title: Choice of medicine and hierarchy of resort to different health alternatives among Asian Indian migrants in a metropolitan city in the USA.
abstract: Medical pluralism is common among Asian Indians and the increasing popularity of complementary and alternative medicines in the USA has now provided Asian Indian immigrants with a wide variety of treatment options to choose from for their ailments. Many a times, these options are used simultaneously with each other.
  
  
  OBJECTIVE
  The objective of the study was to examine the choice of medicine and the hierarchy of resort to the different health alternatives by a selected Asian Indian immigrant population in the USA.
  
  
  METHODS
  In-depth interviews were conducted with 21 informants from a metropolitan city in the USA regarding their choice of alternatives and the order in which they choose the different health alternatives. Thematic analysis was carried out to interpret the data.
  
  
  RESULTS
  The different choices for treatment of illness included folk remedies, ayurveda, homeopathy and allopathic medicine. Home remedies and Indian medical alternatives were the first resort in case of minor ailments while allopathic medicine was the first choice for serious and chronic illnesses.
  
  
  CONCLUSIONS
  The decision to choose from among different alternatives for treatment of illness depends on people's beliefs about the severity of illness and the effectiveness of treatment options while the hierarchy of resort depends on the kind of illness. The hierarchy of resort to treatment followed the counter-acculturative pattern for minor illnesses and acculturative pattern for major or chronic illnesses.
authors.affiliation: Quality Use of Medicines and Pharmacy Research Centre, Sansom Institute, School of Pharmacy and Medical Sciences, University of South Australia, North Terrance, South Australia, Australia. deepa.rao@unisa.edu.au
authors.forename: Deepa
authors.initials: D
authors.lastname: Rao
mesh_terms: D000069:Acculturation; D000328:Adult; D001213:Asian / Q000523:psychology*; D001294:Attitude to Health / Q000208:ethnology*; D002755:Choice Behavior; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D004641:Emigration and Immigration; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007194:India / Q000208:ethnology; D007407:Interviews as Topic; D008297:Male; D008515:Medicine, Ayurvedic; D008875:Middle Aged; D008910:Minnesota; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D010865:Pilot Projects; D019037:Urban Health Services / Q000706:statistics & numerical data*