Journal of Immigrant and Minority Health
Volume 13, Issue 3, 2011, Pages 585-599
The use of complementary and alternative medicine among refugees: A systematic review (Article)
MacDuff S.* ,
Grodin M.A. ,
Gardiner P.
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a
Department of Health Law, Bioethics and Human Rights, Boston University School of Public Health, 715 Albany St. Talbot 3W, Boston, MA 02118, United States
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b
Department of Health Law, Bioethics and Human Rights, Boston University School of Public Health, 715 Albany St. Talbot 3W, Boston, MA 02118, United States, Boston Center for Refugee Health and Human Rights, Boston, MA, United States
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c
Department of Family Medicine, Boston Medical Center, Boston University School of Medicine, Boston, MA, United States
Abstract
Little is known about the use of Complementary and Alternative Medicine (CAM) among refugees, despite the common practice of CAM in many non-Western countries. We performed a systematic review of peer-reviewed literature using nine electronic databases. We included articles pertaining to refugees and CAM (whole medical systems, mind body medicine, herbal remedies, manipulative therapies, energy medicine). Qualitative and quantitative data were compiled and analyzed through descriptive statistics and chi square distribution tables. We reviewed 237 abstracts, and 47 publications met our inclusion criteria. Twenty-six papers documented whole medical systems; 11 mind-body medicine; 5 biologically based practices; 4 manipulative and body-based therapies; and 1 study documented the use of energy medicine. There were 3 clinical trials, 20 surveys, 12 case reports, 2 participant-observer qualitative papers, and 10 review papers. Most studies focused on Asian refugee populations (66%; n = 31). Mental problems related to trauma accounted for 36% of CAM use (17). Among included articles, methodological quality was extremely low. Our results show evidence that type of CAM used by refugees may vary based on ethnicity, yet this is most likely due to a bias in the medical literature. Efforts are needed to further explore these results and expand research within this field. © 2010 Springer Science+Business Media, LLC.
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-79957505194&doi=10.1007%2fs10903-010-9318-8&partnerID=40&md5=58871a6914757c6fb3996d4ceb62c7cc
DOI: 10.1007/s10903-010-9318-8
ISSN: 15571912
Cited by: 12
Original Language: English