Little research has investigated Complementary and Alternative Medicine (CAM) use prevalence and its determinants among older adults. We examined ethnic and gender variation in CAM use among rural older adults who reside in two North Carolina counties. Home and folk remedies, and vitamin and mineral supplements, were used by most participants. Men and women did not differ. African and Native American elders used home and folk remedies more than European Americans; European and Native Americans used vitamin and mineral supplements more than African Americans. Health care providers should be aware that their patients use CAM and may need counseling to minimize CAM-drug interactions.
References
1.
ArcuryT. A.ShulamitL. B.JordanJ. M.CookH. L. (1996). Gender and ethnic differences in alternative and conventional remedies use among community dwelling rural adults with arthritis. Arthritis Care and Research,9, 384–390
2.
ArcuryT. A.GeslerW. M.CookH. L. (1999). Meaning in the use of unconventional arthritis therapies. American Journal of Health Promotion,14, 7–15
3.
ArcuryT. A.QuandtS. A. (1999). Participant recruitment for qualitative research: A site-based approach to community research in complex societies. Hitman Organization,58, 128–133
4.
ArcuryT. A.QuandtS. A.BellR. A.McDonaldJ.VitolinsM. (1998). Barriers to nutritional well-being for rural ciders: Community experts' perceptions. The Gerontologist,38, 490–498
5.
ArcuryT. A.QuandtS. A.McDonaldJ.BellR. A. (2000) Faith and health self-management of rural older adults. Journal of Cross-Cultural Gerontology,15, 55–74
6.
AstinJ. A.PelletierK. R.MarieA.HaskellW. L. (2000). Complementary and alternative medicine use among elderly persons: One-year analysis of a Blue Shield Medicare supplement. Journals of Gerontology: Medical Sciences,55A, M4–M9
7.
BellR. A.QuandtS. A.ArcuryT. A.McDonaldJ.VitolinsM. Z. (2000). Health behaviors of rural White, African-American and Native American elders. American Journal of Health Behavior,24, 349–360
8.
BenderM. M.LevyA. S.SchucherR. E.YetleyE. A. (1992). Trends in prevalence and magnitude of vitamin and mineral supplement usage and correlation with health status. Journal of the American Dietetic Association,92, 1096–1101
9.
BigbyM. (1998). Snake oil for the 21st century. Archives of Dermatology,134, 1512–1514
10.
BlockG.HartmanA. M. (1994). Data collection and data management. DIETSYS Version 3.0 User's Guide. National Cancer Institute
11.
BoazF. (1948). Race, language and culture. New York: Macmillan
12.
CavenderA. P.BeckS. H. (1995). Generational change, folk medicine, and medical self-care in a rural Appalachian community. Human Organization,54, 129–142
13.
CronanT. A.KaplanR. M.KozinF. (1993). Factors affecting unprescribed remedy use among people with self-reported arthritis. Arthritis Care and Research,6, 149–155
14.
CronanT. A.KaplanR. M.PosnerL.BlumbergE.KozinF. (1989). Prevalence of the use of unconventional remedies for arthritis in a metropolitan community. Arthritis and Rheumatism,32, 1604–1607
15.
EisenbergD. M.KesslerR. C.FosterC.NorlockF. E.CalkinsD. R.DelBancoT. L. (1993). Unconventional medicine in the United States: Prevalence, costs, and patterns of use. New England Journal of Medicine,28, 246–252
16.
EisenbergD. M.DavisR. B.EttnerS. L.AppelS.WilkeyS.Van RompayM.KesslerR. C. (1998). Trends in alternative medicine use in the United States, 1990-1997: Results of a follow-up national survey. Journal of the American Medical Association,280, 1569–1575
17.
FosterD. F.PhilipsR. S.HamelM. B.EisenbergD. M. (2000). Alternative medicine use in older Americans. Journal of the American Geriatrics Society,48, 1560–1565
18.
FrateD. A.CroomE. M.Jr.FrateJ. B.JuergensJ. P.MeydrechE. F. (1995). Self-treatment with herbal and other plant-derived remedies—Rural Mississippi, 1993. Morbidity and Mortality Weekly Report,44, 204–207
19.
FrateD. A.CroomE. M.Jr.FrateJ. B.JuergensJ. P.MeydrechE. F. (1996). Use of plant-derived therapies in a rural, biracial population in Mississippi. Journal of the Mississippi State Medical Association,37, 427–429
20.
FreemanM. S.SargentR. G.SharpeP. A.WallerJ. L.PowellF. M.DraneW. (1998). Cognitive, behavioral, and environmental correlates of nutrient supplement use among independently living older adults. Journal of Nutrition for the Elderly,17, 19–39
21.
GaylordS. (1999). Alternative therapies and empowerment of older women. Journal of Women and Aging,11, 29–47
22.
GeslerW. M.RickettsT. C.III, (Eds.). (1992). Health in rural North America. New Brunswick, NJ: Rutgers University Press
23.
GrayG. E.Paganini-HillA.RossR. K. (1983). Dietary intake and nutrient supplement use in a southern California retirement community. American Journal of Clinical Nutrition,38, 122–128
24.
