Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-19T13:43:34.054Z Has data issue: false hasContentIssue false

Racial, ethnic differences in complementary and integrative health use among adults with mental illness: Results from the 2017 National Health Interview Survey

Published online by Cambridge University Press:  07 May 2021

Lee Za Ong*
Affiliation:
Department of Counselor Education and Counseling Psychology, Marquette University, P.O. Box 1881, Milwaukee, WI 53201-1881, USA
Karisse A. Callender
Affiliation:
Department of Counselor Education and Counseling Psychology, Marquette University, P.O. Box 1881, Milwaukee, WI 53201-1881, USA
Kacie M. Blalock
Affiliation:
Department of Psychology, Louisiana State University Shreveport, One University Place, Shreveport, LA 71115, USA
Jerome J. Holzbauer
Affiliation:
1744 North 58th Street, Milwaukee, WI 53208-1618, USA
*
*Corresponding author. Email: [email protected]
Get access

Abstract

The purpose of this study was to examine the patterns of complementary and integrative health (CIH) use among adults with a racial/ethnic minority background and a mental illness. A secondary data analysis of 2017 National Health Interview Survey (N = 793) was conducted using chi-square, multivariate logistic regression, and multinomial logistic regression. Overall, Black/African Americans and Hispanic/Latinx groups remained the least proportional of CIH therapies utilization. Being a male, Black/African American or Latinx/Hispanic and had work experience were predictors of the least use of the CIH therapies. Research is needed to bridge the gaps on the CIH use among a racial/ethnic minority with mental illness and to enhance the equitable and collaborative mental health care in the community.

Type
Articles
Copyright
© The Author(s) 2021. Published by Cambridge University Press and The Australian Journal of Rehabilitation Counselling

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Agu, J. C., Hee-Jeon, Y., Steel, A. & Adams, J. (2019). A systematic review of traditional, complementary and alternative medicine use amongst ethnic minority populations: A focus upon prevalence, drivers, integrative use, health outcomes, referrals and use of information sources. Journal of Immigrant & Minority Health, 21(5), 11371156. https://doi.org/10.1007/s10903-018-0832-4 CrossRefGoogle ScholarPubMed
Alwhaibi, M., Bhattacharya, R. & Sambamoorthi, U. (2015). Type of multimorbidity and complementary and alternative medicine use among adults. Evidence - Based Complementary and Alternative Medicine, 2015, 19. https://doi.org/10.1155/2015/362582 CrossRefGoogle ScholarPubMed
American Psychiatric Association (APA). (2018). Mental health disparities: Diverse populations. https://www.psychiatry.org/psychiatrists/cultural-competency/education/mental-health-facts Google Scholar
American Psychiatric Association (APA). (2020, December). Mental Health Disparities: Hispanics and Latinos. https://www.psychiatry.org/File%20Library/Psychiatrists/Cultural-Competency/Mental-Health-Disparities/Mental-Health-Facts-for-Hispanic-Latino.pdf Google Scholar
Andersen, R. M. (2008). National health surveys and the behavioral model of health services use. Medical Care, 647–653. https://doi.org/10.1097/MLR.0b013e31817a835d CrossRefGoogle Scholar
Atkinson, M. (2007). Playing with fire: Masculinity, health, and sports supplements. Sociology of Sport Journal, 24(2), 165186. https://doi.org/10.1123/ssj.24.2.165 CrossRefGoogle Scholar
Babitsch, B., Gohl, D. & von Lengerke, T. (2012). Re-revisiting Andersen’s behavioral model of health services Use: A systematic review of studies from 1998–2011. GMS Psycho-Social-Medicine, 9. https://doi.org/10.3205/psm000089 CrossRefGoogle Scholar
