title: Factors associated with pediatric use of complementary and alternative medicine.
abstract: BACKGROUND
  Limited data are available on the use of complementary and alternative medicine (CAM) and factors associated with use among the pediatric population in the United States.
  
  
  METHODS
  Using the 2007 National Health Interview Survey data among individuals <18 years of age (n = 9417), we compared CAM users (excluding those using vitamins and minerals) and non-CAM users. Using bivariable and multivariable logistic regression models, we examined independent associations of CAM use with sociodemographic factors, prescription medication use, delays in health care caused by access difficulties, and common medical conditions/symptoms.
  
  
  RESULTS
  In an adjusted multivariable logistic model, CAM users were more likely than non-CAM users to be adolescents rather than infants or toddlers (adjusted odds ratio [aOR]: 1.61 [95% confidence interval (CI): 1.11-2.34]); live in the West (aOR: 2.05 [95% CI: 1.62-2.59]), Northeast (aOR: 1.36 [95% CI: 1.02-1.80]), or Midwest (aOR: 1.35 [95% CI: 1.04-1.74]) compared with those in the South; more likely to have a parent with a college education (aOR: 4.33 [95% CI: 2.92-6.42]); and more likely to use prescription medication (aOR: 1.51 [95% CI: 1.19-1.92]). Pediatric CAM users were more likely to have anxiety or stress (aOR: 2.54 [95% CI: 1.89-3.42]), dermatologic conditions (aOR: 1.35 [95% CI: 1.03-1.78]), musculoskeletal conditions (aOR: 1.94 [95% CI: 1.31-2.87]), and sinusitis (aOR: 1.54 [95% CI: 1.11-2.14]). Use of CAM by a parent was strongly associated with the child's use of CAM (aOR: 3.83 [95% CI: 3.04-4.84]).
  
  
  CONCLUSIONS
  In 2007, pediatric CAM users were more likely to take prescription medications, have a parent who used CAM, and have chronic conditions such as anxiety or stress, musculoskeletal conditions, dermatologic conditions, or sinusitis. Research is required to guide pediatricians in making recommendations on CAM modalities for children including potential risks and/or benefits and interactions with conventional therapies.
authors.affiliation: Harvard Medical School, Division for Research and Education in Complementary and Integrative Medical Therapies, 401 Park Dr, Suite 22-A West, Boston, MA 02215, USA. gurjeet_birdee@hms.harvard.edu
authors.forename: Gurjeet S
authors.initials: GS
authors.lastname: Birdee
authors.forename: Russell S
authors.initials: RS
authors.lastname: Phillips
authors.forename: Roger B
authors.initials: RB
authors.lastname: Davis
authors.forename: Paula
authors.initials: P
authors.lastname: Gardiner
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D006801:Humans; D015999:Multivariate Analysis; D012959:Socioeconomic Factors; D014481:United States