title: Religion and the use of complementary and alternative medicine (CAM) among cardiac patients.
abstract: This study investigates the prevalence and predictors of using complementary and alternative medicine (CAM) among middle-aged and older patients prior to cardiac surgery. Additionally, it addresses the correlates of using 10 commonly used CAM therapies. The influence of religion on itemized CAM usage is also explored. Comprehensive data were collected from adult patients undergoing cardiac surgery through a preoperative survey 2 weeks prior to surgery, followed by a telephone interview the day before surgery. More than two-thirds of participants (80.9 %) indicated at least one CAM use. Income, religiosity, education, BMI, employment, and congestive heart failure predicted greater CAM utility. After multiple controls, major cardiac indicators were significantly positively associated with greater utility of CAM. There was also a significant positive association between religiosity and CAM use. Findings suggest considerable CAM use in this cardiac sample and certain associations among cardiac conditions, religiosity, and itemized CAM utilization. Future research is needed to investigate the potential joint therapeutic and adverse effects of drug and herbal remedies in cardiac patients.
authors: Department of Sociology, University of the Pacific, 3601 Pacific Avenue, Stockton, CA, 95211, USA, enicdao@pacific.edu.
authors: Ethel G
authors: EG
authors: Nicdao
authors: Amy L
authors: AL
authors: Ai
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures / Q000523:psychology; D003131:Combined Modality Therapy; D000529:Complementary Therapies / Q000523:psychology* / Q000706:statistics & numerical data*; D003324:Coronary Artery Disease / Q000453:epidemiology* / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology / Q000628:therapy*; D012068:Religion and Medicine; D026443:Spiritual Therapies; D014481:United States; D014600:Utilization Review / Q000706:statistics & numerical data
references: Altern Ther Health Med. 2008 Jul-Aug;14(4):24-32
references: 18616066
references: Am Heart J. 2004 Mar;147(3):401-11
references: 14999187
references: J Gen Intern Med. 2006 Jul;21(7):728-34
references: 16808774
references: Ann Epidemiol. 2008 Feb;18(2):124-9
references: 18083539
references: J Gerontol. 1994 May;49(3):S137-45
references: 8169348
references: Psychiatr Serv. 2007 Mar;58(3):349-56
references: 17325108
references: Eur J Cardiovasc Prev Rehabil. 2006 Feb;13(1):3-9
references: 16449858
references: Gerontologist. 2002 Feb;42(1):70-81
references: 11815701
references: J Altern Complement Med. 1997 Winter;3(4):343-53
references: 9449056
references: J Gen Intern Med. 2004 Jan;19(1):43-50
references: 14748859
references: J Thorac Cardiovasc Surg. 2000 Aug;120(2):335-41
references: 10917951
references: Explore (NY). 2009 Mar-Apr;5(2):71-3
references: 19272577
references: Am J Med Qual. 2002 Jan-Feb;17(1):21-7
references: 11852673
references: J Relig Health. 2012 Dec;51(4):1042-60
references: 22592500
references: Adv Data. 2004 May 27;(343):1-19
references: 15188733
references: Am J Cardiol. 2006 Sep 1;98(5):673-80
references: 16923460
references: J Behav Med. 2009 Dec;32(6):570-81
references: 19856203
references: Arch Intern Med. 2004 Jul 26;164(14):1579-85
references: 15277293
references: Am J Cardiovasc Drugs. 2002;2(3):173-96
references: 14727980
references: Am Heart J. 2003 May;145(5):806-12
references: 12766736
references: Gerontologist. 2010 Dec;50(6):798-809
references: 20634280
references: BMC Health Serv Res. 2009 Jul 13;9:116
references: 19594903
references: Health Econ. 1993 Oct;2(3):217-27
references: 8275167
references: J Am Board Fam Pract. 2003 Mar-Apr;16(2):131-47
references: 12665179
references: Clin J Pain. 2004 Jan-Feb;20(1):27-32
references: 14668653
references: Natl Health Stat Report. 2009 Jul 30;(18):1-14
references: 19771719
references: N Engl J Med. 1993 Jan 28;328(4):246-52
references: 8418405
references: J Soc Work End Life Palliat Care. 2006;2(1):71-94
references: 17387083
references: JAMA. 1998 May 20;279(19):1548-53
references: 9605899
references: J Altern Complement Med. 2001 Apr;7(2):195-208
references: 11327525
references: JAMA. 1998 Nov 11;280(18):1569-75
references: 9820257
references: Ann Behav Med. 2007 Oct;34(2):217-22
references: 17927560
references: Natl Health Stat Report. 2008 Dec 10;(12):1-23
references: 19361005
references: J Relig Health. 2010 Sep;49(3):283-95
references: 19333759
references: J Altern Complement Med. 2006 Jun;12(5):467-73
references: 16813511
references: J Gerontol. 1992 Nov;47(6):S269-78
references: 1430864