Use of Complementary and Alternative Medicine Among Adults with Chronic Diseases: United States 2002

Centers for Disease Control and Prevention, National Center for Health Statistics, Office of Analysis and Epidemiology, Hyattsville, MD, USA.
The Journal of Alternative and Complementary Medicine (Impact Factor: 1.59). 11/2006; 12(8):805-12. DOI: 10.1089/acm.2006.12.805
Source: PubMed


Use of Complementary and Alternative Medicine (CAM) has increased in recent years.
The aim of this study was to determine the use of CAM among people with diagnosed chronic diseases.
Cross-sectional analysis was used.
The 2002 National Health Interview Survey was the setting.
Participants were representative of the noninstitutionalized U.S. population 18 years and older.
Respondents answered questions about use of CAM and physician-diagnosed arthritis, cancer, cardiovascular disease, diabetes, and lung disease.
Adults with diagnosed chronic diseases are more likely to use CAM compared to adults with none of the reported chronic diseases. Adults with arthritis alone were most likely to report ever use of CAM (59.6%) followed by adults with cancer or lung disease alone or two or more chronic diseases (55%), adults with cardiovascular disease (46.4%), and adults with no chronic diseases (43.6%) and diabetes alone (41.4%). Adults with chronic diseases were also more likely to report use of CAM in the past 12 months (32% to 43.3%), followed by adults with none of these chronic diseases (32%), and adults with diabetes alone (26.2%). Less than 30% of CAM users in the past 12 months reported talking to their healthcare professional about CAM use. Limitations: Information about CAM use is based on self-report.
Use of CAM, particularly biologically based CAM therapies, is common and is more likely to be used by those with chronic diseases.

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    • "Use of CAM is widespread, with between 33% and 50% of the general population having tried at least one or more forms of CAM [2] [3], and roughly 62% of adult Americans having used some form of CAM in the last year.[4] The use of CAM has continued to increase over the last decade, specifically by those who have chronic illnesses.[5] One possible reason for this is that CAM may offer individuals the possibility of taking control over their illnesses to some degree.[6] "

    10/2015; 3(4):235-240. DOI:10.1080/21641846.2015.1097102
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    • "Natural health products (NHPs) are defined as “vitamins and minerals, herbal remedies, homeopathic medicines, traditional medicines such as traditional Chinese medicines, probiotics, and other products like amino acids and essential fatty acids” [1]. They are made from ingredients found in nature that are promoted for use to prevent, diagnose, or treat disease; restore or correct function; or maintain or promote health [2]. There has been a global rise in the use of NHPs, several studies worldwide have examined the prevalent use of complementary and alternative medicine (CAM) including NHPs. "
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    ABSTRACT: There has been a global rise in the use of natural health products (NHPs). Proper regulation of NHPs is pivotal to ensure good quality control standards, enhance consumers' safety and facilitate their integration into modern healthcare systems. There is scarcity of published data on the prevalence of NHPs usage among the general Kuwaiti population. Hence, this study was designed to determine awareness, patterns of use, general attitude and information requirements about NHPs among the public in Kuwait. A descriptive cross-sectional survey was performed using a pretested self-administered questionnaire on a sample of 1300 Kuwaiti individuals, selected from six governorates in Kuwait using a multistage stratified clustered sampling. Descriptive and multivariate logistic regression analysis were used in data analysis. The response rate was 90.2%. NHPs were thought to be herbal remedies by most of participants (63.5%), followed by vitamins/minerals (40.5%), traditional medicines (21.1%), probiotics (14.9%), amino acids and essential fatty acids (7.2%), and homeopathic medicines (5.6%). NHPs usage was reported by 71.4% (95% CI: 68.8-74.0%) of respondents, and mostly associated with females (OR: 1.90; 95% CI: 1.44- 2.51). Herbal remedies were the most commonly used (41.3%; 95% CI: 38.5-44.2%). The most common reasons for using NHPs were to promote and maintain health and to prevent illness and build immune system. Family members and/or friends and mass media were the main sources for providing information about NHPs. About 18.0% of consumers have experienced a side effect due to using a NHP. Attitudes toward NHPs were generally positive; with more than 75% of participants believing that the Ministry of Health in Kuwait should regulate the claims made by the manufacturers of NHPs and it is important to talk to a medical doctor or a pharmacist prior to using NHPs. Most of the respondents showed increased interest to acquire knowledge about different types of information related to NHPs. The prevalence of use of NHPs among Kuwaiti population is high. The present findings have major public health policy implications for Kuwait. Therefore, there is an apparent need to establish effective health education programs and implement better and more regulated NHPs use policies in Kuwait.
    BMC Complementary and Alternative Medicine 03/2014; 14(1):105. DOI:10.1186/1472-6882-14-105 · 2.02 Impact Factor
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    • "In Norway and Denmark, half and one third of hospitals respectively offer CAM treatments to patients [13]. It is well known that patients with chronic diseases use CAM [14,15], including IBD [16-19]. In one study conducted at an IBD centre in Stockholm, Sweden, CAM use was 32% [20]. "
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    ABSTRACT: Complementary and alternative medicine (CAM) use in patients with IBD is on the increase. Patients report they use CAM when their condition is unresponsive to conventional medication or when they suffer from side-effects, negative stress and disease-related concerns. CAM use may improve patients' well-being but it can also lead to side-effects and interactions with conventional medications. Research on attitudes to and experiences of CAM among healthcare professionals working with IBD patients is not well studied. Studies in this area could lead to enhanced awareness of and improved communication about CAM between care staff and IBD patients. The aim of this study was to explore IBD professionals' attitudes to and experience of CAM. Sixteen physicians and nurses, 26-70 years old, who had worked with IBD patients for 1-42 years, were recruited. Semi-structured qualitative interviews were conducted. Qualitative content analysis was performed. Participants stated patients used CAM to improve their well-being generally and there conditions specifically. Participants had a positive attitude towards CAM and respected their patients' decision to use it, but reported a lack of CAM knowledge. They required education about CAM to be able to meet patients' needs and provide adequate information. The result of this study indicates that there is a need for CAM education to be implemented in nursing and medical school. All participants had experience of IBD patients who had used CAM in an attempt to achieve improvement and well-being. Attitudes to CAM were mainly positive, although a problematic aspect was lack of knowledge and evidence in relation to CAM. Implementing CAM education in nursing and medical school will allow healthcare professionals to gain an understanding of therapies widely used by patients with IBD. In clinical practice, using a standard questionnaire regarding CAM use allow healthcare professionals to better understand their patients' wishes and current CAM use.
    BMC Complementary and Alternative Medicine 12/2013; 13(1):349. DOI:10.1186/1472-6882-13-349 · 2.02 Impact Factor
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