title: The use of complementary and alternative medicine in an Irish cohort of people with an iatrogenic hepatitis C infection: results from a health and lifestyle survey.
abstract: BACKGROUND
  A cohort of people with iatrogenic HCV infection, current or resolved, in Ireland have access to primary and secondary health care services, including specified complementary and alternative medicine (CAM) services, free of charge.
  
  
  OBJECTIVE
  Information about their pattern of CAM usage and its association with various demographic and lifestyle factors, and current HCV status, was sought as part of a health and lifestyle survey, in order to provide information for health service planning.
  
  
  METHODS
  The survey was carried out by self-administered postal questionnaire. The level of CAM usage was compared to an age- and sex-matched sample of the general population.
  
  
  RESULTS
  The response was 48% (720/1485). Compared to the general population, the HCV population was significantly more likely to have attended a CAM practitioner (50.1% vs 23.9%, OR 3.2; 95% CI 2.7-3.9). Within the HCV population, multivariate analysis showed that females (OR 3.1; 95% CI 1.9-4.9), those who reported fibromyalgia (OR 2.7; 95% CI 1.8-3.9) and those who reported anxiety (OR 1.4; 95% CI 1.0-2.0) were significantly more likely to have used CAM, and smokers significantly less likely (OR 0.6; 95% CI 0.4-0.8). CAM attendance did not vary by current HCV status. Reflexology, acupuncture and massage were the most commonly used forms of CAM.
  
  
  CONCLUSIONS
  This study demonstrates that CAM services are used by a high proportion of people with iatrogenic chronic HCV. A more holistic approach to health care, using a biopsychosocial model framework, may better meet the physical and psychological health needs of this group.
authors.affiliation: UCD School of Nursing, Midwifery and Health Systems, University College Dublin, Ireland. Electronic address: Barbara.coughlan@ucd.ie.
authors.forename: Barbara M
authors.initials: BM
authors.lastname: Coughlan
authors.affiliation: Health Protection Surveillance Centre, Health Service Executive, Ireland.
authors.forename: Lelia M
authors.initials: LM
authors.lastname: Thornton
authors.affiliation: Health Protection Surveillance Centre, Health Service Executive, Ireland.
authors.forename: Niamh
authors.initials: N
authors.lastname: Murphy
authors.affiliation: Hepatitis C National Office, Health Service Executive, Ireland.
authors.forename: Michele A
authors.initials: MA
authors.lastname: Tait
authors.affiliation: Health Protection Surveillance Centre, Health Service Executive, Ireland.
authors.forename: Paula C
authors.initials: PC
authors.lastname: Flanagan
authors.affiliation: Hepatology Department, Cork University Hospital, Ireland.
authors.forename: Elizabeth E
authors.initials: EE
authors.lastname: Kenny-Walsh
authors.affiliation: Health Protection Surveillance Centre, Health Service Executive, Ireland.
authors.forename: Piaras P
authors.initials: PP
authors.lastname: O'Lorcain
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D000529:Complementary Therapies / Q000379:methods* / Q000706:statistics & numerical data*; D005260:Female; D006306:Health Surveys; D006526:Hepatitis C / Q000453:epidemiology* / Q000628:therapy*; D006801:Humans; D007049:Iatrogenic Disease / Q000453:epidemiology*; D007494:Ireland / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires
keywords: Biopsychosocial model of health; CAM; Complementary alternative medicine; Health and lifestyle survey; Iatrogenic HCV infection