Complementary and Alternative Medicine Use among Women of Reproductive Age in the United States.
BACKGROUND
The purpose of this study was to examine the prevalence of complementary and alternative medicine (CAM) use, types of CAM used, and reasons for CAM use among reproductive-age women in the United States.


METHODS
Data are from the 2007 National Health Interview Survey. We examined a nationally representative sample of U.S. women ages 18 to 44 (n = 5,764 respondents). Primary outcomes were past year CAM use, reasons for CAM use, and conditions treated with CAM by pregnancy status (currently pregnant, gave birth in past year, neither). Multivariate logistic regression was used to estimate the odds of CAM use by pregnancy status.


RESULTS
Overall, 67% of reproductive-age U.S. women reported using any CAM in the past year. Excluding vitamins, 42% reported using CAM. Significant differences in use of biologically based (p = .03) and mind-body therapies (p = .012) by pregnancy status were found. Back pain (17.1%), neck pain (7.7%), and anxiety (3.7%) were the most commonly reported conditions treated with CAM among reproductive-age women. However, 20% of pregnant and postpartum women used CAM for pregnancy-related reasons, making pregnancy the most common reason for CAM use among pregnant and postpartum women.


CONCLUSIONS
CAM use during the childbearing year is prevalent, with one-fifth of currently or recently pregnant women reporting CAM use for pregnancy-related reasons. Policymakers should consider how public resources may be used to support appropriate, effective use of alternative approaches to managing health during pregnancy and postpartum. Providers should be aware of the changing needs and personal health practices of reproductive age women.
Center for Spirituality & Healing, University of Minnesota, Minneapolis, Minnesota; Division of Epidemiology & Community Health, University of Minnesota, Minneapolis, Minnesota. Electronic address: johns245@umn.edu.
Pamela Jo
PJ
Johnson
Division of Health Policy & Management, University of Minnesota, Minneapolis, Minnesota.
Katy B
KB
Kozhimannil
Division of Health Policy & Management, University of Minnesota, Minneapolis, Minnesota.
Judy
J
Jou
Division of Health Policy & Management, University of Minnesota, Minneapolis, Minnesota.
Neha
N
Ghildayal
Division of Health Policy & Management, University of Minnesota, Minneapolis, Minnesota.
Todd H
TH
Rockwood
D000293:Adolescent; D000328:Adult; D000529:Complementary Therapies / Q000145:classification / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D016015:Logistic Models; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D049590:Postpartum Period; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data; D015995:Prevalence; D012098:Reproduction; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D055815:Young Adult