Pain and Use of Complementary and Alternative Medicine in a National Sample of Persons Living with HIV

Pediatric Pain Program, Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, California 90024, USA.
Journal of Pain and Symptom Management (Impact Factor: 2.8). 12/2005; 30(5):418-32. DOI: 10.1016/j.jpainsymman.2005.05.012
Source: PubMed


The current study investigated the relationship of pain to use of complementary and alternative medicine (CAM) in a U.S. nationally representative sample of 2466 persons with human immunodeficiency virus (HIV), using data from the HIV Cost and Services Utilization Study. Pain was conceptualized as a need characteristic within the context of predisposing, enabling, and need (PEN) characteristics following Andersen's Behavioral Model of Health Services Use. Multivariate analyses were used to examine the association of baseline PEN characteristics with CAM use by follow-up (approximately 6 months later), including use of five specific CAM domains. Change in pain from baseline to follow-up was also examined in relation to CAM use. Baseline pain was a strong predictor of CAM use, and increased pain over time was associated with use of unlicensed or underground drugs with potential for harm. These results highlight the importance of medical efforts to control pain in persons living with HIV.

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Available from: Lonnie Zeltzer, Apr 04, 2015
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    • "In the TCHM approach, the body is recognized and treated as a whole entity, and diseases are identified as conditions caused by internal imbalances. The role of doctors is to identify imbalances and then correct them; the body is then expected to be able to heal itself [12]. TCHM, among the most widespread of complementary therapeutic modalities, are defined in this review as herbal Chinese medicine products derived from plants or parts of plants used for the treatment of HIV/AIDS. "
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    • "The most frequently employed tool for identifying factors associated with health service use is the Behavioural Model of Health Service Use [14]. It has been applied to health surveys [15-18] of the general population and mental health studies [9,19-22]. It has also served in studies of older patients with psychiatric problems [23-26], patients with severe mental disorders [27-29], and patients with concurrent problems such as homelessness, substance abuse or violence [30-33]. "
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    • "As far as geographical differences are concerned, several studies (Hsiao et al., 2003; London et al., 2003; Tsao et al., 2005) found that patients living in the Northeast and West tended to use CAM Table 4. Health Behaviors by CAM Use "
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    ABSTRACT: This descriptive, cross-sectional study explored the factors associated with frequency and intensity of complementary/alternative medicine (CAM) use in 301 HIV-infected men from southern California (n=75) and northern Florida/southern Georgia (n=226). Logistic regression analysis was conducted to identify which demographic, biomedical, psychosocial, and health behavior variables (risk and health-promoting behaviors) were predictors of CAM use and intensity of use. The majority (69%) of participants reported CAM use. The types of CAM most frequently cited were dietary supplements (71%) and spiritual therapies (66%). Odds of CAM use increased with more depressive symptoms and more health-promoting behaviors. The odds of CAM use intensity increased with greater symptom frequency and more health-promoting behaviors. Living in California was predictive of both use frequency and intensity of CAM use. High levels of CAM use should alert health care providers to assess CAM use and to incorporate CAM-related patient education into their clinical practices.
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