Author:
McEachrane-Gross F Patricia,Liebschutz Jane M,Berlowitz Dan
Abstract
Abstract
Background
Complementary and alternative medicine (CAM) is emerging as an important form of care in the United States. We sought to measure the prevalence of selected CAM use among veterans attending oncology and chronic pain clinics and to describe the characteristics of CAM use in this population.
Methods
The self-administered, mail-in survey included questions on demographics, health beliefs, medical problems and 6 common CAM treatments (herbs, dietary supplements, chiropractic care, massage therapy, acupuncture and homeopathy) use. We used the chi-square test to examine bivariate associations between our predictor variables and CAM use.
Results
Seventy-two patients (27.3%) reported CAM use within the past 12 months. CAM use was associated with more education (p = 0.02), higher income (p = 0.006), non-VA insurance (p = 0.003), additional care outside the VA (p = 0.01) and the belief that lifestyle contributes to illness (p = 0.015). The diagnosis of chronic pain versus cancer was not associated with differential CAM use (p = 0.15). Seventy-six percent of CAM non-users reported that they would use it if offered at the VA.
Conclusion
Use of 6 common CAM treatments among these veterans is lower than among the general population, but still substantial. A large majority of veterans reported interest in using CAM modalities if they were offered at the VA. A national assessment of veteran interest in CAM may assist VA leaders to respond to patients' needs.
Publisher
Springer Science and Business Media LLC
Subject
Complementary and alternative medicine,General Medicine
Reference32 articles.
1. Eisenberg DM, Kessler RC, Foster C, Norlock FE, Calkins DR, Delbanco TL: Unconventional medicine in the United States: prevalence, costs, and patterns of use.[see comment]. New England Journal of Medicine. 1993, 328 (4): 246-252. 10.1056/NEJM199301283280406.
2. Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, Kessler RC: Trends in alternative medicine use in the United States, 1990-1997: results of a follow-up national survey.[see comment]. JAMA. 1998, 280 (18): 1569-1575. 10.1001/jama.280.18.1569.
3. Ananth S: C.A.M. Complementary & Alternative Medicine: More CAM available to patients. Health Forum Journal. 2002, 45 (5): 47-
4. NCCAM: What is Complementary and Alternative Medicine. Health Information. 2002
5. O'Connor BB, Calabrese C, Cardena E, Eisenberg D, Fincher J, Hufford D: Defining and describing complementary and alternative medicine. Alternative Therapies. 1997, CAM Research Methodology Conference, 3: 49-57.
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