Bains, S. S. & Egede, L. E. (2011). Association of health literacy with complementary and alternative medicine use: A cross-sectional study in adult primary care patients. BMC Complementary and Alternative Medicine, 11, 138. https://doi.org/10.1186/1472-6882-11-138 CrossRefGoogle ScholarPubMed
Barnett, J. E. & Shale, A. J. (2012). The integration of complementary and alternative medicine (CAM) into the practice of psychology: A vision for the future. Professional Psychology: Research and Practice, 43(6), 576585. https://doi.org/10.1037/a0028919 CrossRefGoogle Scholar
Brenton, J. & Elliott, S. (2014). Undoing gender? The case of complementary and alternative medicine. Sociology of Health & Illness, 36(1), 91107. https://doi.org/10.1111/1467-9566.12043 CrossRefGoogle ScholarPubMed
Centers for Disease Control and Prevention. (2018, August 8). National Health Interview Survey. https://www.cdc.gov/nchs/nhis/nhis_2017_data_release.htm Google Scholar
Chao, M. T. & Wade, C. M. (2008). Socioeconomic factors and women’s use of complementary and alternative medicine in four racial/ethnic groups. Ethnicity & disease, 18(1), 6571.Google ScholarPubMed
Cheng, H., Wang, C., McDermott, R. C., Kridel, M. & Rislin, J. L. (2018). Self-Stigma, mental health literacy, and attitudes toward seeking psychological help. Journal of Counseling & Development, 96(1), 6474. https://doi.org/10.1002/jcad.12178 CrossRefGoogle Scholar
Choi, N. G. & Kim, J. (2010). Utilization of complementary and alternative medicines for mental health problems among Asian Americans. Community Mental Health Journal, 46(6), 570578. https://doi.org/10.1007/s10597-010-9322-4 CrossRefGoogle ScholarPubMed
Conner, K. O., Copeland, V. C., Grote, N. K., Koeske, G., Rosen, D., Reynolds, C. F. III & Brown, C. (2010). Mental health treatment seeking among older adults with depression: The impact of stigma and race. The American Journal of Geriatric Psychiatry, 18(6), 531543. https://doi.org/10.1097/JGP.0b013e3181cc0366 CrossRefGoogle Scholar
Corrigan, P. W. & Rao, D. (2012). On the self-stigma of mental illness: stages, disclosure, and strategies for change. Canadian Journal of Psychiatry, 57(8), 464469. https://doi.org/10.1177/070674371205700804 CrossRefGoogle Scholar
Falci, L., Shi, Z. & Greenlee, H. (2016). Peer reviewed: Multiple chronic conditions and use of complementary and alternative medicine among US adults: Results from the 2012 National Health Interview Survey. Preventing Chronic Disease, 13 (E61), 113.CrossRefGoogle Scholar
Field, A. (2017). Discovering Statistics Using IBM SPSS Statistics. (5th ed.). Thousand Oaks, CA: SAGE Publications.Google Scholar
Field, M., Jette, A.M. & Martin, I. (Eds) (2007). The future of disability in American. Washington, DC: National Academies Press. https://doi.org/10.17226/11898 Google Scholar
Gardiner, P., Whelan, J., White, L. F., Filippelli, A. C., Bharmal, N. & Kaptchuk, T. J. (2013). A systematic review of the prevalence of herb usage among racial/ethnic minorities in the United States. Journal of Immigrant and Minority Health, 15(4), 817828. https://doi.org/10.1007/s10903-012-9661-z CrossRefGoogle ScholarPubMed
George, S., Duran, N. & Norris, K. (2014). A systematic review of barriers and facilitators to minority research participation Among African Americans, Latinos, Asian Americans, and Pacific Islanders. American Journal of Public Health, 104(2), e16e31. https://doi.org/10.2105/AJPH.2013.301706 CrossRefGoogle ScholarPubMed
