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Cagas JY, Biddle SJH, Castro O, Vergeer I. "Men Need Role Models": Exploring the Facilitators and Barriers for Yoga Participation Among Men. Am J Mens Health 2024; 18:15579883241298663. [PMID: 39568190 PMCID: PMC11580054 DOI: 10.1177/15579883241298663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2024] [Revised: 10/07/2024] [Accepted: 10/10/2024] [Indexed: 11/22/2024] Open
Abstract
Yoga is a holistic form of physical activity taken up for various reasons, including physical and mental health, and sometimes spirituality. Despite the growing popularity of yoga as a form of health-enhancing physical activity, data show the uptake among men to be consistently low compared to women. To gain an understanding of barriers and facilitators for yoga uptake and adherence among men, four focus group discussions (three male groups, one female group) and three individual interviews were undertaken. Using thematic analysis, three themes were developed: (a) encouragement, advice, and support from trusted others, (b) confronting gender-related perceptions and issues, and (c) getting to the benefits. The findings suggest that men are more likely to take up yoga when encouraged by trusted others and male role models. Men face gender-related challenges that can be overcome by educating them about yoga, focusing on its physical benefits, and experiencing the benefits of yoga firsthand. To encourage more men into yoga, yoga teachers need to create an inclusive environment that welcomes men and caters to their needs. These findings provide valuable insight into the unique challenges experienced by men in pursuing and practicing yoga regularly. They may be used to develop targeted recruitment and marketing strategies to draw more men into yoga and encourage them to stay, which is essential for experiencing the many long-term health benefits of yoga.
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Affiliation(s)
- Jonathan Y. Cagas
- Physically Active Lifestyles Research Group, Centre for Health Research, University of Southern Queensland, Springfield Central, Queensland, Australia
- Department of Sports Science, University of the Philippines Diliman, Quezon City, Philippines
- Department of Human Kinetics, University of the Philippines Mindanao, Davao City, Philippines
| | - Stuart J. H. Biddle
- Physically Active Lifestyles Research Group, Centre for Health Research, University of Southern Queensland, Springfield Central, Queensland, Australia
| | - Oscar Castro
- Physically Active Lifestyles Research Group, Centre for Health Research, University of Southern Queensland, Springfield Central, Queensland, Australia
- Future Health Technologies, Singapore-ETH Centre, Campus for Research Excellence and Technological Enterprise, Singapore
| | - Ineke Vergeer
- Physically Active Lifestyles Research Group, Centre for Health Research, University of Southern Queensland, Springfield Central, Queensland, Australia
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Psychophysiological Adaptations to Yoga Practice in Overweight and Obese Individuals: A Topical Review. Diseases 2022; 10:diseases10040107. [PMID: 36412601 PMCID: PMC9680480 DOI: 10.3390/diseases10040107] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2022] [Revised: 11/10/2022] [Accepted: 11/16/2022] [Indexed: 11/19/2022] Open
Abstract
Physical activity has been documented as a foundational approach for weight management and obesity, improving several cardiometabolic and mental health indices. However, it is not clear whether yoga practice can induce beneficial improvements in anthropometric and body composition parameters, performance, metabolic health, and well-being among overweight/obese people. The aim of this topical review was to catalog training studies examining the psychophysiological responses to yoga interventions in order to detect which outcomes have been investigated, the research methods applied, and the conclusions. The inclusion/exclusion criteria were met by 22 published articles involving 1178 (56% female) overweight/obese participants. This brief review on yoga-induced adaptations demonstrates that this widely used meditative movement activity can meaningfully improve the vast majority of the selected markers. These beneficial alterations are focused mostly on various anthropometric and body composition variables, cardiovascular disease risk factors, physical fitness parameters, quality of life, and stress in previously inactive overweight/obese individuals. Instead, yoga-based physical exercise interventions investigating anxiety, depression, mood state, exercise enjoyment, affect valence, and adherence were limited. Further research should focus on the yoga intervention configuration and potential mechanisms behind favorable changes in various psychophysiological indices through large-scale, rigorously designed randomized controlled trials implementing long-term interventions in overweight/obese individuals.
