title: Predictors of Complementary and Alternative Medicine Use by Breast Cancer Patients in Bandung, Indonesia.
abstract: BACKGROUND
  The study aimed to assess complementary and alternative medicine (CAM) use and their associated factors with breast cancer patients in Bandung, Indonesia.
  
  
  METHODS
  In total, 330 breast cancer patients were administered questionnaires on their CAM use and CAM predictive factors including socio-demographic parameters, clinical data and quality of life, trust in physicians, trust in hospitals, satisfaction and informational needs. Data were analyzed using univariate analysis and multivariate log regreesion analysis.
  
  
  RESULTS
  Overall 33.3% of patients reported use of CAM. Lower income, lower education, presence of metastasis, prolonged diagnosis, less trust in physician were found to be highly associated with CAM use.
  
  
  CONCLUSIONS
  CAM use by breast cancer patients can be interpreted as an attempt to explore all possible options, an expression of an active coping style, or expression of unmet needs in the cancer care continuum. Physicians need to openly discuss the use of CAM with their patients and identify whether they have other unmet supportive needs.
authors.affiliation: Department of Surgery, Hasan Sadikin Hospital, Universitas Padjadjaran Bandung, West Java, Indonesia E-mail : yohanaspbonk@gmail.com.
authors.forename: Yohana
authors.initials: Y
authors.lastname: Azhar
authors.forename: Dimyati
authors.initials: D
authors.lastname: Achmad
authors.forename: Kiki
authors.initials: K
authors.lastname: Lukman
authors.forename: Dany
authors.initials: D
authors.lastname: Hilmanto
authors.forename: Teguh
authors.initials: T
authors.lastname: Aryandono
mesh_terms: D001943:Breast Neoplasms / Q000523:psychology* / Q000628:therapy*; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D004522:Educational Status; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007182:Income; D007214:Indonesia; D008875:Middle Aged; D020380:Needs Assessment; D017060:Patient Satisfaction; D011379:Prognosis; D011788:Quality of Life; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D035502:Trust