Gillum, F. & Griffith, D. (2010). Prayer and spiritual practices for health reasons among American adults: The role of race and ethnicity. Journal of Religion & Health, 49(3), 283295. https://doi.org/10.1007/s10943-009-9249-7 CrossRefGoogle ScholarPubMed
Gomez-Beloz, A & Chavez, N. (2001). The Botánic as a culturally appropriate health care option for Latinos. Journal of Alternative & Complementary Medicine, 7(5), 537546. https://doi.org/10.1089/10755530152639765 CrossRefGoogle Scholar
Greenfield, B. L., Roos, C., Hagler, K. J., Stein, E., Bowen, S. & Witkiewitz, K. A. (2018). Race/ethnicity and racial group composition moderate the effectiveness of mindfulness-based relapse prevention for substance use disorder. Addictive Behaviors, 81, 96103. https://doi.org/10.1016/j.addbeh.2018.02.010 CrossRefGoogle Scholar
Horowitz, S. (2012). American Indian health: Integrating traditional native healing practices andwestern medicine. Alternative & Complementary Therapies, 18(1), 24. https://doi.org/10.1089/act.2012.18103 CrossRefGoogle Scholar
Hoskins, D. & Padrón, E. (2018). The practice of Curanderismo: A qualitative study from the perspectives of Curandera/os. Journal of Latina/o Psychology, 6(2), 7993. https://doi.org/10.1037/lat0000081 CrossRefGoogle Scholar
Jaiswal, J. (2019). Whose responsibility is it to dismantle medical mistrust? Future directions forresearchers and health care providers. Behavioral Medicine, 45(2), 188196. https://doi.org/10.1080/08964289.2019.1630357 CrossRefGoogle ScholarPubMed
Johnson, S. D., Williams, S. L. & Pickard, J. G. (2016). Trauma, religion, and social support among African American women. Social Work and Christianity, 43(1), 6073. https://www.nacsw.org/RC/49996633.pdf#page=64 Google Scholar
Kawaii-Bogue, B., Williams, N. J. & MacNear, K. (2017). Mental health care access and treatment utilization in African American communities: An integrative care framework. Best Practices in Mental Health: An International Journal, 13(2), 1129.Google Scholar
Kessler, R.C., Green, J.G., Gruber, M.J., Sampson, N.A., Bromet, E., Cuitan, M., … Zaslavsky, A.M. (2010). Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative. International Journal of Methods in Psychiatric Research, 19(S1), 422. https://doi.org/10.1002/mpr.310 CrossRefGoogle ScholarPubMed
Kim, G., Loi, C. X. A., Chiriboga, D. A., Jang, Y., Parmelee, P. & Allen, R. S. (2011). Limited English proficiency as a barrier to mental health service use: A study of Latino and Asian immigrants with psychiatric disorders. Journal of Psychiatric Research, 45(1), 104110. https://doi.org/10.1016/j.jpsychires.2010.04.031 CrossRefGoogle ScholarPubMed
Koss-Chioino, J. D. (2006). Spiritual transformation and radical empathy in ritual healing and therapeutic relationships. In Koss-Chioino, J. D. & Hefner, P. (Eds.), Spiritual transformation and healing: Anthropological, theological, neuroscientific, and clinical perspectives (p. 4561). New York: AltaMira Press.Google Scholar
Kronenberg, F., Cushman, L. E., Wade, C. M., Kalmuss, D. & Chao, M. (2006). Race/ethnicity and women’s use of complementary and alternative medicine in the United States: Results of a national survey. American Journal of Public Health, 96(7), 12361242. https://doi.org/10.2105/AJPH.2004.047688 CrossRefGoogle Scholar
Lee, J. H., Goldstein, M. S., Richard Brown, E. & Ballard-Barbash, R. (2010). How does acculturation affect the use of complementary and alternative medicine providers among Mexican and Asian Americans? Journal of Immigrant and Minority Health, 12(3), 302309. https://doi.org/10.1007/s10903-008-9171-1 CrossRefGoogle ScholarPubMed
