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Health, psycho-social and cultural determinants of medication use by Chinese-Canadian older persons
Author(s)Erin Yuet Tjam, John P Hirdes
Journal titleCanadian Journal on Aging, vol 21, no 1, Spring 2002
Pagespp 63-74
KeywordsChinese people ; Social characteristics [elderly] ; Health [elderly] ; Drugs ; Cross sectional surveys ; Canada.
AnnotationVariations in health and medication use exist across cultures. Chinese-Canadian older people's medication use is complicated by many factors, including combined use of Western and traditional Chinese medicines (TCM). The authors report a cross-sectional census study of community-based Chinese-Canadian older people in the Kitchener / Waterloo area of Ontario, which was conducted using the Minimum Data Set for Home Care (MDS-HC) and a supplementary questionnaire for cultural issues. Of 119 subjects contacted, 106 (89.1% response) had face-to-face assessments. The multivariate logistic model for TCM use included pain symptoms and being admitted to hospital, also a curvilinear association between TCM and health beliefs. For combined medicine use, living with a child, pain symptoms, hospital admission, 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 programmes for both Chinese-Canadian older people and health care providers are necessary to understand the appropriate use of Western and TCM treatments. (RH).
Accession NumberCPA-020620205 A
ClassmarkTKL: F: CC: LLD: 3KB: 7S

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