期刊论文详细信息
BMC Complementary and Alternative Medicine
The importance of wellness among users of complementary and alternative medicine: findings from the 2007 National Health Interview Survey
Bethany Wexler Rainisch2  Dawn M. Upchurch1 
[1] Department of Community Health Sciences, UCLA Fielding School of Public Health, 650 Charles Young Drive South, Los Angeles 90095-1772, CA, USA;Department of Health Sciences, California State University, 18111 Nordoff Street, Northridge 91330, CA, USA
关键词: Health care;    Lifestyle;    Sociobehavioral wellness model;    Health promotion;    Wellness;    CAM;   
Others  :  1233249
DOI  :  10.1186/s12906-015-0886-y
 received in 2014-12-19, accepted in 2015-10-02,  发布年份 2015
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【 摘 要 】

Background

This study developed and tested a sociobehavioral wellness model of complementary and alternative medicine (CAM) to differentiate predisposing factors, enabling resources, need, and personal health practices according to use for wellness, for combined wellness and treatment, or for treatment alone.

Methods

Data were from the 2007 National Health Interview Survey (NHIS), a cross-sectional, nationally representative sample of 23,393 adult Americans. This analysis included people who used at least one CAM modality in the past 12 months (n = 7003 adult users). Prevalence estimates and multinomial logistic regression results were weighted and adjusted for complex sample design.

Results

Overall, 86 % of CAM users reported reason for use as wellness (51 %) or wellness combined with treatment (35 %). White women had the lowest (48 %) and Asian men (66 %) had the highest wellness use. Compared to treatment only users, wellness users were significantly more likely to be older, more educated, in better health, and engaged in multiple healthy behaviors. There was support that those with health conditions were using methods for both treatment and to maintain health.

Conclusions

The findings underscore the central role of CAM in health self-management and wellness lifestyle. At a time of national health care reform highlighting the importance of health and wellness and employers turning to wellness programs to improve worker performance and well-being, these findings suggest a central role of CAM in those public health endeavors.

