Examining CAM use disclosure using the Behavioral Model of Health Services Use

School of Social and Behavioral Health Sciences, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, USA. Electronic address: .
Complementary therapies in medicine (Impact Factor: 1.55). 10/2013; 21(5):501-8. DOI: 10.1016/j.ctim.2013.08.002
Source: PubMed


To improve understanding of factors that may influence disclosure of complementary and alternative medicine (CAM) use in the U.S.
Cross-sectional survey.
Data are from the 2001 Health Care Quality Survey (HCQS), a nationally representative study of adults aged 18 and older living in the continental United States. Using the Behavioral Model of Health Services Use, we conducted multivariate logistic regressions to identify factors associated with disclosing CAM use among the sub-sample of recent CAM users (n=1995).
Disclosure of CAM use.
Most CAM users (71.0%) disclosed their use of CAM to their doctors. Contextual, individual, and health behavior factors were associated with CAM use disclosure. Of particular interest, disclosure was significantly more likely among those who perceived high quality relationships with their providers (AOR=1.59, CI: 1.01, 2.49) and among those who had a regular source of medical care (AOR=1.54, CI: 1.03, 2.29). The odds of disclosure were also higher among those who used practitioner-provided CAM, with (AOR=2.02, CI: 1.34, 3.06) or without (AOR=1.52, CI: 1.05, 2.20) concurrent herbal medicine use, compared to those who used herbal medicines only.
The Behavioral Model of Health Services Use is a useful framework for examining factors that may influence disclosure of CAM use. Further research should examine these relationships using more comprehensive measures.

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    • "However, no studies to date have investigated if and how the quality of CAM care may be associated with CAM disclosure. This gap is rather striking especially given that CAM disclosure tends to be higher for provider-based CAM than for self-care CAM [9] [18], and that CAM care quality and satisfaction are important determinants of ongoing provider-based CAM use [2] [19] [20]. "
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