title: Complementary and Integrative Health Practices Among Hispanics Diagnosed with Colorectal Cancer: Utilization and Communication with Physicians.
abstract: OBJECTIVE
  Complementary and integrative health (CIH) use among Hispanic adults with colorectal cancer (CRC) diagnosis is not well documented. Understanding the prevalence and patterns of CIH use among Hispanics offers insights to uncover potential needs for clinical services.
  
  
  METHODS
  Participants were age 21 years or older with a first-time diagnosis of CRC from population-based cancer registries in California. In-person and/or telephone-based interviews were administered to collect data on CIH use. Demographic and clinical diagnosis data were abstracted from medical records. Descriptive statistical and logistic regression was used to analyze the frequencies and associations between selected patient characteristics and CIH use.
  
  
  RESULTS
  Among 631 Hispanic patients, 40.1% reported ever using CIH. Herbal products/dietary supplements were used most often (35.3%), followed by bodywork (16.5%), mind-body practices (7.8%), and homeopathy (6.7%). About 60% of participants reported CIH use to address specific health conditions; however, most patients did not discuss CIH use with their physicians (76.3%). Women reported higher CIH use than did men (45.1% versus 35.9%; odds ratio, 1.49 [95% confidence interval, 1.07-2.08]; p = 0.02). CIH use did not differ by clinical stage, time since diagnosis, or preferred language.
  
  
  CONCLUSIONS
  CIH use is prevalent among Hispanic patients with CRC, especially women. Little communication about CIH use occurs between participants and their healthcare providers. Efforts aimed at improving integrative oncology services provide an opportunity to address such gaps in healthcare service.
authors.affiliation: 1 Department of Preventive Medicine, Keck School of Medicine of University of Southern California , Los Angeles, CA.|2 Norris Comprehensive Cancer Center, Keck School of Medicine of University of Southern California , Los Angeles, CA.
authors.forename: David S
authors.initials: DS
authors.lastname: Black
authors.affiliation: 1 Department of Preventive Medicine, Keck School of Medicine of University of Southern California , Los Angeles, CA.|3 Department of Emergency Medicine, Keck School of Medicine of University of Southern California , Los Angeles, CA.
authors.forename: Chun Nok
authors.initials: CN
authors.lastname: Lam
authors.affiliation: 1 Department of Preventive Medicine, Keck School of Medicine of University of Southern California , Los Angeles, CA.|2 Norris Comprehensive Cancer Center, Keck School of Medicine of University of Southern California , Los Angeles, CA.
authors.forename: Nathalie T
authors.initials: NT
authors.lastname: Nguyen
authors.affiliation: 1 Department of Preventive Medicine, Keck School of Medicine of University of Southern California , Los Angeles, CA.|2 Norris Comprehensive Cancer Center, Keck School of Medicine of University of Southern California , Los Angeles, CA.
authors.forename: Ugonna
authors.initials: U
authors.lastname: Ihenacho
authors.affiliation: 1 Department of Preventive Medicine, Keck School of Medicine of University of Southern California , Los Angeles, CA.|2 Norris Comprehensive Cancer Center, Keck School of Medicine of University of Southern California , Los Angeles, CA.
authors.forename: Jane C
authors.initials: JC
authors.lastname: Figueiredo
mesh_terms: D000328:Adult; D000368:Aged; D015179:Colorectal Neoplasms / Q000453:epidemiology* / Q000628:therapy*; D003142:Communication; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D055048:Integrative Medicine / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D055815:Young Adult