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Boaventura P, Jaconiano S, Ribeiro F. Yoga and Qigong for Health: Two Sides of the Same Coin? Behav Sci (Basel) 2022; 12:bs12070222. [PMID: 35877292 PMCID: PMC9312231 DOI: 10.3390/bs12070222] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Revised: 06/28/2022] [Accepted: 06/30/2022] [Indexed: 02/04/2023] Open
Abstract
Yoga and qigong are ancient mind–body practices used in the East for thousands of years to promote inner peace and mental clarity. Both share breathing techniques and slow movements and are being used as alternative/complementary approaches to the management of disease, especially chronic problems with no effective conventional treatments. However, information comparing the health benefits of both approaches is scarce, and the choice between yoga or qigong practice may only depend on patients’ preferences or practice availability. The aim of the present paper was to overview yoga and qigong use for health benefits under different pathological conditions. Yoga and qigong seem to have similar effects, which might be expected, since both are similar mind–body approaches with the same concept of vital life-force energy and the practice of meditative movements. Problematic research issues within the literature on yoga and qigong are the small sample sizes, use of different styles, significant variance in practice duration and frequency, short duration of intervention effects, and the usage of a non-active control group, thus emphasizing the need for further high-quality randomized trials. Studies comparing yoga and qigong are warranted in order to assess differences/similarities between the two approaches for health benefits.
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Affiliation(s)
- Paula Boaventura
- IPATIMUP—Institute of Molecular Pathology and Immunology of the University of Porto, 4200-135 Porto, Portugal;
- i3S—Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Rua Alfredo Allen 208, 4200-135 Porto, Portugal
- FMUP—Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal
- Correspondence:
| | - Sónia Jaconiano
- EAAD—School of Architecture Art and Design, University of Minho, 4800-058 Guimarães, Portugal;
| | - Filipa Ribeiro
- IPATIMUP—Institute of Molecular Pathology and Immunology of the University of Porto, 4200-135 Porto, Portugal;
- i3S—Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Rua Alfredo Allen 208, 4200-135 Porto, Portugal
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Eime R, Harvey J, Charity M, Pankowiak A, Westerbeek H. The impact of COVID-19 restrictions on Australians' frequency and duration of participation in different types of sport and physical activity. BMC Sports Sci Med Rehabil 2022; 14:42. [PMID: 35313960 PMCID: PMC8935269 DOI: 10.1186/s13102-022-00435-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Accepted: 03/07/2022] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Sports management and public health physical activity stakeholders need to understand changing patterns of participation to inform the development of sport and physical activity opportunities and strategies. This study investigated changes in the frequency and duration of participation in sport and physical activity in Australia from pre-COVID-19 to during-COVID-19, broken down by the specific type of activity and by gender, age and region. METHODS During the first pandemic restrictions and lockdowns in Australia in May-June 2020, 6140 survey respondents provided information about the types, frequency and duration of the sport and physical activity they participated in prior to and during COVID-19 restrictions. Differences between mean values were analyzed. RESULTS The greatest decline in participation during COVID-19 was in team sports, and the decline was greater for men than for women. CONCLUSION How will sport respond to getting these men back in the game, and women back from home-based yoga and Pilates?
