Differences between older and younger cancer survivors in seeking cancer information and using complementary/alternative medicine.
OBJECTIVE
The purpose of this study was to describe the differences between younger and older cancer survivors in seeking cancer information, using complementary and alternative medical (CAM) services, and using conventional support services.


METHODS
Participants were 836 survivors of adult cancers (6 months-43 years since completion of primary cancer treatment) in New Zealand who answered a mailed questionnaire between April 2007 and January 2008.


RESULTS
Younger survivors (aged <60 years at diagnosis) were more likely to seek information from sources beyond their physicians and used different sources for that information, compared to older survivors. Older and younger survivors used similar conventional support services, but different CAM services. In logistic regression analyses, information-seekers were 5.9 times more likely to use CAM than those who did not seek cancer information (p = 0.02), but the association between information-seeking and CAM use depended on age (p = 0.02). Older cancer survivors who did not seek information from sources beyond that provided by physicians were less likely to use CAM.


CONCLUSIONS
Physicians should consider talking to older cancer survivors about their use of information sources or CAM therapies. A conversation between physician and patient may uncover inaccurate information or CAM use that has potential for adverse effects, while allowing the physician to encourage CAM that is potentially useful. Even a brief conversation may be sufficient to encourage older cancer survivors to take action themselves to find services that support their recovery from cancer and cancer treatment.
Bennett
Jill A
JA
University of Auckland, Auckland, New Zealand. bennett@ohsu.edu
Cameron
Linda D
LD
Whitehead
Lisa C
LC
Porter
David
D
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000529:Complementary Therapies / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D057226:Information Seeking Behavior; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D010342:Patient Acceptance of Health Care / Q000523:psychology; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology; D055815:Young Adult
Psychooncology. 2004 Aug;13(8):512-25
15295773
Eur J Cancer Care (Engl). 2006 Mar;15(1):19-24
16441673
J Health Commun. 2005;10 Suppl 1:15-34
16377598
J Altern Complement Med. 2007 Jun;13(5):555-62
17604560
Complement Ther Med. 2007 Mar;15(1):21-9
17352968
Intern Med J. 2006 Nov;36(11):718-23
17040358
N Z Med J. 2003 Jan 24;116(1168):U296
12601420
J Clin Oncol. 2001 Dec 1;19(23):4291-7
11731511
BMC Complement Altern Med. 2007 Aug 04;7:25
17683580
Support Care Cancer. 2007 Aug;15(8):909-12
17636345
Cancer. 2008 Sep 1;113(5):1048-57
18680170
Psychooncology. 2008 Jan;17(1):19-25
17410526
Integr Cancer Ther. 2005 Dec;4(4):274-86
16282504
Complement Ther Clin Pract. 2006 Feb;12(1):34-9
16401528
Psychooncology. 2007 Apr;16(4):365-70
16921547
Cancer. 2002 May 15;94(10):2766-92
12173348
Cancer. 2004 Jun 1;100(11):2476-83
15160355
Ann Oncol. 2008 Jan;19(1):49-55
17965113
Complement Ther Med. 2005 Dec;13(4):251-7
16338195
Patient Educ Couns. 2007 Mar;65(3):342-50
17029864
Cancer. 2007 Jun 15;109(12):2580-9
17503435