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Use Of Complementary And Alternative Therapies By Rural African Americans With Type 2 Diabetes

Randy A. Jones, PhD, RN; Sharon Utz, PhD, RN; Jennifer Wenzel, PhD, RN; Richard Steeves, PhD, FNP, FAAN; Ivora Hinton, PhD; Dana Andrews, BSN, RN; Alison Murphy, BSN, RN; Norman Oliver, MD

Abstract
Despite advances in the diagnosis, treatment, and management of diabetes, the disease continues to be a serious health problem in the United States. In 2002, diabetes was the sixth leading cause of death in the United States and was associated with numerous complications, such as heart disease, stroke, high blood pressure, kidney failure, blindness, and amputation.1-3 According to the Centers for Disease Control and Prevention (CDC), the preva- lence of diabetes in the United States more than doubled between 1980 and 2002, from 5.8 million to 18.2 million.1 In 2003, more than 1.3 million adults were diagnosed with diabetes, an increase of 52% from 1997.4 There may be an additional 5.2 million individuals whose diabetes is undiagnosed.5 The incidence of diabetes is steadily growing, and it is a particular problem for subgroups such as African Americans. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) reported that in 2002, approximately 11.4% of African Americans had diabetes, and African Americans were 1.6 times more likely than whites to have diabetes.

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