Predictors for Adolescent Visits to Practitioners of Complementary and Alternative Medicine in a Total Population (the Young-HUNT Studies)

Steinsbekk, Aslak; Rise, Marit By; Bishop, Felicity L.; Lewith, George

doi:10.1371/journal.pone.0025719

Cited by 8 publications

(7 citation statements)

References 21 publications

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“…In our study, traditional Chinese Medicine was reported by none of the participating 4,677 adolescents. As in our study, 2 larger studies investigating CAM use among children with asthma [28,29] found a modest use of herbal and homeopathic drugs among children with asthma, and another study confirmed our results that asthmatic adolescents consult CAM practitioners more [30] than healthy adolescents.…”

Section: Discussionsupporting

confidence: 91%

Complementary and Alternative Medicine Use Among Chronically Ill Adolescents from 2 German Birth Cohorts

Italia

Brüske²,

Heinrich³

et al. 2016

Complement Med Res

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Background: Pediatric use of complementary and alternative medicine (CAM) is popular in Europe, and utilization may be even more prevalent in chronically ill children/adolescents. This study's aim is to assess CAM use among adolescents with chronic conditions. Methods: Data on drug utilization (past 4 weeks) and consultation with CAM providers (past year) were collected using a self-administered questionnaire from 4,677 adolescents from the German GINIplus/LISAplus birth cohorts. All reported drugs were classified into therapeutic categories (conventional drugs, homeopathy, herbal drugs, etc.). Additionally, participants were asked to list any chronic diseases (that were parent-reported, physician-verified diagnoses such as allergies, atopic dermatitis, asthma, or other chronic diseases) that they had had over the previous 5 years. Results: Compared with the total sample, drug utilization in general (60.1% vs. 41.1%), homeopathy use (11.1% vs. 8.1%), and consultation with CAM providers (16.9% vs. 10.9%) was significantly more prevalent among chronically ill adolescents. However, chronically ill adolescents used relatively (proportion of the defined therapeutic category among all drugs used) more conventional drugs than healthy adolescents. Conclusion: Compared with healthy adolescents, CAM use is more prevalent among adolescents with chronic conditions. Nevertheless, CAM may predominantly be used as a complementary treatment option rather than substituting conventional drugs.

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Section: Discussionsupporting

confidence: 91%

Complementary and Alternative Medicine Use Among Chronically Ill Adolescents from 2 German Birth Cohorts

Italia

Brüske²,

Heinrich³

et al. 2016

Complement Med Res

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“…Two longitudinal studies analyzing pediatric CAM use [22,23] found increasing or almost stable prevalence rates over time. A Norwegian publication presented a 1-year prevalence of 8.7% for visits to CAM practitioners among adolescents (17–19 years), an increase of 26% compared with the same group surveyed 4 years before.…”

Section: Discussionmentioning

confidence: 99%

“…The comparably short recall period of 4 weeks presumably reduced recall bias. To our knowledge, only a very few other studies have performed a longitudinal comparison of CAM use over time for cohorts comparable in size and socioeconomic variables [22,23]. …”

Section: Discussionmentioning

confidence: 99%

Utilization of complementary and alternative medicine (CAM) among children from a German birth cohort (GINIplus): patterns, costs, and trends of use

