Bishop, FL, Lauche, R, Cramer, H, Pinto, JW, Leung, B, Hall, H, Leach, M, Chung, VC, Sundberg, T, Zhang, Y, Steel, A, Ward, L, Sibbritt, D & Adams, J 2019, 'Health Behavior Change and Complementary Medicine Use: National Health Interview Survey 2012.', Medicina (Kaunas, Lithuania), vol. 55, no. 10.View/Download from: UTS OPUS or Publisher's site
Background and objectives: Complementary and alternative medicine (CAM) use has been associated with preventive health behaviors. However, the role of CAM use in patients' health behaviors remains unclear. This study aimed to determine the extent to which patients report that CAM use motivates them to make changes to their health behaviors. Materials and Methods: This secondary analysis of 2012 National Health Interview Survey data involved 10,201 CAM users living in the United States who identified up to three CAM therapies most important to their health. Analyses assessed the extent to which participants reported that their CAM use motivated positive health behavior changes, specifically: eating healthier, eating more organic foods, cutting back/stopping drinking alcohol, cutting back/quitting smoking cigarettes, and/or exercising more regularly. Results: Overall, 45.4% of CAM users reported being motivated by CAM to make positive health behavior changes, including exercising more regularly (34.9%), eating healthier (31.4%), eating more organic foods (17.2%), reducing/stopping smoking (16.6% of smokers), or reducing/stopping drinking alcohol (8.7% of drinkers). Individual CAM therapies motivated positive health behavior changes in 22% (massage) to 81% (special diets) of users. People were more likely to report being motivated to change health behaviors if they were: aged 18-64 compared to those aged over 65 years; of female gender; not in a relationship; of Hispanic or Black ethnicity, compared to White; reporting at least college education, compared to people with less than high school education; without health insurance. Conclusions: A sizeable proportion of respondents were motivated by their CAM use to undertake health behavior changes. CAM practices and practitioners could help improve patients' health behavior and have potentially significant implications for public health and preventive medicine initiatives; this warrants further research attention.
Zhang, Y, Dennis, JA, Bishop, FL, Cramer, H, Leach, M, Lauche, R, Sundberg, T, Leung, B, Zhang, AL, Bacon, L, Sibbritt, D & Adams, J 2019, 'Complementary and Alternative Medicine Use by U.S. Adults with Self-Reported Doctor-Diagnosed Arthritis: Results from the 2012 National Health Interview Survey.', PM&R, vol. 11, no. 10, pp. 1059-1069.View/Download from: UTS OPUS or Publisher's site
BACKGROUND:The use of complementary and alternative medicine (CAM) therapies have been reported for the management of arthritis. However, little is known about CAM use among adults with self-reported doctor-diagnosed arthritis. OBJECTIVES:To determine (1) the prevalence and type of CAM use, (2) the difference in characteristics between CAM users and non-CAM users, and (3) the factors related to CAM use, among U.S. adults with self-reported doctor-diagnosed arthritis. DESIGN:Secondary analysis of the 2012 National Health Interview Survey (NHIS) data. SETTING:The NHIS is a cross-sectional survey that gathers health-related data on the civilian, noninstitutionalized U.S. POPULATION: PARTICIPANTS:The NHIS 2012 uses a complex, multistage sampling design and oversamples minorities to achieve population representation; it included 34 525 adults, with 7179 adults having arthritis. METHODS:Data were analyzed using Stata 15.1 survey syntax. The potential factors related to CAM use included sociodemographics and health-related characteristics. MAIN OUTCOME MEASUREMENTS:CAM modalities were categorized into six groups: natural products, manipulative therapies, mind-body therapies, special diets, movement therapies, and other practitioner-based CAM modalities. RESULTS:Of the adults with arthritis, 2428 (weighted estimate of 36.2% of U.S. adult population) had used CAM within the last year. Adults with arthritis reported greater use of CAM than those without, particularly the use of natural products, manipulative therapies and other practitioner-based CAM modalities. Factors associated with higher CAM use included being female, residing in regions other than the U.S. South, having a college degree or higher, reporting very good/excellent self-rated health status, and having current symptoms of joint stiffness/pain. CONCLUSION:As more than one-third of U.S. adults with arthritis seek CAM therapies, open and nonjudgmental conversations between conventional medicine providers, CAM...
