title: The use of conventional and complementary health services and self-prescribed treatments amongst young women with constipation: An Australian national cohort study.
abstract: BACKGROUND
  Little research has been conducted regarding the comprehensive health service utilisation in constipation care. This study investigates the comprehensive health service utilisation amongst Australian women with constipation.
  
  
  METHODS
  This study draws upon data from the Australian Longitudinal Study on Women's Health. A total of 8074 young women were asked about their frequency of constipation, measures of quality of life, and use of a range of health services and self-prescribed treatments via two postal surveys conducted in 2006 and 2009, respectively.
  
  
  RESULTS
  The prevalence of constipation was 18.5% amongst women in 2009. Constipated women had poorer quality of health than women without constipation. Women who sought help for constipation were more likely to visit multiple groups of conventional and complementary health practitioners compared to women who did not experience constipation (p<0.005). However, women were less likely to visit a specialist for the management of constipation over time (2006 to 2009). There was an increase in the proportion of women with constipation who self-prescribed vitamins/minerals over time (p<0.001).
  
  
  CONCLUSIONS
  Although only 4.5% of women sought help for their constipation, given the increasing use of multiple health services across time, more studies are required regarding the optimal treatment in constipation care.
authors.affiliation: Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.
authors.forename: David
authors.initials: D
authors.lastname: Sibbritt
authors.affiliation: Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.
authors.forename: Wenbo
authors.initials: W
authors.lastname: Peng
authors.affiliation: Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.
authors.forename: Sungwon
authors.initials: S
authors.lastname: Chang
authors.affiliation: Department of Anorectal Surgery, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
authors.forename: Hongtao
authors.initials: H
authors.lastname: Liang
authors.affiliation: Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia. Electronic address: Jon.Adams@uts.edu.au.
authors.forename: Jon
authors.initials: J
authors.lastname: Adams
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001315:Australia / Q000453:epidemiology; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D003248:Constipation / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D011788:Quality of Life; D012648:Self Care / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Complementary and alternative medicine; Constipated women; Health service utilisation