title: Associations between the use of complementary and alternative medications and demographic, health and lifestyle factors in mid-life Australian women.
abstract: OBJECTIVE
  To determine the prevalence and types of complementary and alternative medications (CAMs) used by menopausal women living in South-East Queensland, Australia; and profile the women who are using CAMs through sociodemographic characteristics, self-rated health status, lifestyle and preventative health strategies.
  
  
  METHODS
  This study was a secondary data analysis of data collected by postal questionnaire from 886 women aged 48-67 years participating in the Queensland Midlife Women's Health Study. The outcome measure was CAM use, distinguished by three categories: herbal therapies, phytoestrogens and nutritional intake (supplements and healthy eating).
  
  
  RESULTS
  The overall prevalence of CAM use among mid-life Australian women was 82% which included therapeutic techniques (83%), nutritional supplements (66.8%), phytoestrogens (55.8%), herbal therapies (41.3%), Evening Primrose oil (34%) and vitamin E (28.8%). CAM users, when compared to non-users, were more likely to be previous (p < 0.05) but not current users (p < 0.05) of hormone therapy (HT), higher educated (p < 0.05), low to middle income earners (p < 0.001) and have participated in self-breast examination (p < 0.01). They were also more likely to report good general health (p < 0.05) and improved physical functioning without limitations due to health (p < 0.05). CAM users were less likely to be aged over 55 years (p < 0.05) and smoke more than 20 cigarettes per day (p < 0.001). CONCLUSIONS/IMPLICATIONS FOR HEALTH RESEARCH: As prevalence of current CAM use in this population group is considerably higher than HT use, health education programs to assist mid-life women to understand the scientific evidence (or lack of it) for their efficacy is recommended.
authors.affiliation: Centre for Health Research, Queensland University of Technology, Brisbane, Australia.
authors.forename: S
authors.initials: S
authors.lastname: Gollschewski
authors.forename: D
authors.initials: D
authors.lastname: Anderson
authors.forename: H
authors.initials: H
authors.lastname: Skerman
authors.forename: P
authors.initials: P
authors.lastname: Lyons-Wall
mesh_terms: D017677:Age Distribution; D000368:Aged; D001315:Australia / Q000453:epidemiology; D016504:Breast Self-Examination / Q000706:statistics & numerical data; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006304:Health Status; D020249:Hormone Replacement Therapy; D006801:Humans; D008019:Life Style; D008593:Menopause; D008875:Middle Aged; D009747:Nutritional Physiological Phenomena; D048789:Phytoestrogens; D015995:Prevalence; D012907:Smoking / Q000453:epidemiology; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
chemical_list: D048789:Phytoestrogens