Complementary and alternative medicine use among cancer survivors: a population-based study
- 1.6k Downloads
The use of complementary and alternative medicine (CAM) among cancer survivors is high, yet less is known about reasons behind such use or the communication of CAM with conventional medical providers.
Cross-sectional, multivariate logistic regression models were developed to evaluate the similarities and differences between cancer survivors and non-cancer controls in the 2007 National Health Interview Survey with 23,393 participants, including 1,471 cancer survivors.
Among cancer survivors, 66.5% reported ever using CAM and 43.3% having used CAM in the past year. When compared with the general population, cancer survivors used CAM more often for general disease prevention, immune enhancement, and for pain (Adjusted Odds Ratio [AOR] 1.27, 95% Confidence Interval [CI] 1.10–1.48; AOR 1.32, 95% CI 1.05–1.62; AOR 1.42, 95% CI 1.05–1.92, respectively). Cancer survivors were more likely to use CAM because of recommendations from their provider (AOR 1.54, 95% CI 1.26–1.88) and were more likely to disclose their CAM use to their provider (AOR 1.45, 95% CI 1.22–1.72).
When compared to the general population, cancer survivors were more likely to use CAM and communicate this use with providers, indicating a growing integration of CAM in conventional medical care.
Implications for Cancer Survivors
Cancer survivors are more likely than the general population to communicate CAM use with providers, suggesting greater integration of CAM use in conventional care. However, the majority of CAM use is still not being communicated to providers, indicating an important area for improvement in patient-centered care.
KeywordsComplementary therapies Clinical oncology Communication
Disclosure of interests
Dr. Mao is supported by a K23 AT004112 grant from National Institutes of Health and a CCCDA-08-107 grant from the American Cancer Society. The funding agencies had no role in the design and conduct of the study.
- 1.Altekruse SF, Kosary CL, Krapcho M, Neyman N, Aminou R, Waldron W, et al. (eds). SEER Cancer Statistics Review, 1975–2007, National Cancer Institute. Bethesda, MD, http://seer.cancer.gov/csr/1975_2007/, based on November 2009 SEER data submission, posted to the SEER web site, 2010.
- 12.Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. Adv Data. 2004;27(343):1–19.Google Scholar
- 31.[online] NCfHSNHISNdr. Available from: http://www.cdc.gov/nchs/about/major/nhis/nhis_2007_data_release.htm.
- 33.(NHIS) NCfHSNHIS. Available from: http://www.cdc.gov/nchs/about/major/nhis/nhis_2007_data_release.htm. 2007 data release.
- 34.(NCCAM) NCfCaAM. http://nccam.nih.gov/health/whatiscam/overview.htm. Website.
- 35.(NCCAM) NCfCaAM. Expanding horizons of health care: Strategic plan 2005–2009. Available from: http://nccam.nih.gov/about/plans/2005.
- 36.Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Report. 2008;10(12):1–23.Google Scholar
- 37.American Statistical Association. Section on survey research methods: summary of survey analysis software. 2005.Google Scholar
- 38.Nahin RL, Barnes PM, Stussman BJ, Bloom B. Costs of complementary and alternative medicine (CAM) and frequency of visits to CAM practitioners: United States, 2007. Natl Health Stat Report. 2009;30(18):1–14.Google Scholar
- 40.Cohen L, Markman M. Integrative oncology: incorporating complementary medicine into conventional cancer care. Totowa: Humana; 2008.Google Scholar