Complementary and alternative medicine (CAM) use by African American (AA) and Caucasian American (CA) older adults in a rural setting: a descriptive, comparative study.
BACKGROUND
The use of CAM is at an all time high. There is very little research that compares the use of CAM in elders by ethnicity in rural settings. The purpose of the study was to determine if there was a difference between African American and Caucasian American rural elders on use of CAM and self-reported satisfaction with CAM.


METHODS
The design was a descriptive, comparative study of 183 elders who reported the number of CAM used and satisfaction with CAM. A convenience sample was recruited through community service organizations in the state of Mississippi. The availability of elders through the support groups, sampling bias, subject effect, and self-report were limitations of the study.


RESULTS
The commonest examples of CAM used by rural elders were prayer, vitamins, exercise, meditation, herbs, chiropractic medicine, glucosamine, and music therapy. Significant findings on SES and marital status were calculated. Differences on ethnicity and demographic variables were significant for age, education, and the use of glucosamine.


CONCLUSIONS
Health care providers must be aware that elders are using CAM and are satisfied with their use. Identifying different uses of CAM by ethnicity is important for health care practitioners, impacting how health care is provided.
Cuellar
Norma
N
School of Nursing, University of Pennsylvania, Philadelphia, PA, USA. ncuellar@nursing.upenn.edu
Aycock
Teresa
T
Cahill
Bridgett
B
Ford
Julie
J
D001741:Black or African American / Q000706:statistics & numerical data*; D000368:Aged; D054598:Blue Cross Blue Shield Insurance Plans / Q000706:statistics & numerical data; D016009:Chi-Square Distribution; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D004522:Educational Status; D005260:Female; D006801:Humans; D008297:Male; D006278:Medicare / Q000706:statistics & numerical data; D008875:Middle Aged; D008922:Mississippi / Q000453:epidemiology; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D012424:Rural Population / Q000706:statistics & numerical data*; D017678:Sex Distribution; D044465:White People / Q000706:statistics & numerical data*