Read SC, Carrier ME, Whitley R, Gold I, Tulandi T, Zelkowitz P. Complementary and alternative medicine use in infertility: cultural and religious influences in a multicultural Canadian setting.
J Altern Complement Med 2014;
20:686-92. [PMID:
25127071 DOI:
10.1089/acm.2013.0329]
[Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVES
To explore the use of complementary and alternative medicine (CAM) for infertility in a multicultural healthcare setting and to compare Western and non-Western infertility patients' reasons for using CAM and the meanings they attribute to CAM use.
DESIGN
Qualitative semi-structured interviews using thematic analysis.
SETTINGS/LOCATION
Two infertility clinics in Montreal, Quebec, Canada.
PARTICIPANTS
An ethnoculturally varied sample of 32 heterosexual infertile couples.
RESULTS
CAM used included lifestyle changes (e.g., changing diet, exercise), alternative medicine (e.g., acupuncture, herbal medicines), and religious methods (e.g., prayers, religious talismans). Patients expressed three attitudes toward CAM: desperate hope, casual optimism, and amused skepticism. PARTICIPANTS' CAM use was consistent with cultural traditions of health and fertility: Westerners relied primarily on biomedicine and used CAM mainly for relaxation, whereas non-Westerners' CAM use was often influenced by culture-specific knowledge of health, illness and fertility.
CONCLUSIONS
Understanding patients' CAM use may help clinicians provide culturally sensitive, patient-centered care.
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