title: Use of complementary and alternative medicine by physicians in St. Petersburg, Russia.
abstract: BACKGROUND
  Interest in complementary and alternative medicine (CAM) is increasing worldwide, although relatively little is known of physician use of CAM, and there are no quantitative reports of CAM use by Russian physicians.
  
  
  OBJECTIVE
  The objective of this study was to determine the prevalence of CAM therapies among practicing physicians and determine predictors of CAM usage.
  
  
  METHODS
  This was a convenience sample prevalence survey.
  
  
  METHODS
  The study involved 3 urban academic hospitals in St. Petersburg, in Russia.
  
  
  METHODS
  Participants included 192 physicians practicing at the three study hospitals.
  
  
  METHODS
  The study determined the number (from a list of 32) of CAM therapies that physicians used on themselves, used on their patients, or referred their patients to receive.
  
  
  RESULTS
  One hundred and seventy-seven (177; 92%) of the surveyed physicians responded. One hundred percent (100%) of the respondents had practiced CAM or referred patients for at least two CAM therapies. One hundred and seventy-five (175; 99%) had themselves practiced at least two therapies. On average, each physician had practiced or referred patients for 12.7 (95% confidence interval, 11.9-13.6) therapies. On multivariate analysis, knowledge of a foreign language, surgical specialty, and female gender were significantly (p < 0.05) associated with increased CAM usage, while critical care specialty and completion of only an internship were associated with lower rates of CAM practice.
  
  
  CONCLUSIONS
  Physician use of CAM in Russia appears very high. The high prevalence of CAM may complicate adoption of Western evidence-based practices. Predictors and effects of CAM usage in Russian society warrant further study.
authors.affiliation: Department of Pulmonary and Critical Care Medicine, University of Utah Health Sciences Center, Salt Lake City, UT 84132, USA. Samuel.Brown@hsc.utah.edu
authors.forename: Samuel
authors.initials: S
authors.lastname: Brown
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D016001:Confidence Intervals; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D010817:Physician-Patient Relations; D010818:Practice Patterns, Physicians' / Q000592:standards / Q000706:statistics & numerical data*; D015995:Prevalence; D011320:Primary Health Care / Q000592:standards / Q000706:statistics & numerical data*; D012426:Russia / Q000453:epidemiology; D011795:Surveys and Questionnaires