175475 Use of Home Remedies and Alternative Therapies for Arthritis among Latinos

Sunday, October 26, 2008

Shalini Gupta, MD, MPH , School of Community Health, Portland State University, Portland, OR
Chad Cheriel, PhD , Institute on Aging, School of Community Health, Portland State University, Portland, OR
Maria Elena Ruiz, PhD, CFNP, RN , Center for Health Disparities Research, School of Nursing-4S, Oregon Health & Science University, Portland, OR
Background: Use of complimentary and alternative therapies (CAM) are on rise among US population. CAM has been most often used to treat back problems, colds, joints pain and mental disorders. Adults with diagnosed chronic diseases are more likely to use biologically based CAM and those with arthritis are its most common users. For arthritis alone, more than 30 different herbs and topical ointments are used. Studies have shown multiple products use among Hispanics.

Methods: A convenience sampling method was used in surveying 588 Latinos in Spanish. The CDC's arthritis eligibility questions screened the participants for arthritis. Data from three focus groups will also supplement the findings.

Results: Latinos with arthritis have very low rates of insurance coverage and depend a great deal on a variety of home treatments including over the counter (OTC) drugs. Those who rate their health as fair/poor live in extreme high pain and show a significant increase in the use of alternative medicine therapists. There is no significant difference in the use of alternative therapists among insured and uninsured. The list of herbs and ointments used among the population is very long and interesting.

Conclusion: Our data shows high reliance on home remedies and OTC drugs. Among those who use home remedies, topical ointments, some created using old home formulas, appears to be the most frequently used by those in the 55+ years age range. Health care providers should interact with the patients about their CAM use, to prevent adverse medical interactions and ensure coordinated safe care.

Learning Objectives:
1) Know which alternative therapies and topical ointments are most commonly used among Latinos in Oregon. 2) Identify why the Latinos don't tell their health providers about their CAM use. 3) Promote health providers to interact with their patients about their CAM use so as to deliver safe and coordinated care.

Keywords: Alternative Medicine/Therapies, Hispanic

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have undergraduate degree in Medicine and finishing my Masters in Public Health in March 2008. I am working on "Project on arthritis among Latinos" as a research assistant since last year and analyzing the data.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.