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Affiliation(s)
- Rochelle Eime
- School of Science, Psychology and Sport, Federation University, Ballarat, Australia.
| | - Jack Harvey
- School of Science, Psychology and Sport, Federation University, Ballarat, Australia
| | - Melanie Charity
- School of Science, Psychology and Sport, Federation University, Ballarat, Australia
| | - Aurelie Pankowiak
- Institute for Health and Sport, Victoria University, Melbourne, Australia
| | - Hans Westerbeek
- Institute for Health and Sport, Victoria University, Melbourne, Australia
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Cagas JY, Biddle SJH, Vergeer I. For Exercise, Relaxation, or Spirituality: Exploring Participation Motives and Conformity to Masculine Norms among Male and Female Yoga Participants. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19020770. [PMID: 35055592 PMCID: PMC8776006 DOI: 10.3390/ijerph19020770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 01/06/2022] [Accepted: 01/07/2022] [Indexed: 02/04/2023]
Abstract
Yoga is a traditional practice from India with the potential to promote physical activity and health. Participation worldwide remains low, particularly among men. To better understand yoga participation parameters, with a special focus on what influences male participation, this study examined gender differences in participation motives and conformity to masculine norms. It also explored these factors across three participant subgroups who differed in their engagement with the physical and the more psycho-spiritual aspects of yoga. A total of 546 yoga participants (138 males, 399 females, 9 others), 18–73 years old, completed an online survey that included an adapted version of the Exercise Motivation Inventory–2 and three subscales from the Conformity to Masculine Norms Inventory–46. Results showed significant gender differences in participation motives and conformity to masculine norms. Females were more motivated by positive affect, health/fitness, nimbleness, mind–body integration, and coping/stress management, whereas males were more motivated by supplementary activity and competition/social recognition. These differences should be considered in tailoring messages to promote uptake and continued participation. Furthermore, males were more likely than females to conform to emotional control and heterosexual self-presentation masculine norms. Future research may examine how differences in masculine norm adherence influences uptake, particularly among men.
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Affiliation(s)
- Jonathan Y. Cagas
- Department of Sports Science, College of Human Kinetics, University of the Philippines Diliman, Quezon City 1101, Philippines
- Physically Active Lifestyles (PALs) Research Group, Centre for Health Research, University of Southern Queensland, Springfield Central 4300, Australia; (S.J.H.B.); (I.V.)
- Correspondence:
| | - Stuart J. H. Biddle
- Physically Active Lifestyles (PALs) Research Group, Centre for Health Research, University of Southern Queensland, Springfield Central 4300, Australia; (S.J.H.B.); (I.V.)
| | - Ineke Vergeer
- Physically Active Lifestyles (PALs) Research Group, Centre for Health Research, University of Southern Queensland, Springfield Central 4300, Australia; (S.J.H.B.); (I.V.)
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Vergeer I, Klepac-Pogrmilovic B. Diversification of Physical Activities: An Exploration of Provision Characteristics of Holistic Movement Practices in a Large Australian City. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:10365. [PMID: 34639664 PMCID: PMC8507811 DOI: 10.3390/ijerph181910365] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Revised: 09/27/2021] [Accepted: 09/27/2021] [Indexed: 11/28/2022]
Abstract
Holistic movement practices (HMPs) are an emerging category of physical activity, contributing to the diversification of physical activity opportunities. Purposefully incorporating not only physical but also mental, social, and/or spiritual elements, HMPs have received limited research attention with respect to participation parameters. The purpose of this study was to begin to map HMPs' participation potential by exploring the provision features of HMPs in Melbourne. Data were collected via internet searches, with a focus on events offered. Event features, including type, cost, duration, venue address, and target groups, were recorded. Associated neighbourhood characteristics were also explored by linking venue locations to selected census information. Provision was documented for Yoga and Pilates in central Melbourne (1011 events), for Tai Chi and Qigong (323 events), and for a range of smaller HMPs (149 events) across Greater Melbourne. Results indicated a wide range in provision features. Affinities with the holistic nature of HMPs were noticeable in venue choices and neighbourhood socio-demographics. Mention of specific target groups was infrequent. Results are discussed in light of implications for uptake. HMPs exemplify the increasing diversity of physical activity opportunities in modern-day societies. Further research to elucidate their place in the landscape of physical activities is warranted.