Italia

Brand

Heinrich

et al. 2015

BMC Complement Altern Med

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BackgroundThe use of complementary and alternative medicine (CAM) is widespread among children in Germany and other European countries. Only a few studies are available on trends in pediatric CAM use over time. The study’s objective was to present updated results for prevalence, predictors, and costs of CAM use among German children and a comparison with findings from a previous follow-up of the same birth cohort.MethodsData were collected for 3013 children on their utilization of medicinal products (during the last 4 weeks) and consultation with CAM providers (in the preceding year) from a German birth cohort study (GINIplus, 15-year follow-up) using a self-administered questionnaire. The reported medicinal CAMs were classified into six categories (homeopathy, herbal drugs, nutritionals, minerals and trace elements, microorganisms, further CAM). Drug prices were traced using pharmaceutical identification numbers (PZNs), or otherwise conservatively estimated. Finally, the results were compared with data obtained from the 10-year follow-up of the same birth cohort study by adopting the identical methodology.ResultsIn all, 26% of the reported 2489 drugs were medicinal CAM. The 4-week prevalence for homeopathy and herbal drug use was 7.5% and 5.6%, respectively. Some 13.9% of the children used at least one type of medicinal CAM in the preceding 4 weeks. The 1-year prevalence for consultation with CAM providers was 10.8%. From the drugs identified as CAM, 53.7% were homeopathic remedies, and 30.8% were herbal drugs.Factors associated with higher medicinal CAM use were female gender, residing in Munich, and higher maternal education.A homeopathy user utilized on average homeopathic remedies worth EUR 15.28. The corresponding figure for herbal drug users was EUR 16.02, and EUR 18.72 for overall medicinal CAM users.Compared with the 10-year follow-up, the prevalence of homeopathy use was more than halved (−52%) and dropped substantially for herbal drug use (−36%) and overall CAM use (−38%) as well.ConclusionCAM use among 15-year-old children in the GINIplus cohort is popular, but decreased noticeably compared with children from the same cohort at the age of 10 years. This is possibly mainly because German health legislation normally covers CAM for children younger than 12 years only.

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“…More specifically, previous use of TCM was the strongest influencing factor of TCM use. Similarly in Norway, adolescents' previous visits of CAM were also the strongest predictor of future CAM visits in the Young-HUNT studies [ 34 ]. Asthmatic patients accustomed to TCM therapies or believing in TCM treatments may lead to further integrative use of WM and TCM.…”

Section: Discussionmentioning

confidence: 99%

Characteristics Associated with Utilization of Asthma-Related Traditional Chinese Medicine Services among Asthma Children in Taiwan: A Nationwide Cohort Study

Lin¹,

Tsai

Chou³

et al. 2015

Evidence-Based Complementary and Alternative Medicine

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Introduction. Previous studies have demonstrated the advantages of TCM use among asthmatic children. However, there is a paucity of epidemiologic reports on features of TCM users among asthmatic children. This cohort study aimed to investigate child's, parent's, and provider's characteristics associated with the use of asthma-related TCM services among newly diagnosed asthmatic children. Materials and Methods. A nationally representative cohort of one million National Health Insurance beneficiaries was used. The newly diagnosed asthma children who received asthma medication from western medicine providers from 2005 to 2010 were selected as our sample for analysis. Generalized estimating equation was applied to identify the child's, parents', and provider's characteristics associated with the use of asthma-related TCM among the newly diagnosed asthmatic children. Results. Of 20,080 children who were enrolled and followed up for one year, 4,034 children used TCM for asthma-related treatment. Children with prior experience of TCM, pre-school and school aged children, boys, those with more severe asthma or poorer health, with higher income parents were more likely to use asthma-related TCM. Herbal medicine was the most common modality among asthmatic children. Conclusions. There were only 20% newly diagnosed asthmatic children using TCM. The findings may shed light on possible integration of TCM with western medicine services.

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Predictors for Adolescent Visits to Practitioners of Complementary and Alternative Medicine in a Total Population (the Young-HUNT Studies)

Cited by 8 publications

References 21 publications

Complementary and Alternative Medicine Use Among Chronically Ill Adolescents from 2 German Birth Cohorts

Complementary and Alternative Medicine Use Among Chronically Ill Adolescents from 2 German Birth Cohorts

Utilization of complementary and alternative medicine (CAM) among children from a German birth cohort (GINIplus): patterns, costs, and trends of use

Characteristics Associated with Utilization of Asthma-Related Traditional Chinese Medicine Services among Asthma Children in Taiwan: A Nationwide Cohort Study

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