Prevalence and Determinants of Traditional, Complementary and Alternative Medicine Provider Use among Adults from 32 Countries
- 295 Downloads
To estimate recent prevalence data (2011–2013) on traditional, complementary and alternative medicine (TCAM) provider use and sociodemographic and health related correlates in nationally representative population samples from 32 countries from all world regions.
This secondary analysis was based on the International Social Survey Program (ISSP), 2011–2013, Health and Health Care Module. In a cross-sectional population-based survey (N=52,801), simple or multi-stage stratified random sampling was used, resulting in representative samples of the adult population of respective countries.
Overall, the 12-month TCAM provider use prevalence was 26.4%, ranging from under 10% in Bulgaria, Poland and Slovenia to over 50% in China mainland, the Philippines and Republic of Korea. Over 80% TCAM treatment satisfaction was found in Europe in Denmark, Slovenia, Spain and Switzerland, in Asia in Taiwan (China) and USA. Multivariate logistic regression found sociodemographic variables (middle age, female sex, lower educational status, not having a religious affiliation, and lower economic indicators) and health variables (perceived poor or fair health status, being unhappy and depressed, having a chronic condition or disability, and having positive attitudes towards TCAM) were associated with TCAM provider use.
A high prevalence TCAM provider use was found in all world regions and several sociodemographic and health related factors of its use were identified.
Keywordsutilization traditional complementary medicine Africa Asia America Australia Europe
Unable to display preview. Download preview PDF.
International Social Survey Programme: Health and Health Care-ISSP 2011 dataset is publicly available at http://zacat.gesis.org/webview/index/en/ZACAT/ZACAT. c.ZACAT/ISSP.d.58/by-Year.d.69/International-Social-Survey-Programme-Health-and-Health-Care-ISSP-2011/fStudy/ZA5800
- 2.Naberezhneva, N. Complementary and alternative medicine in Norway. Changes in CAM prevalence and user characteristics in Norway from 2002 to 2012 [dissertation]. Oslo: University of Oslo; 2014. Available at http://urn.nb.no/URN:NBN:no-46788; Accessed 25 January, 2016.Google Scholar
- 6.Clarke TC, Black LI, Stussman BJ, Barnes PM, Nahin RL. Trends in the use of complementary health approaches among adults: United States, 2002–2012. Natl Health Stat Report 2015;79:1–16.Google Scholar
- 7.Klein SD, Torchetti L, Frei-Erb M, Wolf U. Usage of complementary medicine in Switzerland: results of the Swiss Health Survey 2012 and development since 2007. PLoS One 2015;10:e0141985.Google Scholar
- 15.Liu T, Li X, Zou ZY, Li C. The prevalence and determinants of using traditional Chinese medicine among middle-aged and older Chinese adults: results from the China Health and Retirement Longitudinal Study. J Am Med Dir Assoc 2015;16:1002:e1–e5.Google Scholar
- 17.ISSP Research Group. International Social Survey Programme: Health and Health Care-ISSP 2011. GESIS Data Archive, Cologne, 2015. ZA5800 Data file Version 3.0.0. Doi:10.4232/1.12252.Google Scholar
- 18.World Health Organization (WHO). National policy on traditional medicine and regulation of herbal medicines report of a WHO global survey. Geneva, Switzerland: WHO; 2005.Google Scholar
- 20.National Statistics Office (NSO, Philippines), ICF Macro. National demographic and health survey 2008. Calverton, Maryland: National Statistics Office and ICF Macro; 2009.Google Scholar
- 21.Shumer G, Warber S, Motohara S, Yajima A, Plegue M, Bialko M, et al. Complementary and alternative medicine use by visitors to rural Japanese family medicine clinics: results from the international complementary and alternative medicine survey. BMC Complement Altern Med 2014;14:360.CrossRefPubMedPubMedCentralGoogle Scholar
- 26.Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Report 2008;12:1–23.Google Scholar
- 29.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. National health statistics reports: No. 18. Hyattsville, MD: National Center for Health Statistics; 2009.Google Scholar