Leung, B, Lauche, R, Leach, M, Zhang, Y, Cramer, H & Sibbritt, D 2018, 'Special diets in modern America: Analysis of the 2012 National Health Interview Survey data', Nutrition and Health, vol. 24, no. 1, pp. 11-18.View/Download from: UTS OPUS or Publisher's site
Special diets are frequently used by the public but reasons for use and characteristics of users remain unclear.
To determine prevalence of the use of special diets, the individual characteristics associated with their use and reasons for use.
The secondary analysis used data from the 2012 National Health Interview Survey (NHIS), a cross-sectional household interview survey of a nationally representative sample of non-hospitalized US adult populations (n = 34,525). The dependent variables in this secondary analysis were the use of a special diet (vegetarian, macrobiotic, Atkins, Pritikin, and Ornish) ever and during the past 12 months. Independent variables included sociodemographic, clinical and behavioral variables. Prevalence of special diet use and reasons for use were analyzed descriptively. Associations between independent and dependent variables were analyzed using Chi-square tests and logistic regression. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated.
Lifetime and 12-month prevalence of using special diets were 7.5% (weighted n = 17.7 million) and 2.9% (weighted n = 6.9 million), respectively. Individuals using special diets in the past 12 months were more likely female (OR = 1.45; 95% CI = 1.21–1.74), not married (OR = 0.76; 95% CI = 0.63–0.91), college-educated (OR = 1.98; 95% CI = 1.25–3.11) and depressed (OR = 1.50; 95% CI = 1.14–1.98). They more likely also used herbal products (OR = 2.35; 95%CI = 1.84–2.99), non-vitamin (OR = 1.82; 95% CI = 1.45–2.27) and vitamin supplements (OR = 1.57; 95% CI = 1.24–1.99). Diets were mainly used to improve overall health (76.7%) or for general wellness/prevention (70.4%).
Special diets are mainly used for unspecific health reasons by those who are females, have a college degree or with depression, and commonly used in conjunction with herbs and dietary supplements.
Zhang, Y, Leach, MJ, Bishop, FL & Leung, B 2016, 'A Comparison of the Characteristics of Acupuncture- and Non-Acupuncture-Preferred Consumers: A Secondary Analysis of NHIS 2012 Data', JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE, vol. 22, no. 4, pp. 315-322.View/Download from: UTS OPUS or Publisher's site
Cramer, H, Hall, H, Leach, M, Frawley, J, Zhang, Y, Leung, B, Adams, J & Lauche, R 2016, 'Prevalence, patterns, and predictors of meditation use among US adults: A nationally representative survey', SCIENTIFIC REPORTS, vol. 6.View/Download from: UTS OPUS or Publisher's site
Steel, A, Cramer, H, Leung, B, Lauche, R, Adams, J, Langhorst, J & Dobos, G 2016, 'Characteristics of Homeopathy Users among Internal Medicine Patients in Germany', Forschende Komplementaermedizin: Wissenschaft Praxis Perspektiven, vol. 23, no. 5, pp. 284-289.View/Download from: UTS OPUS or Publisher's site
Homeopathy use continues to grow in many European countries, and some studies have examined the characteristics of patients using homeopathy within the general population. The aim of this study was to identify predictors for homeopathy use among internal medicine patients.
Patients and Methods
A cross-sectional analysis was conducted among all patients being referred to the Department of Internal and Integrative Medicine at Essen, Germany, over a 3-year period. The analysis examined whether patients had used homeopathy for their primary medical complaint before, the perceived benefit, and the perceived harm of homeopathy use. Odds ratios with 95% confidence intervals were calculated using multiple logistic regression analysis.
Of 2,045 respondents, 715 (35.0%) reported having used homeopathy for their primary medical complaint (diagnosis according to the International Statistical Classification of Diseases and Related Health Problems), with 359 (50.2%) reporting perceived benefits and 15 (2.1%) reporting harm. Homeopathy use was positively associated with female gender, high school level education, suffering from fibromyalgia or subthreshold depression, and being fast food abstinent, while patients with osteoarthritis, spinal or other pain, smokers, and patients with a high externalsocial health locus of control were less likely to use homeopathy.
Personal characteristics and health status may impact on the use and the perceived helpfulness of homeopathy.