Wednesday, December 10, 2008
Alternative medicine use holds steady at more than 1 in 3 Americans
Approximately 38% of adults use some form of complementary and alternative medicine (CAM), a level that has held steady for the past five years, according to the National Institutes of Health Survey (NHIS).
Overall CAM use has remained relatively steady, from 36% in 2002 to 38% in 2007. However, use of specific therapies has varied.
The most commonly used by adults were:
--nonvitamin, nonmineral, natural products (17.7%), most commonly fish oil/omega 3/DHA, glucosamine, echinacea, flaxseed and ginseng,
--deep breathing (12.7%),
--meditation (9.4%),
--chiropractic or osteopathic manipulation (8.6%),
--massage (8.3%), and
--yoga (6.1%).
Adults used CAM most often to treat pain (back, neck or joint), arthritis and other musculoskeletal conditions. Use for head or chest colds decreased from 9.5% in 2002 to 2.0% in 2007.
Americans' use of CAM for health care reinforces the need for rigorous research to study the safety and effectiveness of these therapies, said National Center for Complementary and Alternative Medicine Director Josephine P. Briggs, MD. The data also point out the need for patients and health care providers to openly discuss CAM use to ensure safe and coordinated care.
As reported by ACP Internist in November 2007, "The challenge for internists is to keep up with the latest evidence so they are not caught off guard when patients announce they have been taking St. John's wort for depression, for example, or treating their low back pain with acupuncture." The issue also outlined easy ways for internists to open the lines of communication.
Click on More below for complete results and charts.
Survey results are based on data from more than 23,300 interviews with American adults and more than 9,400 interviews with adults on behalf a child in their household.
Consistent with results from the 2002 data, in 2007 CAM use among adults was greater among:
--women (42.8%, compared to men 33.5%)
--those aged 30-69 (30-39 years: 39.6%, 40-49 years: 40.1%, 50-59 years: 44.1%, 60-69 years: 41.0%)
--those with higher levels of education (masters, doctorate or professional: 55.4%)
--those who were not poor (poor: 28.9%, near poor: 30.9%, not poor: 43.3%)
--those living in the West (44.6%)
--those who have quit smoking (48.1%)
NCCAM also tracked children for the first time. Overall, CAM use among children is nearly 12%, or about 1 in 9 children. Children are five times more likely to use CAM if a parent or other relative uses CAM. CAM therapies were used most often for back or neck pain, head or chest colds, anxiety or stress, other musculoskeletal problems, and Attention Deficit/Hyperactivity Disorder (ADD/ADHD).
Labels: alternative medicine
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Members of the American College of Physicians contribute posts from their own sites to ACP Internist and ACP Hospitalist. Contributors include:
Albert
Fuchs, MD
Albert Fuchs, MD, FACP, graduated from the
University of California, Los Angeles School of Medicine, where he
also did his internal medicine training. Certified by the American
Board of Internal Medicine, Dr. Fuchs spent three years as a
full-time faculty member at UCLA School of Medicine before opening
his private practice in Beverly Hills in 2000.
Zackary
Berger
Zackary Berger, MD, ACP Member, is a primary care
doctor and general internist in the Division of General Internal
Medicine at Johns Hopkins. His research interests include
doctor-patient communication, bioethics, and systematic reviews.
CasesBlog
Ves
Dimov, MD, ACP Member, is an allergist/immunologist and Assistant
Professor of Medicine and Pediatrics at the University of Chicago,
where he evaluates and treats both pediatric and adult patients.
David
Katz, MD
David L. Katz, MD, MPH, FACP, is an internationally
renowned authority on nutrition, weight management, and the
prevention of chronic disease, and an internationally recognized
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db's
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Robert M. Centor, MD, FACP,
contributes short essays contemplating medicine and the health care
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DrDialogue
Juliet
K. Mavromatis, MD, FACP, provides a conversation about health topics
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Mintz' Blog
Matthew Mintz, MD, FACP, has practiced internal
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Everything
Health
Toni Brayer, MD, FACP, blogs about the rapid
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FutureDocs
Vineet
Arora, MD, FACP, is Associate Program Director for the Internal
Medicine Residency and Assistant Dean of Scholarship & Discovery
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Gut
Check
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I'm
dok
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Professor
William Hersh, MD, FACP, Professor and Chair,
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Just
Oncology
Richard Just, MD, ACP Member, has 36 years in
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KevinMD
Kevin
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MD
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the joys and challenges of medical practice, including controversies
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Elaine Schattner, MD, ACP Member, shares
her ideas on education, ethics in medicine, health care news and
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Rob Lamberts, MD, ACP Member, a med-peds and general
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Justin Penn, MD, ACP Associate Member,
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Kimberly Manning, MD, FACP,
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Neil Mehta, MBBS, MS, FACP,
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Coat Underground
Peter A. Lipson, MD, ACP Member, is a
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The blog, which has been around in various forms since 2007, offers
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Other blogs of note:
American
Journal of Medicine
Also known as the Green
Journal, the American Journal of Medicine publishes original clinical
articles of interest to physicians in internal medicine and its
subspecialities, both in academia and community-based practice.
Clinical
Correlations
A collaborative medical blog started
by Neil Shapiro, MD, ACP Member, associate program director at New
York University Medical Center's internal medicine residency program.
Faculty, residents and students contribute case studies, mystery
quizzes, news, commentary and more.
Interact
MD
Michael Benjamin, MD, ACP member, doesn't accept
industry money so he can create an independent, clinician-reviewed
space on the Internet for physicians to report and comment on the
medical news of the day.
PLoS
Blog
The Public Library of Science's open access
materials include a blog.
White
Coat Rants
One of the most popular anonymous blogs
written by an emergency room physician.

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