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Affiliation(s)
- Ineke Vergeer
- Centre for Health Research, University of Southern Queensland, Springfield Central, QLD 4300, Australia
| | - Bojana Klepac-Pogrmilovic
- Mitchell Institute for Education and Health Policy, Victoria University, Melbourne, VIC 3011, Australia;
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Pukšić S, Mitrović J, Čulo MI, Živković M, Orehovec B, Bobek D, Morović-Vergles J. Effects of Yoga in Daily Life program in rheumatoid arthritis: A randomized controlled trial. Complement Ther Med 2020; 57:102639. [PMID: 33307206 DOI: 10.1016/j.ctim.2020.102639] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Revised: 11/14/2020] [Accepted: 12/01/2020] [Indexed: 12/16/2022] Open
Abstract
OBJECTIVES To explore the feasibility and effectiveness of a yoga program in improving health-related quality of life (HQOL), physical and psychological functioning in rheumatoid arthritis (RA) patients. DESIGN Single-centre parallel-arms randomized controlled trial comparing yoga (n = 30) and education control group (n = 27). SETTING Tertiary care University hospital. INTERVENTION A 12-week yoga program, based on the Yoga in Daily Life system, included 2x weekly/90-minute sessions. The control group had 1xweekly/60-minute educational lectures on arthritis-related topics. MAIN OUTCOME MEASURES Assessments were performed at baseline, 12 (post-intervention) and 24 weeks (follow-up). The primary outcome was change in The Short Form-36 (SF-36) HQOL at 12 weeks. Linear regression analysis was adjusted for baseline scores. RESULTS No significant between-group differences were found for SF-36 (all p > 0.05). At 12 weeks the adjusted mean difference between groups favoured yoga for Functional Assessment of Chronic Illness Therapy-fatigue (5.08 CI 1.29 to 8.86; p = 0.009) and Hospital Anxiety and Depression Scale (HADS)-depression (-1.37 CI -2.38 to -0.36); p = 0.008) and at 24 weeks for HADS-anxiety (-1.79 CI -3.34 to - 0.23; p = 0.025), while the impact on fatigue was sustained (5.43 CI 1.33 to 9.54, p = 0.01). The program had no impact on RA disease activity. Feasibility outcomes included recruitment rate 16 %, retention 80.7 %, and adherence to yoga 87.5 vs 82.7 % for control. No serious adverse events were recorded. CONCLUSIONS Yoga in Daily Life program was not associated with change in health-related quality of life of RA patients. Significant improvements in fatigue and mood were observed at postintervention and follow-up. This yoga program was found feasible and safe for patients and may complement standard RA treat-to-target strategy.
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Affiliation(s)
- Silva Pukšić
- Department of Clinical Immunology, Allergology and Rheumatology, Department of Internal Medicine, School of Medicine University of Zagreb, Dubrava University Hospital, Avenija Gojka Šuška 6, 10 000, Zagreb, Croatia.
