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AJPH NEWS Release

EMBARGOED UNTIL October 1, 2002, 4:00 PM (ET)
CONTACT: For copies of articles, call Natalie Raynor, (202) 777-2511

All articles are online at www.ajph.org

American Journal of Public Health: October 2002 Highlights

The articles highlighted below appear in the October 2002 issue of the American Journal of Public Health, the Journal of the American Public Health Association.

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Acupuncture can help smokers quit
In the most comprehensive study of its kind, researchers found that acupuncture, when combined with an education program, was effective in helping smokers kick the habit. Study participants were smokers who had tried to quit at least once before. One group of participants underwent acupuncture treatments alone, the second group had acupuncture plus five weeks of a smoking cessation educational program and a third group underwent "sham" acupuncture in addition to the educational program. Those who had true acupuncture and the educational program were most likely to quit smoking and remain cigarette-free up to 18 months following the study.
[From: "Auricular Acupuncture, Education and Smoking Cessation: A Randomized, Sham-Controlled Trial." Contact: Ian D. Bier, PhD, DrBier{at}IBScientific.com.]

Chinese herbal medicine offers hope as Hepatitis B treatment
In a joint collaboration between UC Berkeley, Chinese Academy of Sciences, and Pine Street Clinic, an analysis of 27 hepatitis B trials, researchers found that Chinese herbal medicine could be an effective treatment for the disease. Patients receiving Chinese herbal therapy in conjunction with the medication interferon alpha were significantly more likely to be cured than those receiving interferon alpha alone. But the researchers noted that the studies they evaluated were "of generally poor quality" so they could not make firm conclusions from their findings. They suggest studying Chinese herbal medicine, particularly those with the active ingredients kurorinone and bufotoxin, as powerful co-treatments with the traditionally used interferon alpha when treating hepatitis B. The disease is a chronic public health problem, infecting an estimated 2 billion people worldwide.
[From: "Chinese Herbal Medicine and Interferon in the Treatment of Chronic Hepatitis B: A Meta-Analysis of Randomized, Controlled Trials." Contact: John M. Colford Jr. MD, PhD, UC Berkeley School of Public Health, jcolford{at}socrates.berkeley.edu.]

Shamanic healing methods offer bridge to psychotherapy with Latino immigrants
Latino immigrants, particularly those with little formal education, often benefit from psychotherapy that includes strategies derived from traditional shamanic healing, according to a commentary focusing on experience with more than 700 Latino immigrants and their families. Particular techniques such as hypnosis and behavior modification can be effective when a therapist presents them in a shamanic context -- for example, teaching patients self-hypnosis or relaxation techniques that allow them to feel a sense of control over their treatment. These techniques can include calling on the presence of a powerful animal, such as an eagle. "Those most likely to benefit from these techniques are immigrants to the United States whose culture of origin is closest to shamanic roots."
[From: "Lessons from Shamanic Healing: Brief Psychotherapy With Latino Immigrant Clients. Contact: Marlene Dobkin de Rios, PhD, septrion{at}aol.com.]

Southern black churches have unused potential as gateway to mental health services
While predominantly black churches have long been highlighted as excellent referral sources to health care, that link breaks down when it comes to mental health services, according to a new study. Researchers talked to ministers at 269 southern churches, with 181 having predominantly black congregations. The study's authors found that black churches provided more supportive services than white churches, but that "linkage between any churches and specialty mental health providers was starkly absent. Clergy reported very little interaction with the formal mental health service delivery system." This even despite the fact that black churches were much more likely to offer supportive mental health services to members. "The continuing gap in referrals between mental health service providers and clergy highlights a potential site for strengthening the linkage between pastors and the formal service delivery system...Further research is needed to more fully illuminate the barriers to a more free exchange between these groups."
[From: "Alternative Mental Health Services: The Role of the Black Church in the South." Contact: Michael B. Blank, PhD, University of Pennsylvania, mblank2@mail.med.upenn.edu.]

Attitudes about complementary medicine have no effect on treatment outcome
Debunking the theory that many complementary and alternative medicines work only because patients believe in the treatments, English researchers found that positive or negative beliefs had no effect on treatment outcome. They studied 327 asthma patients allergic to household dust mites. Some were treated with a homeopathic remedy while others took a placebo. "There was no evidence that positive beliefs about [complementary and alternative medicine] were associated with positive or negative affect, quality of life, or respiratory functioning."
[From: "Do Attitudes Toward and Beliefs About Complementary Medicine Affect Treatment Outcome?" Contact: George T. Lewith, Royal South Hants Hospital, England, gl3{at}soton.ac.uk.]

The American Journal of Public Health is the monthly Journal of the American Public Health Association, the oldest and largest organization of public health professionals in the world and the foremost publisher of public health-related books and periodicals promoting high scientific standards, action programs and policy for good health. The Journal is online at www.ajph.org.

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