作者
Chunyu Wang,Andreas Rimner,Daphna Y. Gelblum,Jessica Flynn,Andrew Jackson,Ellen Yorke,Abraham J. Wu
摘要
special diets (29 of 1023, 2.9%), acupuncture (26 of 1023, 2.0%), homeopathy (15 of 1023, 1.5%), movement or exercise techniques (11 of 1023, 1.3%), naturopathy (7 of 1023, 0.6%), traditional healers (6 of 1023, 0.4%), energy healing therapy (5 of 1023, 0.6%), biofeedback (5 of 1023, 0.4%), hypnosis (4 of 1023, 0.5%), and craniosacral therapy (2 of 1023, 0.2%). Factors associated with CAM use included white race (AOR, 1.82; 95% CI, 1.28-2.58; P = .001), female sex (AOR, 1.55; 95% CI, 1.26-1.91; P < .001), non-Hispanic ethnicity (AOR, 1.64; 95% CI, 1.05-2.56; P = .03), and younger age (AOR, 1.02 per year; 95% CI, 1.01-1.02; P < .001) (Table Among 1023 participants using CAM, 288 (29.3%) did not disclose CAM use to their physicians. The adjusted rates of nondisclosure for those using herbal supplements was 11.8% and 58.2% for those using mantra/mindfulness/spiritual meditation (Table The most frequently reported reasons for nondisclosure were because the physician did not ask (n = 155 of 288; 57.4%) or participants did not think their physicians needed to know (n = 140 of 288; 47.4%). A smaller proportion of CAM users felt that their physician did not know as much about the therapy (n = 28 of 288; 8.5%), reported they were not given enough time to tell about therapy (n = 12 of 288; 5.7%), expressed concern about a negative reaction (n = 17 of 288; 3.9%), were worried that their physician would discourage use (n = 18 of 288; 3.6%), or reported that physicians discouraged use in the past (n = 11 of 288; 1.9%).