| | - Joško Mitrović
- Department of Clinical Immunology, Allergology and Rheumatology, Department of Internal Medicine, School of Medicine University of Zagreb, Dubrava University Hospital, Avenija Gojka Šuška 6, 10 000, Zagreb, Croatia
| | - Melanie-Ivana Čulo
- Department of Clinical Immunology, Allergology and Rheumatology, Department of Internal Medicine, School of Medicine University of Zagreb, Dubrava University Hospital, Avenija Gojka Šuška 6, 10 000, Zagreb, Croatia
| | - Marcela Živković
- Clinical Department of Laboratory Diagnostics, Dubrava University Hospital, Avenija Gojka Šuška 6, 10 000, Zagreb, Croatia
| | - Biserka Orehovec
- Clinical Department of Laboratory Diagnostics, Dubrava University Hospital, Avenija Gojka Šuška 6, 10 000, Zagreb, Croatia
| | - Dubravka Bobek
- Department of Physical Medicine and Rehabilitation with Rheumatology, Dubrava University Hospital, Avenija Gojka Šuška 6, 10 000, Zagreb, Croatia
| | - Jadranka Morović-Vergles
- Department of Clinical Immunology, Allergology and Rheumatology, Department of Internal Medicine, School of Medicine University of Zagreb, Dubrava University Hospital, Avenija Gojka Šuška 6, 10 000, Zagreb, Croatia
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Cagas JY, Biddle SJH, Vergeer I. Yoga not a (physical) culture for men? Understanding the barriers for yoga participation among men. Complement Ther Clin Pract 2020; 42:101262. [PMID: 33276223 DOI: 10.1016/j.ctcp.2020.101262] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 11/03/2020] [Accepted: 11/12/2020] [Indexed: 12/13/2022]
Abstract
Yoga offers an integrated approach to health and well-being that could potentially benefit men. This qualitative descriptive study examined men's perceptions of yoga, and identified barriers and possible facilitators for participation. Twenty-one non-yoga participant men, 18-60 years old, and living in Queensland, Australia, were interviewed. Two major barriers were identified using thematic analysis: (1) preference for other forms of physical activity, and (2) gender-related perceptions and pressures (i.e., perception of yoga as feminine, and presence of "bloke" culture and masculine ideals in society). Potential facilitators included: (1) acceptability of yoga among men, (2) providing brief information sessions, and (3) men-only classes. The non-competitive nature of yoga, in addition to being predominantly undertaken by women, makes it less appealing for men living in Australia. These barriers need to be considered if yoga is to be promoted as an option for men, particularly those not drawn to traditional sports or exercise.
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Affiliation(s)
- Jonathan Y Cagas
- Physically Active Lifestyles (PALs) Research Group, Centre for Health Research, University of Southern Queensland, Springfield Central, Queensland, Australia; Department of Sports Science, College of Human Kinetics, University of the Philippines Diliman, Quezon City, Philippines.
| | - Stuart J H Biddle
- Physically Active Lifestyles (PALs) Research Group, Centre for Health Research, University of Southern Queensland, Springfield Central, Queensland, Australia
| | - Ineke Vergeer
- Physically Active Lifestyles (PALs) Research Group, Centre for Health Research, University of Southern Queensland, Springfield Central, Queensland, Australia
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Malhotra V, Harnett J, McIntyre E, Steel A, Wong K, Saini B. The prevalence and characteristics of complementary medicine use by Australians living with sleep disorders – Results of a cross-sectional study. ADVANCES IN INTEGRATIVE MEDICINE 2020. [DOI: 10.1016/j.aimed.2019.02.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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Hsu RMCS, Valentova JV. Motivation for different physical activities: a comparison among sports, exercises and body/movement practices. PSICOLOGIA USP 2020. [DOI: 10.1590/0103-6564e190153] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract Despite the well-known benefits for health, low levels of physical activity (PA) remain a public health issue. Research on motives for engaging in different PA shows differences in motives for Sports and Exercises. However, few studies addressed motives using more categories of PA. In this research, we investigated motives for four categories of PA (Individual Sports, Collective Sports, Exercises, and Body/Movement Practices), and possible effects of sex and age among 1,420 physically active individuals. Respondents answered the Motivation for Physical Activity Measure Revised. Intrinsic motives were higher for Sports, while Exercisers were motivated more extrinsically. Body/Movement Practices, although being composed of several activities defined by previous studies as Exercises, showed a motivational pattern closer to Sports. Fitness/Health motivation increased with age, while Appearance motivation decreased. Regarding sex, women reported higher Interest/Enjoyment than men. Our results can have implications for physical activities promotion, especially considering more categories than Sports/Exercises in the context of different motives.
