Complementary and alternative medicines use by Scottish women with breast cancer. What, why and the potential for drug interactions?

McLay, James S.; Stewart, Derek; George, Johnson; Rore, Craig; Heys, Steven Darryll

doi:10.1007/s00228-011-1181-6

Cited by 54 publications

(53 citation statements)

References 43 publications

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“…At the same time, there is a fact of increasing rate of CAM use of patient with breast cancer. In the USA while health insurance system runs well, the CAM use was reported to 90% of the breast cancer patients and 44, 6% of those in Japan (Wong et al, 2010;McLay et al, 2012) From clinical perspective, it is important to identify factors that encourage large numbers of patients with breast cancer to use CAM, solely or concomitantly with conventional medical treatments, as breast cancer patients frequently face situations that are subjectively less controllable and more frightening than other chronic of life threatening disease. Previous studies suggested that the rate of CAM use depends on sociodemographic characteristics of patients, breast cancer related clinical characteristic, regional and cultural factors and patients pattern coping with the disease (Solner et al, 2000;Paltiel Few studies have also been conducted to examine the relationship between the unmet informational needs and the use of CAM in patients with breast cancer, although the topic of unmet needs has been a recurrent on in CAMrelated studies.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Complementary and Alternative Medicine Use by Breast Cancer Patients in Bandung, Indonesia

Azhar

Achmad²,

Lukman³

et al. 2016

Asian Pacific Journal of Cancer Prevention

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Background: The study aimed to assess complementary and alternative medicine (CAM) use and their associated factors with breast cancer patients in Bandung, Indonesia. Materials and Methods: In total, 330 breast cancer patients were administered questionnaires on their CAM use and CAM predictive factors including socio-demographic parameters, clinical data and quality of life, trust in physicians, trust in hospitals, satisfaction and informational needs. Data were analyzed using univariate analysis and multivariate log regreesion analysis. Results: Overall 33.3% of patients reported use of CAM. Lower income, lower education, presence of metastasis, prolonged diagnosis, less trust in physician were found to be highly associated with CAM use. Conclusions: CAM use by breast cancer patients can be interpreted as an attempt to explore all possible options, an expression of an active coping style, or expression of unmet needs in the cancer care continuum. Physicians need to openly discuss the use of CAM with their patients and identify whether they have other unmet supportive needs.

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Section: Introductionmentioning

confidence: 99%

Predictors of Complementary and Alternative Medicine Use by Breast Cancer Patients in Bandung, Indonesia

Azhar

Achmad²,

Lukman³

et al. 2016

Asian Pacific Journal of Cancer Prevention

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“…Indeed disclosure of CAM use is critical for coordination of care and minimizing treatment conflicts [4]. However, estimates of CAM use disclosure to physicians vary widely depending on the population, but in general can be low ranging from 12 to 53 percent in oncology patients [5,6], 36 percent in HIV patients [7], and 21 to 71 percent in general medical populations [8,9].…”

Section: Introductionmentioning

confidence: 99%

Looking beyond the barriers: Practical and symbolic factors associated with disclosure of complementary and alternative medicine (CAM) use

Sirois

2014

European Journal of Integrative Medicine

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“…A 'significant other' could be a spouse. A study investigating complementary alternative medicine use among women with a median of 4 years since breast cancer diagnosis reported 15 % more use of complementary alternative medicine (of which dietary supplement use is considered one) among their spouses v. women who were not using complementary alternative medicine themselves (8) . There are two reasons why understanding more about spouse concordance is important.…”

mentioning

confidence: 99%

Opposites don’t attract: high spouse concordance for dietary supplement use in the European Prospective Investigation into Cancer in Norfolk (EPIC-Norfolk) cohort study

Lentjes

Keogh

Luben

et al. 2014

Public Health Nutr.

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Objective: Dietary supplements are commonly consumed but may not be beneficial for everyone. It is known that supplement users have healthy behaviour characteristics but until now concordance between spouses living in the same household has not been investigated and concordance may be an important behavioural determinant. Design: Prospective cohort study, cross-sectional data analysis. Setting: European Prospective Investigation into Cancer in Norfolk (EPIC-Norfolk) in the UK, recruitment between 1993 and 1998. Subjects: Married (or living as married) participants sharing a household, who attended a health examination and completed a 7 d diet diary were included in the analysis (n 11 060). The age range was 39-79 years. Results: Nearly 75 % of the households in EPIC-Norfolk were concordant in their supplement use, with 46·7 % not using supplements and 27·0 % using supplements. Concordance increased with age; the percentage of concordant couples varied less by other sociodemographic characteristics. Participants who had a spouse who used a supplement were nearly nine times more likely to use a supplement (unadjusted). Depending on participants' sex and type of supplement used, odds ratios for 'supplement use by spouse' in the prediction of participants' supplement use varied between 6·2 and 11·7 adjusted for participants' age, smoking status, BMI, social class, education level and physical activity. Conclusions: 'Supplement use by spouse' is an independent and the strongest predictor of participants' supplement use. This phenomenon can be useful in the design of studies and health interventions; or when assessing risk of excessive intake from dietary supplements. Keywords Dietary supplement Concordance Spouse Sociodemographic variablesIn the European Prospective Investigation into Cancer in Norfolk (EPIC-Norfolk), dietary supplements were reported by 44·8 % of women and 31·7 % of men in their 7 d diet diary (7dDD) (1) , of which cod-liver oil was the most commonly consumed supplement (2) . Studies in the UK have identified the characteristics of supplement users (SU) and found that SU are more likely to have a normal weight, a higher social class and show more health-conscious behaviours (3)(4)(5) . They have focused on the SU as an individual; however, people sharing a household could influence each other's behaviour, as has been shown for other types of behaviours such as smoking (6) . Concordance in the choice of using a supplement might partly explain why not all SU consistently show healthy behaviours; their spouse might have influenced them without the SU showing the known characteristics of a SU.

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Complementary and alternative medicines use by Scottish women with breast cancer. What, why and the potential for drug interactions?

Cited by 54 publications

References 43 publications

Predictors of Complementary and Alternative Medicine Use by Breast Cancer Patients in Bandung, Indonesia

Predictors of Complementary and Alternative Medicine Use by Breast Cancer Patients in Bandung, Indonesia

Looking beyond the barriers: Practical and symbolic factors associated with disclosure of complementary and alternative medicine (CAM) use

Opposites don’t attract: high spouse concordance for dietary supplement use in the European Prospective Investigation into Cancer in Norfolk (EPIC-Norfolk) cohort study

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