HershmanD. L.SimonoffP. A.FrishmanW. H.PastonF.AronsonM. K. (1995). Drug utilization in the old and how it relates to self-perceived health and all-cause mortality: results from the Bronx Aging Study. Journal of the American Geriatrics Society,43, 356–360
25.
JarvisW. T. (1999). Quackery: The National Council Against Health Fraud perspective. Rheumatic Disease Clinics of North America,25, 805–814
26.
KaufmanS. R. (1995). In-depth interviewing. In GubriumJ. F.SankarA., (Eds.), Qualitative Methods in Aging Research (pp. 123–136). Thousand Oaks, CA: SAGE Publications
27.
KirklandJ.MathewsH. E.SullivanC. W.IIIBaldwinK. (Eds.). (1992). Herbal and magical medicine: Traditional healing today. Durham, NC: Duke University Press
28.
LassilaH. C.StoehrG. P.GanguliM.SeabergE. C.GilbyJ. E.BelleS. H.EchementD. A. (1996). Use of prescription medications in an elderly rural population: The MoVIES Project. Annals of Pharmacotherapy,30, 589–595
29.
LoeraJ. A.BlackS. A.MarkidesK. S.EspinoD. V.GoodwinJ. S. (2001). The use of herbal medicine by older Mexican Americans. Journal of Gerontology: Medical Sciences,56A, M714–M718
30.
LyleB. J.Mares-PerlmanJ. A.KleinB. E.KleinR.GregerJ. L. (1998). Supplement users differ from nonusers in demographic, lifestyle, dietary and health characteristics. Journal of Nutrition,128, 2355–2362
31.
MathewsH. F. (1987). Rootwork: Description of an ethnomedical system in the American South. Southern Medical Journal,80, 885–891
32.
Mayer-DavisE. J.VitolinsM. Z.CarmichaelS. L.HemphillS.TsarouchaG.RushingJ.LevinS. (1999). Validity and reproducibility of a food frequency interview in a multi-cultural epidemiologic study. Annals of Epidemiology,9, 319–324
33.
National Research Council, Subcommittee on the 10th Edition of the RDAs, Food and Nutrition Board, Commission on Life Sciences. (1989). Recommended dietary allowances (10th ed.). Washington, DC: National Academy Press
34.
NienstedtB. C. (1998). The definitional dilemma of alternative medicine. In GordonR. J.NienstedtB. C.GeslerW. M. (Eds.), Alternative Therapies: Expanding Options in Health Care (pp. 13–26). New York: Springer Publishing
35.
OldendickR.CokerA. L.WielandD.RaymondJ. I.ProbstJ. C.SchellB. J.StoskopfC. H. (2000). Population-based survey of complementary and alternative medicine usage, patient satisfaction, and physician involvement. Southern Medical Journal,93, 375–381
36.
OryM. G.DeFrieseG. H., (Eds.). (1998). Self-care in later life: Research, program, and policy issues. New York: Springer Publishing
37.
PlotkinS. R.PostR. (1999). Folk remedy use in the inner city. Southern Medical Journal,92, 795–798
38.
QuandtS. A.ArcuryT. A. (1997). Qualitative methods in arthritis research. Overview and data collection. Arthritis Care and Research,10, 273–281
39.
QuandtS. A.ArcuryT. A.BellR. A. (1998). Self-management of nutritional risk among older adults: A conceptual model and case studies from rural communities. Journal of Aging Studies,72, 351–368
40.
QuandtS. A.McDonaldJ.ArcuryT. A.BellR. A.VitolinsM. Z. (2000). Nutritional self-management strategies of elderly widows in rural communities. The Gerontologist,40, 86–96
41.
QuandtS. A.McDonaldJ.BellR. A.ArcuryT. A. (1999). Aging research in multi-ethnic rural communities: Gaining entrèe through community involvement. Journal of Cross-Cultural Gerontology,14, 113–130
42.
RickettsT. C.III (Ed.). (1999). Rural health in the United States. New York: Oxford University Press
43.
RowlesG. D. (1991). Changing health culture in rural Appalachia: Implications for serving the elderly. Journal of Aging Studies,5, 375–389
44.
Statistical Package for the Social Sciences (SPSS). (1992). SPSS/PC+, Statistical Package for the Social Sciences. (Version 5.0). Chicago: Author
45.
VitolinsM. Z.QuandtS. A.CaseD. L.BellR. A.ArcuryT. A.McDonaldJ. (2000a). Vitamin and mineral supplement use by rural older adults. Journal of Gerontology: Medical Sciences,55A, M613–M617
46.
VitolinsM. Z.QuandtS. A.CaseD. L.BellR. A.ArcuryT. A.McDonaldJ. (2000b). Ethnic and gender variation in the dietary intake of rural elders. Journal of Nutrition for the Elderly,19, 15–19
47.
World Health Organization (WHO). (1983, November 21-25). Health education in self-care: Possibilities and limitations. Report of a Scientific Consultation, Geneva
