دورية أكاديمية
أعرض في EDS

Gender Differences in Use of Complementary and Integrative Health by U.S. Military Veterans with Chronic Musculoskeletal Pain.

التفاصيل البيبلوغرافية
العنوان: Gender Differences in Use of Complementary and Integrative Health by U.S. Military Veterans with Chronic Musculoskeletal Pain.
المؤلفون: Evans EA; Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts, Amherst, Massachusetts. Electronic address: eaevans@umass.edu., Herman PM; RAND Corporation, Santa Monica, California., Washington DL; Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Medicine, UCLA Geffen School of Medicine, Los Angeles, California., Lorenz KA; RAND Corporation, Santa Monica, California; Center for Innovation to Implementation (ci2i), VA Palo Alto Health Care System, Palo Alto, California; Stanford School of Medicine, Stanford, California., Yuan A; Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California., Upchurch DM; Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, California., Marshall N; Center for Innovation to Implementation (ci2i), VA Palo Alto Health Care System, Palo Alto, California., Hamilton AB; Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California; UCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, California., Taylor SL; Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California.
المصدر: Women's health issues : official publication of the Jacobs Institute of Women's Health [Womens Health Issues] 2018 Sep - Oct; Vol. 28 (5), pp. 379-386. Date of Electronic Publication: 2018 Aug 31.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Publishing Country of Publication: United States NLM ID: 9101000 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-4321 (Electronic) Linking ISSN: 10493867 NLM ISO Abbreviation: Womens Health Issues Subsets: MEDLINE
أسماء مطبوعة: Publication: New York, NY : Elsevier Science Publishing
Original Publication: New York, NY : Elsevier, c1990-
مواضيع طبية MeSH: Ethnicity* , Racial Groups* , Veterans Health*, Chronic Pain/*therapy , Complementary Therapies/*statistics & numerical data , Musculoskeletal Pain/*therapy , Veterans/*statistics & numerical data, Adult ; Black or African American/statistics & numerical data ; Female ; Hispanic or Latino/statistics & numerical data ; Humans ; Male ; Middle Aged ; Sex Factors ; United States ; United States Department of Veterans Affairs ; White People/statistics & numerical data
مستخلص: Aims: The Veterans Health Administration promotes evidence-based complementary and integrative health (CIH) therapies as nonpharmacologic approaches for chronic pain. We aimed to examine CIH use by gender among veterans with chronic musculoskeletal pain, and variations in gender differences by race/ethnicity and age.
Methods: We conducted a secondary analysis of electronic health records provided by all women (n = 79,537) and men (n = 389,269) veterans age 18 to 54 years with chronic musculoskeletal pain who received Veterans Health Administration-provided care between 2010 and 2013. Using gender-stratified multivariate binary logistic regression, we examined predictors of CIH use, tested a race/ethnicity-by-age interaction term, and conducted pairwise comparisons of predicted probabilities.
Results: Among veterans with chronic musculoskeletal pain, more women than men use CIH (36% vs. 26%), with rates ranging from 25% to 42% among women and 15% to 29% among men, depending on race/ethnicity and age. Among women, patients under age 44 who were Hispanic, White, or patients of other race/ethnicities are similarly likely to use CIH; in contrast, Black women, regardless of age, are least likely to use CIH. Among men, White and Black patients, and especially Black men under age 44, are less likely to use CIH than men of Hispanic or other racial/ethnic identities.
Conclusions: Women veteran patients with chronic musculoskeletal pain are more likely than men to use CIH therapies, with variations in CIH use rates by race/ethnicity and age. Tailoring CIH therapy engagement efforts to be sensitive to gender, race/ethnicity, and age could reduce differential CIH use and thereby help to diminish existing health disparities among veterans.
(Copyright © 2018 Jacobs Institute of Women's Health. All rights reserved.)
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معلومات مُعتمدة: I01 HX001704 United States HX HSRD VA; UL1 TR001881 United States TR NCATS NIH HHS
تواريخ الأحداث: Date Created: 20180904 Date Completed: 20181107 Latest Revision: 20240216
رمز التحديث: 20240216
مُعرف محوري في PubMed: PMC6699154
DOI: 10.1016/j.whi.2018.07.003
PMID: 30174254
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-4321
DOI:10.1016/j.whi.2018.07.003