247363 Use of complementary and alternative medicine among Chinese immigrants in New York: Prevalence and its association with trust in CAM providers and other socio-demographic factors

Monday, October 31, 2011

Isha Weerasinghe, MSc , Center for the Study of Asian American Health, New York University School of Medicine, New York, NY
Lixin Zhang, MS , Center for the Study of Asian American Health, New York University B Free CEED, New York, NY
Shao-Chee Sim, PhD , Charles B. Wang Community Health Center, New York, NY
Laura Wyatt, MPH , Center for the Study of Asian American Health, NYU School of Medicine, New York, NY
Kay Chun, MD , Public Health & Research Center, Korean Community Services, New York, NY
Objectives: The use of CAM by the general US population has been documented increasingly in national surveys, but prevalence and predicting factors are much less known, particularly in immigrant populations. We aim to assess: 1) the prevalence and pattern of CAM use among Chinese immigrants, 2) its association with trust in CAM providers, and 3) its association with marital status, age, level of acculturation, level of English proficiency (LEP), and health insurance coverage. Methods: Cross-sectional data was acquired from B Free CEED Community Survey conducted with 502 Chinese adults in New York City. Bivariate associations were assessed, and multiple logistic regression models included all variables significant in bivariate analysis. Results: Approximately 63% of the population surveyed reported use of at least one CAM therapy. Commonly used therapies included herbal and traditional medicine. A significant association was found between trust in the source referred by CAM providers and use of any CAM (p < 0.001), specifically in traditional medicine (p < 0.001) and herbal medicine (p < 0.001). A significant positive relationship exists between years lived in the U.S. and any CAM use (p < 0.05), and for the use of meditation and relaxation therapies (p < 0.01). No significant association was found for insurance coverage. Other findings on associations with socio-demographic factors will be discussed. Conclusions: CAM use is prevalent in this cohort of Chinese immigrants and use patterns vary by different modalities. CAM use is associated with trust in CAM providers and acculturation, but not health insurance coverage.

Learning Areas:
Assessment of individual and community needs for health education
Provision of health care to the public
Public health or related research

Learning Objectives:
Discuss the prevalence of CAM use in a subsection of Chinese populations living in New York City. Evaluate the association between CAM use, trust in CAM providers, acculturation in the US, and health insurance coverage.

Keywords: Asian and Pacific Islander, Community Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I helped to work on this research and the lead author, Dr. Lixin Zhang, and I are in the process of writing a manuscript on the topic.
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.