Use of Complementary and Alternative Medicine Among Adults with Chronic Diseases: United States 2002
ABSTRACT 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.
- SourceAvailable from: Abdelmoneim Awad
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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 . 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% . "
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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- "Over the past two decades, the use of complementary and alternative medicine (CAM) practices—modalities used for health and wellbeing that are considered outside the realm of conventional medicine—has been steadily rising in the United States   . Patients with cancer and other chronic diseases are more likely to use CAM than are those without chronic illness , and breast cancer patients are more likely to use CAM than patients with colon , prostate , or gynecological  cancers. Estimates of CAM use among women with breast cancer range from 48% to 86%   . "
ABSTRACT: Purpose . We examine factors associated with self-care, use of practitioner-based complementary and alternative medicine (CAM), and their timing in a cohort of women with breast cancer. Methods . Study participants were women with breast cancer who participated in the Long Island Breast Cancer Study Project. Self-care is defined as the use of multivitamins, single vitamins, botanicals, other dietary supplements, mind-body practices, special diets, support groups, and prayer. Within each modality, study participants were categorized as continuous users (before and after diagnosis), starters (only after diagnosis), quitters (only before diagnosis), or never users. Multivariable logistic regression was used for the main analyses. Results . Of 764 women who provided complete data, 513 (67.2%) initiated a new form of self-care following breast cancer diagnosis. The most popular modalities were those that are ingestible, and they were commonly used in combination. The strongest predictor of continuous use of one type of self-care was continuous use of other types of self-care. Healthy behaviors, including high fruit/vegetable intake and exercise, were more strongly associated with continuously using self-care than starting self-care after diagnosis. Conclusions . Breast cancer diagnosis was associated with subsequent behavioral changes, and the majority of women undertook new forms of self-care after diagnosis. Few women discontinued use of modalities they used prior to diagnosis.Evidence-based Complementary and Alternative Medicine 08/2013; 2013(12):301549. DOI:10.1155/2013/301549 · 1.88 Impact Factor