Examining CAM use disclosure using the Behavioral Model of Health Services Use
| Autor: | Kimberly M. Tippens, Jennifer Faith, Sheryl Thorburn |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Complementary Therapies Male Complementary and Manual Therapy medicine.medical_specialty Adolescent media_common.quotation_subject Health Behavior Alternative medicine Disclosure Logistic regression Odds Health services medicine Humans Quality (business) Health communication Aged media_common Advanced and Specialized Nursing Analysis of Variance Physician-Patient Relations business.industry Middle Aged United States Behavioral modeling Cross-Sectional Studies Complementary and alternative medicine Family medicine Female business Health care quality |
| Zdroj: | Complementary Therapies in Medicine. 21:501-508 |
| ISSN: | 0965-2299 |
| DOI: | 10.1016/j.ctim.2013.08.002 |
| Popis: | Summary Objectives To improve understanding of factors that may influence disclosure of complementary and alternative medicine (CAM) use in the U.S. Design Cross-sectional survey. Methods Data are from the 2001 Health Care Quality Survey (HCQS), a nationally representative study of adults aged 18 and older living in the continental United States. Using the Behavioral Model of Health Services Use, we conducted multivariate logistic regressions to identify factors associated with disclosing CAM use among the sub-sample of recent CAM users ( n =1995). Main outcome measure Disclosure of CAM use. Results Most CAM users (71.0%) disclosed their use of CAM to their doctors. Contextual, individual, and health behavior factors were associated with CAM use disclosure. Of particular interest, disclosure was significantly more likely among those who perceived high quality relationships with their providers (AOR=1.59, CI: 1.01, 2.49) and among those who had a regular source of medical care (AOR=1.54, CI: 1.03, 2.29). The odds of disclosure were also higher among those who used practitioner-provided CAM, with (AOR=2.02, CI: 1.34, 3.06) or without (AOR=1.52, CI: 1.05, 2.20) concurrent herbal medicine use, compared to those who used herbal medicines only. Conclusions The Behavioral Model of Health Services Use is a useful framework for examining factors that may influence disclosure of CAM use. Further research should examine these relationships using more comprehensive measures. |
| Databáze: | OpenAIRE |
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