Libby, D. J., Pilver, C. E. & Desai, R. (2013). Complementary and alternative medicine use among individuals with posttraumatic stress disorder. Psychological Trauma: Theory, Research, Practice, and Policy, 5(3), 277285. https://doi.org/10.1037/a0027082 CrossRefGoogle Scholar
Littlewood, R. A. & Vanable, P. A. (2014). The relationship between CAM use and adherence to antiretroviral therapies among persons living with HIV. Health Psychology, 33(7), 660667. https://doi.org/10.1037/a0033519 CrossRefGoogle ScholarPubMed
Lor, K. B., Moua, S. & Ip, E. J. (2016). Frequency and perceptions of herbal medicine use among Hmong Americans: A cross sectional survey. Journal of Immigrant and MinorityHealth, 18(2), 397401. https://doi.org/10.1007/s10903-015-0190-4 CrossRefGoogle ScholarPubMed
Mackenzie, E. R., Taylor, L., Bloom, B. S., Hufford, D. J. & Johnson, J. C. (2003). Ethnic minority use of complementary and alternative medicine (CAM): A national probability survey of CAM utilizers. Alternative Therapies in Health and Medicine, 9(4), 5056.Google ScholarPubMed
Maura, J. & Weisman de Mamani, A. (2017). Mental health disparities, treatment engagement, and attrition among racial/ethnic minorities with severe mental illness: Areview. Journal of Clinical Psychology in Medical Settings, 24(3/4), 187210. https://doi.org/10.1007/s10880-017-9510-2 CrossRefGoogle Scholar
Mays, V. M., Jones, A. L., Delany-Brumsey, A., Coles, C. & Cochran, S. D. (2017). Perceived discrimination in health care and mental health/substance abuse treatment among Blacks, Latinos, and Whites. Medical Care, 55(2), 173181. https://doi.org/10.1097/MLR.0000000000000638 CrossRefGoogle ScholarPubMed
Misra, R., Balagopal, P., Klatt, M. & Geraghty, M. (2010). Complementary and alternative medicine use among Asian Indians in the United States: A national study. The Journal of Alternative and Complementary Medicine, 16(8), 843852. https://doi.org/10.1089/acm.2009.0517 CrossRefGoogle ScholarPubMed
Moghaddam, J. F., Momper, S. L. & Fong, T. W. (2015). Crystalizing the role of traditional healing in an urban Native American health center. Community Mental Health Journal, 51(3), 305314. https://doi.org/10.1007/s10597-014-9813-9 CrossRefGoogle Scholar
Moss, A. S., Monti, D. A., Amsterdam, J. D. & Newberg, A. B. (2011). Complementary and alternative medicine therapies in mood disorders. Expert Review of Neurotherapeutics, 11(7), 10491056. https://doi.org/10.1586/ern.11.77 CrossRefGoogle ScholarPubMed
Nahin, R. L., Barnes, P. M. & Stussman, B. J. (2016). Insurance Coverage for ComplementaryHealth Approaches Among Adult Users: United States, 2002 and 2012. NCHS Data Brief, 235, 1. https://pubmed.ncbi.nlm.nih.gov/26828643/ Google Scholar
National Alliance on Mental Illness (NAMI). (n.d.). Mental health conditions. https://www.nami.org/Learn-More/Mental-Health-Conditions Google Scholar
National Center for Complementary and Integrative Health (NCCIH). (2020a, September). Statistics on complementary and integrative health approaches. https://www.nccih.nih.gov/research/statistics-on-complementary-and-integrative-health-approaches Google Scholar
National Center for Complementary and Integrative Health (NCCIH). (2020b, September). Complementary, Alternative, or Integrative Health: What’s in a Name? https://www.nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-in-a-name Google Scholar
National Institute of Mental Illness (NIMH). (2021, January). Mental illness. https://www.nimh.nih.gov/health/statistics/mental-illness.shtml Google Scholar
Ndao-Brumblay, S. K. & Green, C. R. (2010). Predictors of complementary and alternative medicine use in chronic pain patients. Pain Medicine, 11(1), 1624. https://doi.org/10.1111/j.1526-4637.2009.00767.x CrossRefGoogle ScholarPubMed
