Abstract
Researchers have found that immigrants in the United States gradually relinquish cultural practices and adopt health behaviors similar to native born individuals as they acculturate. Few studies have looked at acculturation and Complementary and Alternative Medicine (CAM) use, particularly ethnic forms of CAM. This study uses data from the 2001 California Health Interview Survey—Complementary and Alternative Medicine (CHIS-CAM) supplement to estimate the prevalence of CAM provider use among Mexican- and Asian- Americans and examine the relationship of acculturation on use. Multinomial logistic regression models were used to predict the probability of provider use based on socio-demographic variables, health status and acculturation. Mexican- and Asian- Americans who have spent more time in the US were more likely to use chiropractors or massage therapists compared to no CAM provider. Both groups were less likely to use ethnic-specific CAM providers with more time in the US compared to chiropractors or massage therapists.
Similar content being viewed by others
References
Herman C, Dente J, Allen P, Hunt W. Ethnic differences in the use of complementary and alternative therapies among adults with osteoarthritis. Prev Chronic Dis. 2006;3(3):A80.
Lee G, Charn T, Chew Z, Ng T. Complementary and alternative medicine use in patients with chronic disease in primary care is associated with perceived quality of care and cultural beliefs. Fam Prac. 2004;21(6):654–60.
National Center for Complementary and Alternative Medicine. The Use of Complementary and Alternative Medicine in the United States. From the National Center for Complementary and Alternative Medicine website: http://nccam.nih.gov/news/camsurvey_fs1.htm#cam. Updated May 2007.
Hsiao A-F, Wong MD, Goldstein MS, Yu H-J, Andersen RM, Brown ER, 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.
Mackenzie E, Taylor L, Bloom B, Hufford D, Johnson J. 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.
Ahn AC, Ngo-Metzger Q, Legedza ATR, 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;96(2):647–53.
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: evidence from the 2002 National health interview survey. J Aging Health. 2005;17(5):547–72.
Struthers R, Nichols L. Utilization of complementary and alternative medicine among racial and ethnic minority populations: implications for reducing health disparities. Annu Rev Nurs Res. 2004;22:285–313.
Salabarria-Pena Y, Trout P, Gill J, Morisky D, Muralles A, Ebin V. Effects of acculturation and psychosocial factors in Latino adolescents’ TB-related behaviors. Ethn Dis. 2001;11(4):661–75.
Brubaker R. The return of assimilation? Changing perspectives on immigration and its sequels in France, Germany, and the United States. Ethn Racial Stud. 2001;24:531–48.
Portes A. Zhou M. The new second generation: segmented assimilation and its variants’ Annals of the American Academy of Political and Social Science. 1993;530:74–96.
Abraido-Lanza AF, Armbrister AN, Florez KR, Aguirre AN. Toward a theory-driven model of acculturation in public health research. Am J Public Health. 2006;96(8):1342–6.
Sakai J, Ho P, Shore J, Risk N, Price R. Asians in the United States: substance dependence and use of substance-dependence treatment. J Subst Abuse Treat. 2005;29(2):75–84.
Lara M, Gamboa C, Kahramanian MI, Morales LS, Bautista DEH. Acculturation and Latino Health in the United States: a reivew of the literature and its sociopolitical context. Annu Rev Public Health. 2005;26:367–97.
Park S, Murphy S, Sharma S, Kolonel L. Dietary intakes and health-related behaviours of Korean American women born in the USA and Korea: the Multiethnic Cohort Study. Public Health Nutr. 2005;8(7):904–11.
Kim J, Chan M. Acculturation and dietary habits of Korean Americans. Br J Nutr. 2004;91(3):469–78.
Owens B, Dirksen SR. Review and critique of the literature of complementary and alternative therapy use among Hispanic/Latino women with breast cancer. Clin J Oncol Nurs. 2004;8:151–6.
Higginbotham JC, Trevino FM, Ray LA. Utilization of Curanderos by Mexican Americans: prevalence and predictors findings from HHANES 1982–1984. Am J Public Health. 1990;80(Suppl):32–5.
Kim J, Chan M. Factors influencing preferences for alternative medicine by Korean Americans. Am J Chin Med. 2004;32(2):321–9.
Brown WM, Consedine NS, Magai C. Time spent in the United States and breast cancer screening behaviors among ethnically diverse immigrant women: evidence for acculturation? J Immigr Health. 2006;8:347–58.
Goldstein MS, Brown ER, Ballard-Barbash R, Morgenstern H, Bastani R, Lee J, et al. The use of complementary and alternative medicine among California adults with and without cancer. eCAM. 2005;2(4):557–65.
Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States. Adv Data. 2004;343:1–20.
Kronenberg F, Cushman L, Wade C, Kalmuss D, Chao M. 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(7):1236–42.
Salant T, Lauderdale DS. Measuring culture: a critical review of acculturation and health in Asian immigrant populations. Soc Sci Med. 2003;57:71–90.
Wade C, Chao MT, Kronenberg F. Medical pluralism of chinese women living in the United States. J Immigr Minor Health. 2007;9:255–67.
Padilla R, Gomez V, Biggerstaff SL, Mehler PS. Use of Curanderismo in a public health care system. Arch Intern Med. 2001;161:1336–40.
Portes A, Rumbaut RG. Legacies: the story of the immigrant second generation. Berkeley: University of California Press; 2001.
Acknowledgments
The authors would like to thank Yan Xiong, Winnie Huang, and An-Fu Hsiao. The authors would also like to thank Dylan Roby for analytic support. The funding for CHIS-CAM was provided through a contract from the National Cancer Institute (N02-PC-95057, E. Richard Brown, P.I.). The research was conducted under the UCLA Center for Health Policy Research.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lee, J.H., Goldstein, M.S., Richard Brown, E. et al. How Does Acculturation Affect the Use of Complementary and Alternative Medicine Providers Among Mexican- and Asian- Americans?. J Immigrant Minority Health 12, 302–309 (2010). https://doi.org/10.1007/s10903-008-9171-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10903-008-9171-1