The use of complementary and alternative medicine by primary care patients. A SURF*NET study.
BACKGROUND
Despite the increased use and acceptance of complementary and alternative medicine (CAM) practices and practitioners by patients and health care providers, there is relatively little information available concerning the reasons for use or its effect on patient health status and well-being.


METHODS
We conducted a survey of 542 patients attending 16 family practice clinics that belong to a community-based research network in San Diego, California, to determine patients' reasons for using CAM therapies in conjunction with a visit to a family physician and the impact of these therapies on their health and well-being.


RESULTS
Approximately 21% of the patients reported using one or more forms of CAM therapy in conjunction with the most important health problem underlying their visit to the physician. The most common forms of therapy were visiting chiropractors (34.5%) of CAM users), herbal remedies and supplements (26.7%), and massage therapy (17.2%). Recommendations from friends or coworkers, a desire to avoid the side effects of conventional treatments, or failure of conventional treatments to cure a problem were the most frequently cited reasons for using these therapies. Use of practitioner-based therapies was significantly and independently associated with poor perceived health status, poor emotional functioning, and a musculoskeletal disorder, usually low back pain. Use of self-care-based therapies was associated with high education and poor perceived general health compared with a year ago. Use of traditional folk remedies was associated with Hispanic ethnicity.


CONCLUSIONS
Sociodemographic characteristics and clinical conditions that predict use of CAM therapies by primary care patients in conjunction with a current health problem vary with the type of therapy used.
Palinkas
L A
LA
Department of Family and Preventive Medicine, University of California, San Diego, La Jolla 92093-0807, USA. lpalinkas@ucsd.edu
Kabongo
M L
ML
D000328:Adult; D000704:Analysis of Variance; D001294:Attitude to Health; D016009:Chi-Square Distribution; D002684:Chiropractic; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D004522:Educational Status; D004644:Emotions; D005006:Ethnicity; D005194:Family Practice; D006304:Health Status; D006630:Hispanic or Latino; D006801:Humans; D016015:Logistic Models; D017116:Low Back Pain / Q000628:therapy; D008405:Massage; D008519:Medicine, Traditional; D009140:Musculoskeletal Diseases / Q000628:therapy; D010342:Patient Acceptance of Health Care; D008517:Phytotherapy; D011320:Primary Health Care; D012648:Self Care; D012649:Self Concept; D012959:Socioeconomic Factors