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A Comparative Study of Complementary and Alternative Medicine Use Among Heterosexually and Lesbian Identified Women: Data from the ESTHER Project (Pittsburgh, PA, 2003-2006).
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- Author(s): Smith, Helen A.; Matthews, Alicia; Markovic, Nina; Youk, Ada; Danielson, Michelle E.; Talbott, Evelyn O.
- Source:
Journal of Alternative & Complementary Medicine; Nov2010, Vol. 16 Issue 11, p1161-1170, 10p, 4 Charts- Subject Terms:
ALTERNATIVE medicine; ANALYSIS of variance; BLACK people; CHI-squared test; COMPARATIVE studies; COMPUTER software; CONFIDENCE intervals; DISCRIMINATION (Sociology); EPIDEMIOLOGY; EPIDEMIOLOGICAL research; FISHER exact test; GOODNESS-of-fit tests; HEALTH behavior; HEALTH services accessibility; HEALTH status indicators; HETEROSEXUALS; INTERVIEWING; LESBIANS; MENTAL illness; METROPOLITAN areas; MULTIVARIATE analysis; POPULATION geography; QUESTIONNAIRES; REGRESSION analysis; RESEARCH funding; STATISTICAL sampling; SCALE analysis (Psychology); SELF-evaluation; HUMAN sexuality; SPIRITUALITY; STATISTICS; WHITE people; WOMEN'S health; X-ray densitometry in medicine; LOGISTIC regression analysis; DATA analysis; MULTIPLE regression analysis; EDUCATIONAL attainment; CROSS-sectional method; RECEIVER operating characteristic curves; EVALUATION - Source:
- Additional Information
- Subject Terms:
- Abstract: Objectives: The prevalence of complementary and alternative medicine (CAM) use among women in the United States is high. Little is known about how CAM use may differ based on sexual orientation. Study aims were to measure the prevalence of CAM use in a community sample of women, explore differences in CAM use patterns by sexual orientation, and identify correlates of CAM use. Design/subjects: Analyses were based on women (Total N = 879; n = 479 lesbians) enrolled in the Epidemiologic STudy of HEalth Risk in Women (ESTHER) Project, a cross-sectional heart-disease risk-factor study. Settings/location: Data were collected through convenience sampling of adult females in Pittsburgh, PA (2003-2006). Outcome measures: Main outcome measures included lifetime and past 12-month CAM use, and types of CAM modalities used in the past 12 months. Results: The prevalence of having ever used CAM was 49.8%, with 42% having reported CAM use within the past 12 months. Lesbians had greater odds of having ever used CAM (adjusted odds ratio [AOR] = 1.68 [95% confidence interval (CI): 1.23, 2.28]) and of having used CAM in the past 12 months (AOR = 1.44 [CI: 1.06, 1.97]) than heterosexuals. In multivariate analyses, correlates of lifetime and past 12-month CAM use included being lesbian, white, higher educated, and a large-city resident; experiencing perceived discrimination in a health care setting; and having a greater spirituality rating and a history of a diagnosed mental health disorder. Past 12-month CAM use was also associated with having a provider of usual health care. Among women who used CAM within the past 12 months, heterosexuals had significantly higher yoga participation rates than lesbians. Conclusions: Sexual orientation is important in understanding lifetime and past 12-month CAM use. Because of the high prevalence of CAM use found in this study, medical practitioners should inquire about the CAM practices of female patients, particularly lesbians. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Alternative & Complementary Medicine is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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