title: Survey of herbal use by Kansas and Wisconsin WIC participants reveals moderate, appropriate use and identifies herbal education needs.
abstract: OBJECTIVE
  To examine herbal use by a sample of low-income, nutritionally vulnerable children.
  
  
  METHODS
  Caregivers completed a survey of child and caregiver herbal usage practices.
  
  
  METHODS
  A convenience sample of 2,562 caregivers to children participating in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Kansas and Wisconsin who were attending a WIC clinic was selected. WIC project selection was random, with stratification for geographic and ethnic representation.
  
  
  METHODS
  Herbal usage profiles were described with measures of central tendency. Groups were compared with a two-tailed independent t test and chi2 for continuous and categorical variables, respectively.
  
  
  RESULTS
  Child herbal use was reported on 917 surveys, representing 1,363 children ranging in age from 1 week to 17.5 years; 820 were younger than age 5 years. Herb use was greater among Latino children (48.4% vs 31.4%) and caregivers (43.4% vs 37.2%). Caregivers had a mean age of 27.8+/-8.32 years and 38.8% (n=994) denoted using herbs. Herbs most commonly used by children were aloe vera, chamomile, garlic, peppermint, lavender, cranberry, ginger, echinacea, and lemon. Reasons for herbal use paralleled recommendations. Family (78.9%) and friends (32.9%) were predominant information sources. Herbs with safety issues, such as St John's wort, dong quai, and kava were used. Herbal use characteristics did not differ between states, but were unique for Latino clients.
  
  
  CONCLUSIONS
  Herbal use by WIC children is mostly congruent with known indications; however, practices with potential to harm urge herbal education in WIC clinics, especially for Latinos.
authors.affiliation: Department of Nutritional Sciences, Pennsylvania State University, University Park 16802, USA. lohseb@psu.edu
authors.forename: Barbara
authors.initials: B
authors.lastname: Lohse
authors.forename: Jodi L
authors.initials: JL
authors.lastname: Stotts
authors.forename: Jennifer R
authors.initials: JR
authors.lastname: Priebe
mesh_terms: D000293:Adolescent; D000328:Adult; D017028:Caregivers; D002648:Child; D002662:Child Health Services; D053198:Child Nutrition Sciences / Q000193:education*; D002675:Child, Preschool; D019587:Dietary Supplements; D005260:Female; D005522:Food Services; D006078:Government Programs; D029001:Herbal Medicine / Q000193:education / Q000706:statistics & numerical data; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007615:Kansas; D008297:Male; D011632:Public Assistance; D014922:Wisconsin