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Vergeer I. Trends in Yoga, Tai Chi, and Qigong Use: Differentiations Between Practices and the Need for Dialogue and Diffusion. Am J Public Health 2019; 109:662-663. [PMID: 30969825 DOI: 10.2105/ajph.2019.305042] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- Ineke Vergeer
- Ineke Vergeer is with the Physically Active Lifestyles Research Group; Centre for Health, Informatics, and Economic Research; Institute for Resilient Regions; University of Southern Queensland; Queensland, Australia; and the Institute for Health and Sport, Victoria University, Melbourne, Australia
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Wang CC, Li K, Choudhury A, Gaylord S. Trends in Yoga, Tai Chi, and Qigong Use Among US Adults, 2002-2017. Am J Public Health 2019; 109:755-761. [PMID: 30896991 DOI: 10.2105/ajph.2019.304998] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
OBJECTIVES To examine the characteristics and temporal trends of yoga, tai chi, and qigong (YTQ) use among US adults. METHODS Using the 2002, 2007, 2012, and 2017 National Health Interview Surveys, we examined the prevalence, patterns, and predicting factors of YTQ use by Taylor series linear regression, the Wald F χ2 test, and multivariable logistic regression models (n = 116 404). RESULTS YTQ use increased from 5.8% in 2002 to 14.5% in 2017 (P ≤ .001). Only 6.6% of YTQ users were referred by their medical doctors, and approximately one third disclosed their use of YTQ to medical professionals. Reasons for using YTQ included (1) YTQ was beneficial, (2) YTQ focused on the whole person, and (3) YTQ was natural. Acute and chronic pain, arthritis, and depression were the top 3 medical conditions for which people used YTQ the most. CONCLUSIONS YTQ use is increasing substantially, mainly because of its natural and holistic healing approach toward health and chronic diseases. Future studies aiming to explore how to best integrate YTQ into the current health care system are warranted.
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Affiliation(s)
- Claudia Chunyun Wang
- Claudia (Chunyun) Wang is with the Department of Health and Human Development, Western Washington University, Bellingham and the School of Physical Education, Pingdingshan University, Pingdingshan, Henan Province, China. Kaigang Li is with the Department of Health and Exercise Science, Colorado State University, Fort Collins. Arkopal Choudhury is with the Department of Biostatistics, University of North Carolina at Chapel Hill. Susan Gaylord is with the Department of Physical Medicine & Rehabilitation, University of North Carolina at Chapel Hill
| | - Kaigang Li
- Claudia (Chunyun) Wang is with the Department of Health and Human Development, Western Washington University, Bellingham and the School of Physical Education, Pingdingshan University, Pingdingshan, Henan Province, China. Kaigang Li is with the Department of Health and Exercise Science, Colorado State University, Fort Collins. Arkopal Choudhury is with the Department of Biostatistics, University of North Carolina at Chapel Hill. Susan Gaylord is with the Department of Physical Medicine & Rehabilitation, University of North Carolina at Chapel Hill
| | - Arkopal Choudhury
- Claudia (Chunyun) Wang is with the Department of Health and Human Development, Western Washington University, Bellingham and the School of Physical Education, Pingdingshan University, Pingdingshan, Henan Province, China. Kaigang Li is with the Department of Health and Exercise Science, Colorado State University, Fort Collins. Arkopal Choudhury is with the Department of Biostatistics, University of North Carolina at Chapel Hill. Susan Gaylord is with the Department of Physical Medicine & Rehabilitation, University of North Carolina at Chapel Hill
| | - Susan Gaylord
- Claudia (Chunyun) Wang is with the Department of Health and Human Development, Western Washington University, Bellingham and the School of Physical Education, Pingdingshan University, Pingdingshan, Henan Province, China. Kaigang Li is with the Department of Health and Exercise Science, Colorado State University, Fort Collins. Arkopal Choudhury is with the Department of Biostatistics, University of North Carolina at Chapel Hill. Susan Gaylord is with the Department of Physical Medicine & Rehabilitation, University of North Carolina at Chapel Hill
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