title: Association between consultations with complementary/alternative medicine practitioners and menopause-related symptoms: a cross-sectional study.
abstract: OBJECTIVE
  To examine the associations between consultations with complementary and alternative medicine (CAM) practitioners and menopause-related symptoms.
  
  
  METHODS
  A cross-sectional survey of a nationally representative sample of 10 011 women aged 59-64 years from the Australian Longitudinal Study on Women's Health, conducted in 2010. Women, including those with hysterectomy, oophorectomy and natural menopause, were asked about their consultations with a range of CAM practitioners and menopause-related symptoms experienced.
  
  
  RESULTS
  Acupuncturists were more likely to be consulted by women with hysterectomy experiencing night sweats (odds ratio, OR = 2.21), but were less likely to be consulted by those experiencing hot flushes (OR = 0.53). Acupuncturists were also more likely to be consulted by women with oophorectomy (OR = 3.11) and natural menopausal women (OR = 1.57) experiencing back pain. Massage therapists were more likely to be consulted by women with oophorectomy experiencing back pain (OR = 1.98), women with hysterectomy experiencing anxiety (OR = 1.52), and natural menopausal women experiencing back pain (OR = 1.54) and/or anxiety (OR = 1.29). Naturopaths/herbalists were more likely to be consulted by women with oophorectomy experiencing leaking urine (OR = 2.08). Chiropractors/osteopaths were more likely to be consulted by women across all menopausal status experiencing back pain (OR = 2.52, 2.31 and 2.25 for women with oophorectomy, hysterectomy and natural menopause, respectively).
  
  
  CONCLUSIONS
  There are substantial levels of CAM practitioners' consultations amongst menopausal women, with a range of menopause-related symptoms associated with the use of specific CAM practitioner modalities. It is important that health-care providers are mindful of CAM practitioner use in order to ensure safe, effective and coordinated treatment and support for menopausal women in their care.
authors.affiliation: Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney , Sydney, NSW , Australia.
authors.forename: W
authors.initials: W
authors.lastname: Peng
authors.forename: J
authors.initials: J
authors.lastname: Adams
authors.forename: L
authors.initials: L
authors.lastname: Hickman
authors.forename: D W
authors.initials: DW
authors.lastname: Sibbritt
mesh_terms: D001315:Australia; D001416:Back Pain / Q000628:therapy; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D019538:Health Care Surveys; D019584:Hot Flashes / Q000628:therapy; D006801:Humans; D016015:Logistic Models; D008593:Menopause; D008875:Middle Aged; D014549:Urinary Incontinence / Q000628:therapy
keywords: CAM PRACTITIONER; COMPLEMENTARY AND ALTERNATIVE MEDICINE; HYSTERECTOMY; MENOPAUSE; OOPHORECTOMY; SYMPTOMS