Evidence map›Paper›PMID 23308362›Full record

ArticleJournal of alternative and complementary medicine (New York, N.Y.)2013

Discrimination in health care and CAM use in a representative sample of U.S. adults.

Sheryl Thorburn, Jennifer Faith, Karen Levy Keon, Kimberly M Tippens

Abstract read
In one paragraph

Article in Journal of alternative and complementary medicine (New York, N.Y.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sheryl ThorburnSchool of Social and Behavioral Health Sciences, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA. Sheryl.Thorburn@oregonstate.edu
Jennifer Faith
Karen Levy Keon
Kimberly M Tippens

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDiscrimination in medical settings may influence patient attitudes about health care and health-seeking behaviors. Patients who experience discrimination may seek alternative means of health care, including use of complementary and alternative medicine (CAM). The objective of this study was to examine the relationship between discrimination in health care and CAM use.

designData come from the 2001 Health Care Quality Survey (HCQS), which used a multistage sampling design with random-digit dialing, oversampling telephone exchanges with higher densities of African-American, Hispanic, and Asian households. The 2001 HCQS sample consisted of 6722 adults living in the continental United States. To correct for the disproportionate sample design, data were adjusted using sample weights to make the results representative of the U.S. population 18 years and older. Present analyses were limited to 6008 respondents who had visited a doctor or clinic or had been admitted to the hospital in the last 2 years. OUTCOME MEASURES: Outcome measures were CAM use, practitioner-provided CAM use, and herbal medicine use.

resultsIn adjusted logistic regression analyses, discrimination in health care was significantly associated with use of herbal medicines alone (adjusted odds ratio=1.47, confidence interval: 1.05, 2.04), but not with use of practitioner-provided CAM (i.e., use of acupuncture, chiropractor, traditional healer or herbalist, alone or in combination with herbal medicines).

conclusionsFurther research is needed to examine the direction of the relationship between discrimination and CAM use and differences by CAM modality.

Indexed as

Attitude to HealthMinority GroupsPrejudiceAcupuncture TherapyAdultAgedComplementary TherapiesFemaleHealth Care SurveysHumansLogistic ModelsMaleManipulation, ChiropracticMedicine, TraditionalMiddle AgedMultivariate Analysis

Identifiers

PMID23308362
PMCPMC3673613

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.