Factors Associated with Discontinuation of Complementary and Alternative Medicine among Korean Cancer Patients

Kim, So Young; Kim, Kyung Sook; Park, Jong Hyock; Shin, Ji Yeon; Kim, Sung Kyeong; Park, Jae Hyun; Park, Sohee; Seo, Hong Gwan

doi:10.7314/apjcp.2013.14.1.225

Cited by 22 publications

(15 citation statements)

References 29 publications

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“…In most Asian studies, 22–24 the use of herbal medicine has been relatively high, compared with only 20%–25% of patients using herbal medicine in Western countries. 25–28 Herbal medicine is used widely for various conditions among Asians and is thought to reduce distressful symptoms associated with cancer.…”

Section: Discussionmentioning

confidence: 99%

“…For example, overall CAM use in European studies has been relatively lower than CAM use in Asian studies. 17,18,20,21 Similarly, the use of herbal medicine has been high among Asian cancer patients, 22–24 whereas western cancer patients primarily have used nonherbal medicine, such as vitamins and minerals. 25–28 High use of herbal medicine among Asians typically is based on a belief that traditional Chinese medicine helps to improve cancer prognosis.…”

Section: Introductionmentioning

confidence: 99%

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Complementary and Alternative Medicine Use and Its Association with Emotional Status and Quality of Life in Patients with a Solid Tumor: A Cross-Sectional Study

Jang

Kang

Kim

2017

The Journal of Alternative and Complementary Medicine

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Objectives: Complementary and alternative medicine (CAM) has been used widely in various populations for various purposes, including emotional support and improvement of quality of life (QOL). However, CAM use and purposes for using CAM are less clear among Korean patients with a solid tumor. The purpose of this study was to determine the prevalence and type of CAM use, and the association between CAM use and anxiety, depression, and QOL in patients with a solid tumor.Design: A cross-sectional survey.Setting: A cancer center in Korea.Subjects: Two hundred and sixteen patients diagnosed with a solid tumor.Outcome measures: Standard questionnaires on CAM use, Hospital Anxiety and Depression Scale, and European Organization for Research and Treatment of Cancer QLQ-C30.Results: One hundred thirty one patients (60.6%) reported using CAM. CAM users, compared with non-CAM users, were significantly younger (57.8 vs. 60.9 years, p = 0.05), had higher level of education (p = 0.008), had higher income (p = 0.008), were less likely to seek physician consultation on CAM use (p = 0.002), and had a more advanced stage of tumor (p = 0.003) with more distant metastasis (p = 0.001). The most commonly used CAM was herbal medicine (n = 89, 67.9%). CAM users had significantly lower anxiety (t = 5.21, p < 0.001) and depression (t = 4.90, p < 0.001) than non-CAM users. When the effects of CAM use were tested on anxiety, depression, and QOL, controlling for covariates, CAM use was significantly associated with 8.7% and 8.8% of variance in decreasing anxiety and depression, but there was no unique association of CAM use with variance in QOL.Conclusions: CAM use is prevalent and younger age, higher education levels, higher income, less physician consultation, and higher cancer stage are significant correlates to CAM use. Controlling for covariates (e.g., gender, BMI), CAM use is significantly associated with lower anxiety and depression compared with those of non-CAM users.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Complementary and Alternative Medicine Use and Its Association with Emotional Status and Quality of Life in Patients with a Solid Tumor: A Cross-Sectional Study

Jang

Kang

Kim

2017

The Journal of Alternative and Complementary Medicine

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“…Thus, studies aiming to identify the factors influencing the use of CAM have been conducted in many countries. The findings from these studies correlate CAM usage with age, race, gender, education, ethnicity, income, geographic residence, disease state/health, employment, spiritual/religious philosophies, the availability of health insurance, and sexual orientation [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Changes in attitudes toward and patterns in traditional Korean medicine among the general population in South Korea: a comparison between 2008 and 2011

Woo

Park

Lee

et al. 2014

BMC Complement Altern Med

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BackgroundTraditional Korean medicine (TKM) is acknowledged to be prevalent among the Korean public, but few follow-up studies are available to confirm this commonly held belief. Whereas most survey studies have focused on the demographic factors influencing the usage of TKM, only a few studies have conducted a pattern or trend analysis over time. The purpose of this paper is to observe and document recent trends in the usage of TKM in South Korea and to compare overall patterns of TKM use over a period of several years.MethodsA cross-sectional survey was conducted in 2011 to assess TKM usage patterns and public perceptions regarding TKM. An online questionnaire was administered to consenting respondents that focused upon individual preferences between TKM and current Western medicine, respondents’ reasons for using TKM, the frequency of respondents’ visits to TKM clinics, the reasons respondents visited TKM clinics, and respondents’ perceived satisfaction.ResultsThe results revealed that 66.6% of the respondents showed a positive attitude toward TKM. In addition, 69.3% of the respondents had visited TKM clinics one to four times during the previous year. Patients used TKM with the intentions of receiving acupuncture (95.3%), moxibustion (40.1%), and cupping (36.0%) treatments or to take herbal medicines (35.7%). Most respondents who had visited TKM clinics were largely satisfied with the clinics’ effectiveness (56.1%). The factors most commonly associated with TKM usage included sex (female), age (50s), and education (college or higher), but the within-factor differences were not significant. Compared with a previous survey of other groups, TKM usage was found to have increased from 45.8% in 2008 to 69.3% in 2011. With the exception of acupuncture and physical therapy, most usage doubled or more than doubled.ConclusionsThe attitudes toward and usage of TKM in South Korea have improved between 2008 and 2011. This result will be used to explain outcomes of certain social phenomena and to argue for national support in the promotion of TKM.Electronic supplementary materialThe online version of this article (doi:10.1186/1472-6882-14-436) contains supplementary material, which is available to authorized users.

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“…Although the entire population is covered by medical insurance and many people were familiar with various modalities as the major form of health care [15], others were opposed to TKM because of the lack of scientific evidence regarding its practices, adverse effects resulting from treatment, or because of the financial burden [5,12]. Nevertheless, we found that two-thirds of our sample population used some type of TKM therapies in 2011.…”

Section: Discussionmentioning

confidence: 60%

Changes in attitudes toward and patterns in traditional Korean medicine among the general population in South Korea: A comparison between 2008 and 2011

Koo¹

2015

Altern Integr Med

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Factors Associated with Discontinuation of Complementary and Alternative Medicine among Korean Cancer Patients

Cited by 22 publications

References 29 publications

Complementary and Alternative Medicine Use and Its Association with Emotional Status and Quality of Life in Patients with a Solid Tumor: A Cross-Sectional Study

Complementary and Alternative Medicine Use and Its Association with Emotional Status and Quality of Life in Patients with a Solid Tumor: A Cross-Sectional Study

Changes in attitudes toward and patterns in traditional Korean medicine among the general population in South Korea: a comparison between 2008 and 2011

Changes in attitudes toward and patterns in traditional Korean medicine among the general population in South Korea: A comparison between 2008 and 2011

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