Nguyen, H., Sorkin, D. H., Billimek, J., Kaplan, S. H., Greenfield, S. & Ngo-Metzger, Q. (2014). Complementary and alternative medicine (CAM) use among non- Hispanic White, Mexican American, and Vietnamese American patientswith type 2 diabetes. Journal of Health Care for the Poor and Underserved, 25(4), 19411955. https://doi.org/10.1353/hpu.2014.0178 CrossRefGoogle Scholar
Nortje, G., Oladeji, B., Gureje, O., & Seedat, S. (2016). Effectiveness of traditional healers in treating mental disorders: a systematic review. The Lancet Psychiatry, 3(2), 154170. https://doi.org/10.1016/S2215-0366(15)00515-5 CrossRefGoogle ScholarPubMed
Okoro, C. A., Zhao, G., Li, C. & Balluz, L. S. (2012). Use of complementary and alternative medicine among US adults with and without functional limitations. Disability and Rehabilitation: An International, Multidisciplinary Journal, 34(2), 128135. https://doi.org/10.3109/09638288.2011.591887 CrossRefGoogle ScholarPubMed
Revell, M. A. (2012). Use of complementary and alternative medicine in the african american culture. International Journal of Childbirth Education, 27(3), 5559. https://www.thefreelibrary.com/Use+of+complementary+and+alternative+medicine+in+the+African+American...-a0302298506 Google Scholar
Rhee, T. G., Evans, R. L., McAlpine, D. D. & Johnson, P. J. (2017). Racial/ethnic differences in The use of complementary and alternative medicine in U.S. adults with moderate mental distress. Journal of Primary Care & Community Health, 8(2), 4354.CrossRefGoogle ScholarPubMed
Robinson, M. A., Jones-Eversley, S., Moore, S. E., Ravenell, J. & Adedoyin, A. C. (2018). Black male mental health and the black church: Advancing a collaborative partnership and research agenda. Journal of Religion and Health, 57(3), 10951107. https://doi.org/10.1007/s10943-018-0570-x CrossRefGoogle ScholarPubMed
Rush, C. L., Lobo, T., Serrano, A., Blasini, M., Campos, C. & Graves, K. D. (2016). Complementary and alternative medicine use and Latina breast cancer survivors’ symptoms and functioning. Healthcare, 4(4), 80. https://doi.org/10.3390/healthcare4040080 CrossRefGoogle ScholarPubMed
Russinova, Z., Cash, D. & Wewiorski, N.J. (2009). Toward understanding the usefulness of complementary and alternative medicine for individuals with serious mental illnesses:Classification of perceived benefits. Journal of Nervous and Mental Disease, 197(1), 6973. http://doi:10.1097/NMD.0b013e31819251fe CrossRefGoogle ScholarPubMed
Sanchez, A. A. (2018). An examination of the folk healing practice of curanderismo in the Hispanic community. Journal of Community Health Nursing, 35(3), 148161. https://doi.org/10.1080/07370016.2018.1475801 CrossRefGoogle ScholarPubMed
Sointu, E. (2011). Detraditionalization, gender and alternative and complementary medicines. Sociology of Health & Illness, 33(3), 356371. https://doi.org/10.1111/j.1467-9566.2010.01275.x CrossRefGoogle Scholar
Solomon, D. & Adams, J. (2015). The use of complementary and alternative medicine in adults with depressive disorders: A critical integrative review. Journal of Affective Disorders, 179, 101113. https://doi.org/10.1016/j.jad.2015.03.031 CrossRefGoogle Scholar
Su, D. & Li, L. (2011). Trends in the use of complementary and alternative medicine in the United State: 2002–2007. Journal of Health Care for the Poor and Underserved, 22(1), 296310. https://doi.org/10.1353/hpu.2011.0002 Google Scholar
Tabachnick, B. G. & Fidell, L. S. (2018). Using Multivariate Statistics. (7th ed.). Boston: Pearson Education.Google Scholar