【 授权许可】

   
2015 Upchurch and Rainisch.

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【 参考文献 】
  • [1]Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. Semin Integr Med. 2004; 2:54-71.
  • [2]Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. National Health Statistics Report. 2008. http://www.cdc.gov/nchs/data/nhsr/nhsr012.pdf. Accessed September 15, 2014.
  • [3]Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M et al.. Trends in alternative medicine use in the United States, 1990–1997. JAMA. 1998; 280:1569-1575.
  • [4]Upchurch DM, Rainisch BKW. A sociobehavioral model of complementary and alternative medicine providers, products, and practices: findings from the National Health Interview Survey, 2007. J Evid Based Complement Alternat Med. 2012; 18:100-107.
  • [5]Bishop FL, Yardley L, Lewith GT. A systematic review of beliefs involved in the use of complementary and alternative medicine. J Health Psychol. 2007; 12:851-867.
  • [6]Schuster TL, Dobson M, Jauregui M, Blanks RH. Wellness lifestyles I: a theoretical framework linking wellness, health lifestyles, and complementary and alternative medicine. J Altern Complement Med. 2004; 10:349-356.
  • [7]Sirois FM, Gick ML. An investigation of the health beliefs and motivations of complementary medicine clients. Soc Sci Med. 2002; 55(6):1025-1037.
  • [8]Thorne S, Paterson B, Russell C, Schultz A. Complementary/alternative medicine in chronic illness as informed self-care decision making. Int J Nurs. 2002; 39:671-683.
  • [9]Arcury TA, Quandt SA, McDonald J, Bell RA. Faith and health self-management of rural older adults. J Cross Cult Gerontol. 2000; 15:55-74.
  • [10]Grzywacz JG, Lang W, Suerken C, Quandt SA, Bell RA, Arcury TA. Age, race, and ethnicity in the use of complementary and alternative medicine for health welf-management: evidence form the 2002 National Health Interview Survey. J Aging Health. 2005; 17:547-572.
  • [11]Grzywacz JG, Suerken CK, Neiberg RH, Lang W, Bell RA, Quandt SA et al.. Age, ethnicity, and use of complementary and alternative medicine in health self-management. J Health Soc Behav. 2007; 48:84-98.
  • [12]Upchurch DM, Rainisch BKW. A sociobehavioral wellness model of acupuncture use in the United States, 2007. J Alternat Complement Med. 2014; 20:32-39.
  • [13]Fouladbakhsh JM, Stommel M. Using the behavioral model for complementary and alternative medicine: the CAM healthcare model. J Compl Integr Med. 2007; 4:11.
  • [14]Davis MA, Weeks, Coulter ID. A proposed conceptual model for studying the use of complementary and alternative medicine. Altern Ther Health Med. 2011; 17:32-36.
  • [15]Lorenc A, Ilan-Clarke Y, Robinson N, Blair M. How parents choose to use CAM: a systematic review of theoretical models. BMC Complement Altern Med. 2009; 9:9. BioMed Central Full Text
  • [16]Upchurch DM, Burke A, Dye C, Kusunoki Y, Greendale GA. A sociobehavioral model of acupuncture use, patterns, and satisfaction smong women in the United States, 2002. Women Health Issues. 2008; 18:62-71.
  • [17]Davis MA, West AN, Weeks WB, Sirorich BE. Health behaviors and utilization among users of complementary and alternative medicine for treatment versus health promotion. Health Serv Res. 2011; 46:1402-1416.
  • [18]Kannan V, Gaydos L, Atherly A, Druss BG. Medical utilization among wellness consumers. Med Care Res Rev. 2010; 67:722-736.
  • [19]Aday L, Andersen R. A framework for the study of access to medical care. Health Serv Res. 1974; 9:208-220.
  • [20]Andersen R, Newman JF. Societal and individual determinants of medical care utilization in the United States. Milbank Q. 1973; 51:95-124.
  • [21]Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995; 36:1-10.
  • [22]Bishop FL, Lewith G. Who uses CAM? A narrative review of demographic characteristics and health factors associated with CAM use. Evid Based Complement Alternat Med. 2010; 7:11-28.
  • [23]Graham RE, Ahn AC, Davis RB, O’Connor BB, Eisenberg DM, Phillips RS. Use of complementary and alternative medical therapies among racial and ethnic minority adults: results from the 2002 National Health Interview Survey. J Nat Med Assoc. 2005; 97:535-545.
  • [24]Complementary and alternative medicine in the United States. The National Academic Press, Washington D.C; 2005.
  • [25]Nahin R, Dahlhamer J, Taylor B, Barnes PM, Stussman BJ, Simile CM et al.. Health behaviors and risk factors in those who use complementary and alternative medicine. BMC Public Health. 2007; 7:217. BioMed Central Full Text
  • [26]Wolsko PM, Eisenberg DM, Davis RB, Ettner SL, Phillips RS. Insurance coverage, medical conditions, and visits to alternative medicine providers: Results of a National Survey. Arch Intern Med. 2002; 162:281-287.
  • [27]Pagan JA, Pauly MV. Access to conventional medical care and the use of complementary and alternative medicine. Health Aff. 2005; 24:255-262.
  • [28]Fava GA, Sonino N. Psychosomatic medicine: emerging trends and perspectives. Psychother Psychosom. 2000; 69:184-197.
  • [29]Herzlich C. Health and illness: a social psychological analysis. Academic, London, UK; 1973.
  • [30]National Wellness Institute website. http://www.nationalwellness.org/, accessed July 2014.
  • [31]National Health Interview Survey. Centers for Disease Control and Prevention. 2007. http://www.cdc.gov/nchs/nhis.htm. Accessed July 2014.
  • [32]Data file documentation, National Health Interview Survey, 2007 (machine readable data file and documentation). Centers for Disease Control and Prevention, Hyattsville, Maryland; 2008.
  • [33]Stata Statistical Software: Release 12 [computer program]. College Station, TX: StataCorp LP; 2010.
  • [34]Mackenzie ER, Taylor L, Bloom BS, Hufford DJ, Johnson JC. Ethnic minority use of complementary and alternative medicine (CAM): a national probability survey of CAM users. Altern Ther Health Med. 2003; 9:50-54.
  • [35]Brown CM, Barner JC, Richard KM, Richards KM, Bohman TM. Patterns of complementary and alternative medicine use in African Americans. J Alternat Complement Med. 2007; 13:751-758.
  • [36]Hsiao AF, Wong MD, Goldstein MS, Becerra LA, Cheng EM, Wenger NS. Complementary and alternative medicine use among Asian American subgroups: prevalence, predictors, and lack of relationship to acculturation and access to conventional care. J Altern Complement Med. 2006; 12:1003-1010.
  • [37]Astin JA. Why patients use alternative medicine. JAMA. 1998; 279:1548-1553.
  • [38]Danaei G, Ding EL, Mozaffarian D, Taylor B, Rehm J, Murray CJ et al.. The preventable causes of death in the United States: comparative risk assessment of dietary, lifestyle, and metabolic risk factors. PLoS Med. 2009; 6: Article ID e1000058
  • [39]Upchurch DM, Chyu L, Greendale GA, Utts J, Bair YA, Zhang G et al.. Complementary and alternative use among American women: findings from the National Health Interveiw Survey, 2002. J Womens Health. 2007; 16:102-113.
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