies by Asian americans. Results from the National Health interview survey. J Gen Intern Med. 2007. https://doi.org/10.1007/s11606-007-0166-8.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Nahin, RL, Barners, PM, Stussman, BJ. Expenditures on complementary health approaches: United states, 2012. National Health Statistics Report. 2016. https://www.cdc.gov/nchs/data/nhsr/nhsr095.pdf.

  6. Ahn AC, Ngo-Metzger Q, Legedza AT, Massagli MP, Clarridge BR, Phillips RS. Complementary and alternative medical therapy use among Chinese and Vietnamese americans: Prevalence, associated factors, and effects of patient–clinician communication. Am J Public Health. 2006. https://doi.org/10.2105/AJPH.2004.048496.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Hsiao AF, Wong MD, Goldstein MS, Becerra LS, Cheng EM, Wenger NS. 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. https://doi.org/10.1089/acm.2006.12.1003.

    Article  PubMed  Google Scholar 

  8. Bair Y, Gold E, Greendale G, Sternfeld B, Adler S, Azari R, Harkey M. Ethnic differences in use of complementary and alternative medicine at midlife: longitudinal results from SWAN participants. Am J Public Health. 2002. https://doi.org/10.2105/AJPH.92.11.1832.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Najm W, Reinsch S, Hoehler F, Tobis J. Use of complementary and alternative medicine among the ethnic elderly. Altern Ther Health Med, 2003; https://pubmed.ncbi.nlm.nih.gov/12776475/.

  10. Felicilda-Reynaldo RFD, Choi SY, Driscoll SD, Albright CL. A national survey of complementary and alternative medicine use for treatment among asian-americans. J Immigr Minor Health. 2019. https://doi.org/10.1007/s10903-019-00936-z.

    Article  Google Scholar 

  11. Agu JC, Jeon YH, Steel A, Adams J. A systematic review of traditional, complementary and alternative medicine use amongst ethnic minority populations: a focus upon prevalence, drivers, integrative use, health outcomes, referrals and use of information sources. J Immigr Minor Health. 2019. https://doi.org/10.1007/S10903-018-0832-4.

    Article  PubMed  Google Scholar 

  12. Budiman A, Cilluffo A, Ruiz NG. Key facts about Asian origin groups in the US. Pew Res Cent. 2019. https://www.pewresearch.org/fact-tank/2021/04/29/key-facts-about-asian-origin-groups-in-the-u-s/.

  13. Yoo GJ, Musselman E, Lee YS, Yee-Melichar D. Addressing health disparities among older Asian americans. Generations J Am Soc Aging, 2014; https://www.jstor.org/stable/26556081.

  14. Lee S, Martinez G, Ma GX, Hsu CE, Robinson ES, Bawa J, et al. Barriers to health care access in 13 Asian American communities. Am J Health Behav. 2010. https://doi.org/10.5993/ajhb.34.1.3.

  15. Lee JH, Goldstein MS, Brown RE, Ballard-Barbash R. How does acculturation affect the use of complementary and alternative medicine providers among mexican-and Asian-Americans? J Immigr Minor Health. 2010. https://doi.org/10.1007/s10903-008-9171-1.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Kim J, Chan MM. Factors influencing preferences for alternative medicine by Korean americans. Am J Chin Med. 2004. https://doi.org/10.1142/S0192415X04001977.

    Article  PubMed  Google Scholar 

  17. Bishop FL, Yardley L, Lewith GT. A systematic review of beliefs involved in the use of complementary and alternative medicine. J Health Psychol. 2007. https://doi.org/10.1177/1359105307082447.

    Article  PubMed  Google Scholar 

  18. Keith VM, Kronenfeld JJ, Rivers PA, Liang SY. Assessing the effects of race and ethnicity on use of complementary and alternative therapies in the USA. Ethn Health. 2005. https://doi.org/10.1080/1355785052000323010.

    Article  PubMed  Google Scholar 

  19. 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; https://pubmed.ncbi.nlm.nih.gov/12868252/.

  20. Zhang Y, Leach MJ, Hall H, Sundberg T, Ward L, Sibbritt D, Adams J. Differences between male and female consumers of complementary and alternative medicine in a national US population: a secondary analysis of 2012 NIHS data. Evid Based Complement Alternat Med. 2015. https://doi.org/10.1155/2015/413173.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Flack JM, Amaro H, Jenkins W, Kunitz S, Levy J, Mixon M, Yu E, Panel I. Epidemiology of minority health. Health Psychol. 1995. https://doi.org/10.1037/0278-6133.14.7.592. https://doi-org.libproxy.

    Article  PubMed  Google Scholar 

  22. Nguyen HAT, Zheng A, Gugel A, Kistin CJ. Asians and Asian subgroups are underrepresented in medical research studies published in high-impact generalist journals. J Immigr Minor Health. 2021. https://doi.org/10.1007/s10903-021-01142-6.

    Article  PubMed  PubMed Central  Google Scholar 

  23. City of Austin. Asian American quality of life. 2017. http://austintexas.gov/department/documents-3.

  24. Schafer JL. Multiple imputation: a primer. Stat Methods Med Res. 1999. https://doi.org/10.1177/096228029900800102.

    Article  PubMed  Google Scholar 

  25. Bolen JC, Rhodes L, Powell-Griner EE, Bland SD, Holtzman D. State-specific prevalence of selected health behaviors, by race and ethnicity–behavioral risk factor Surveillance System, 1997. MMWR Surveill. 2000;49:1–60.

    CAS  Google Scholar 

  26. 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. https://doi.org/10.1186/1472-6882-4-18.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Zhao XF, Hu HT, Li JS, Shang HC, Zheng HZ, Niu JF, Shi XM, Wang S. Is acupuncture effective for hypertension? A systematic review and meta-analysis. PLoS ONE. 2015. https://doi.org/10.1371/journal.pone.0127019.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eun-Hye Grace Yi.

Ethics declarations

Informed Consent

Participants gave their written consent before participating in the Asian American Quality of Life study in 2015. The current research used the data afterward.

Ethical Approval

The research ethics committee at the University of Texas Austin approved the study.

Conflict of interest

The authors declare that they have no competing interests.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yi, EH.G., Jang, Y. & Liang, J. Utilization of Traditional Complementary and Alternative Medicine Across Ethnically Diverse Asian Americans. J Immigrant Minority Health 26, 527–538 (2024). https://doi.org/10.1007/s10903-024-01583-9

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-024-01583-9

Keywords

Navigation