Health, Psycho-social and Cultural Determinants of Medication Use by Chinese-Canadian Older Persons
| Autor: | Erin Y. Tjam, John P. Hirdes |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Community and Home Care
Response rate (survey) medicine.medical_specialty Medication use Minimum Data Set Health (social science) business.industry Logistic regression Nursing Chinese canadians Family medicine Health care medicine Geriatrics and Gerontology Social isolation medicine.symptom business Gerontology Psychosocial |
| Zdroj: | Canadian Journal on Aging / La Revue canadienne du vieillissement. 21:63-73 |
| ISSN: | 1710-1107 0714-9808 |
| Popis: | Variations in health and medication use exist across cultures. Medication use among Chinese-Canadian older persons is complicated by many factors including combined use of Western and traditional Chinese medicines (TCM). There is little research on health, psycho-social and cultural determinants of medication use in the Chinese. A cross-sectional census study of community-based Chinese-Canadian older persons in the Kitchener/Waterloo area was conducted using the Minimum Data Set for Home Care and a supplementary questionnaire for cultural issues. The response rate was 89.1 per cent with 106 participants using face-to-face assessments. Socio-demographic and cultural variables were summarized. The multivariate logistic model for TCM use included pain symptoms and being hospitalized, and a curvilinear association between TCM use and health beliefs. For combined medicine use, living with a child, pain symptoms, hospitalization, and social isolation problems were the main effects. Living with a child, physical health problems and number of diseases were associated with Western medicine use. Health, psycho-social and cultural factors were significant determinants for medication use. Education programs for both Chinese-Canadian older persons and health care providers are necessary to understand the appropriate use of Western and TCM treatments. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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