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Conventional and Complementary Therapy Use among Mexican Farmworkers in North Carolina: Applying the I-CAM-Q.
Arcury, Thomas A; Furgurson, Katherine F; O'Hara, Heather M; Miles, Kenya; Chen, Haiying; Laurienti, Paul J.
Afiliação
  • Arcury TA; a Department of Family and Community Medicine , Wake Forest School of Medicine , Winston-Salem , North Carolina , USA.
  • Furgurson KF; b Center for Worker Health , Wake Forest School of Medicine , Winston-Salem , North Carolina , USA.
  • O'Hara HM; a Department of Family and Community Medicine , Wake Forest School of Medicine , Winston-Salem , North Carolina , USA.
  • Miles K; c Department of Family and Community Medicine , Meharry Medical College , Nashville , Tennessee , USA.
  • Chen H; c Department of Family and Community Medicine , Meharry Medical College , Nashville , Tennessee , USA.
  • Laurienti PJ; d Department of Biostatistical Science, Division of Public Health Sciences , Wake Forest School of Medicine , Winston-Salem , North Carolina , USA.
J Agromedicine ; 24(3): 257-267, 2019 07.
Article em En | MEDLINE | ID: mdl-30860961
Objectives: This analysis documents the use of conventional health-care providers, traditional healers, and complementary therapies by Mexican farmworkers; identifies the purposes and perceived helpfulness of these modalities; and delineates variation in the use of traditional healers and complementary therapies. Methods: Two-hundred Mexican farmworkers in North Carolina completed interviews May-September, 2017. The International Complementary and Alternative Medicine Questionnaire (I-CAM-Q) elicited use of conventional health-care providers, traditional healers, and complementary therapies in the previous 12 months. Results: Most of the farmworkers had been treated by a conventional provider (63.0%). One-in-five had been treated by any traditional healer; 19.5% had been treated by a sobador, 4.5% by a curandero, 2.0% by an herbalist, and 2.0% by a spiritual healer. Conventional providers (69.8%) and sobadores (84.6%) most often treated acute conditions; 62.5% had used an herb, 46.0% a vitamin, 57.0% an over-the-counter medicine, and 13.5% a home remedy. Participants used various self-care practices, including music (36.5%), sleep (18.0%), prayer for health (15.0%), and social media (14.0%). Education was inversely associated with the use of a traditional healer and herbs; treatment by a conventional health-care provider was positively associated with using a traditional healer and vitamins. Conclusions: Mexican farmworkers use conventional health-care providers as well as traditional healers and complementary therapies. Research on how use of complementary therapies and a system of medical pluralism affects farmworker health is needed. Health-care providers need to recognize complementary therapy use and provide patient education about ineffective or harmful therapies.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Terapias Complementares / Fazendeiros / Medicina Tradicional Aspecto: Equity_inequality Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Mexico Idioma: En Revista: J Agromedicine Assunto da revista: MEDICINA OCUPACIONAL Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Terapias Complementares / Fazendeiros / Medicina Tradicional Aspecto: Equity_inequality Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Mexico Idioma: En Revista: J Agromedicine Assunto da revista: MEDICINA OCUPACIONAL Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido