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Factors beyond demographics affect referral to Complementary Medicine by HIV nurses

John Yannessa, PhD1, Michael Reece, PhD2, Stephen Karpiak, PhD3, and Alice Lindeman, PhD, RD2. (1) School of Education/Department of Health, Physical Education, Recreation, Coastal Carolina University, P.O. Box 261954, Conway, SC 29528, (843) 349-6460, yannessa@coastal.edu, (2) Dept of Applied Health Science, Indiana University-Bloomington, 1025 E. 7th St, HPER 116, Bloomington, IN 47405, (3) AIDS Community Research Initiative of America, 230 W. 38th Street, 17th Floor, New York, NY 10018

Infection with Human Immunodeficiency Virus (HIV) continues to be a significant public health issue in the United States. Allopathic medicine, specifically Highly Active Antiretroviral Therapy (HAART), has significantly reduced the mortality rate associated with HIV infection in the United States. But these medicines have negative side effects, causing people living with HIV to seek other approaches to alleviate negative side effects, such as choosing Complementary or Alternative sources of medical care. With the documented decrease in time spent with a physician, nurses may play a critical role in a patient's choice of CAM use. But little published research has examined factors related to HIV nurse referral to sources of CAM. Data were collected from 283 nurses who provide care to people living with HIV. Chi-Square tests and hierarchical logistic regression analyses were conducted to determine the extent to which the addition of variables related to geographic region of nursing practice, and CAM awareness, belief in the efficacy of CAM, and personal use of CAM would enhance the predictability of models that included demographic variables. Based on the results of these analyses, several significant logistic regression models were developed. Results of this study indicate while some traditional demographics such as higher education and income are predictive of nurse referral of people living with HIV to CAM, belief in the efficacy of CAM and personal use of CAM therapies play an important role as well. These results may be important as health professionals seek to understand how health beliefs impact health behaviors.

Learning Objectives: Learning Objectives

Keywords: HIV/AIDS, Alternative Medicine/Therapies

Presenting author's disclosure statement:

Not Answered

Emerging Scholars In HIV/AIDS Research

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA