title: Home Remedy Use Among African American and White Older Adults.
abstract: Home remedy use is an often overlooked component of health self-management, with a rich tradition, particularly among African Americans and others who have experienced limited access to medical care or discrimination by the health care system. Home remedies can potentially interfere with biomedical treatments. This study documented the use of home remedies among older rural adults, and compared use by ethnicity (African American and white) and gender. A purposeful sample of 62 community-dwelling adults ages 65+ from rural North Carolina was selected. Each completed an in-depth interview, which probed current use of home remedies, including food and non-food remedies, and the symptoms or conditions for use. Systematic, computer-assisted analysis was used to identify usage patterns. Five food and five non-food remedies were used by a large proportion of older adults. African American elders reported greater use than white elders; women reported more use for a greater number of symptoms than men. Non-food remedies included long-available, over-the-counter remedies (e.g., Epsom salts) for which "offlabel" uses were reported. Use focused on alleviating common digestive, respiratory, skin, and musculoskeletal symptoms. Some were used for chronic conditions in lieu of prescription medications. Home remedy use continues to be a common feature of the health self-management of older adults, particularly among African Americans, though at lower levels than previously reported. While some use is likely helpful or benign, other use has the potential to interfere with medical management of disease. Health care providers should be aware of the use of remedies by their patients.
authors.affiliation: Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest School of Medicine. Electronic address: squandt@wakehealth.edu.
authors.forename: Sara A
authors.initials: SA
authors.lastname: Quandt
authors.affiliation: Department of Family and Community Medicine, Wake Forest School of Medicine.
authors.forename: Joanne C
authors.initials: JC
authors.lastname: Sandberg
authors.affiliation: Department of Family and Community Medicine, Wake Forest School of Medicine.
authors.forename: Joseph G
authors.initials: JG
authors.lastname: Grzywacz
authors.affiliation: Department of Family and Community Medicine, Wake Forest School of Medicine.
authors.forename: Kathryn P
authors.initials: KP
authors.lastname: Altizer
authors.affiliation: Department of Family and Community Medicine, Wake Forest School of Medicine.
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Arcury
keywords: complementary medicine; qualitative research; rural