Taylor, S. L., Herman, P. M., Marshall, N. J., Zeng, Q., Yuan, A., Chu, K., … Lorenz, K. A. (2019). Use of complementary and integrated health: A retrospective analysis of U.S. veterans with chronic musculoskeletal pain nationally. Journal of Alternative & Complementary Medicine, 25(1), 3239. https://doi.org/10.1089/acm.2018.0276 CrossRefGoogle ScholarPubMed
Tate, J. D. (2011). The role of spirituality in the breast cancer experiences of African Americanwomen. Journal of Holistic Nursing, 29(4), 249255. https://doi.org/10.1177/0898010111398655 CrossRefGoogle Scholar
Upchurch, D. M., Dye, C. E., Chyu, L., Gold, E. B. & Greendale, G. A. (2010). Demographic, behavioral, and health correlates of complementary and alternative medicine and prayer use among midlife women: 2002. Journal of Women’s Health, 19(1), 2330. https://doi.org/10.1089/jwh.2008.1096 CrossRefGoogle ScholarPubMed
Upchurch, D. M. & Rainisch, B. K. W. (2012). Racial and ethnic profiles of complementary and alternative medicine use among young adults in the United States: Findings from the National Longitudinal Study of Adolescent Health. Journal of Evidence-Based Complementary & Alternative Medicine, 17(3), 172179. https://doi.org/10.1177/2156587212450713 CrossRefGoogle ScholarPubMed
Walker, E. R., Cummings, J. R., Hockenberry, J. M. & Druss, B. G. (2015). Insurance status, use of mental health services, and unmet need for mental health care in the United States. Psychiatric Services, 66(6), 578584. https://doi.org/10.1176/appi.ps.201400248 CrossRefGoogle ScholarPubMed
Wallen, G. R. & Brooks, A. T. (2012). To tell or not to tell: Shared decision making, CAM use and disclosure among underserved patients with rheumatic diseases. Integrative Medicine Insights, 7, 1522. https://doi.org/10.4137/IMI.S10333 CrossRefGoogle ScholarPubMed
Whaley, A. L. (2019). Help-seeking from indigenous healers among persons of African ancestry in the united states: Ethnic and racial disparities in mental and physical health. Complementary Therapies in Medicine, 45, 222227. https://doi.org/10.1016/j.ctim.2019.07.005 CrossRefGoogle ScholarPubMed
Watson, N. N., Black, A. R. & Hunter, C. D. (2016). African American women’s perceptions of mindfulness meditation training and gendered race-related stress. Mindfulness, 7(5), 10341043. https://doi.org/10.1007/s12671-016-0539-3 CrossRefGoogle Scholar
Watson-Singleton, N. N., Black, A. R. & Spivey, B. N. (2019). Recommendations for a culturally- responsive mindfulness-based intervention for African Americans. Complementary Therapies in Clinical Practice, 34, 132138. https://doi.org/10.1016/j.ctcp.2018.11.013 CrossRefGoogle ScholarPubMed
Witt, C. M., Chiaramonte, D., Berman, S., Chesney, M. A., Kaplan, G. A., Stange, K. C., … Berman, B. M. (2017). Defining health in a comprehensive context: A new definition of integrative health. American Journal of Preventive Medicine, 53(1), 134137. https://doi.org/10.1016/j.amepre.2016.11.029 CrossRefGoogle Scholar
Zacharias, S. (2006). Mexican “Curanderismo” as Ethnopsychotherapy: A qualitative study on treatment practices, effectiveness, and mechanisms of change. International Journal of Disability, Development & Education, 53(4), 381400. https://doi.org/10.1080/10349120601008522 CrossRefGoogle Scholar
Zhang, Y., Leach, M. J., Hall, H., Sundberg, T., Ward, L., Sibbritt, D. & Adams, J. (2015). Differences between male and female consumers of complementary and alternative medicine in a national US population: A secondary analysis of 2012 NHIS data. Evidence - Based Complementary and Alternative Medicine, 2015, 110. https://doi.org/10.1155/2015/413173 Google Scholar