scholarly journals The Use of Complementary and Alternative Medicine Strategies, Opioids, and Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) Among Patients Attending a Free Clinic

2020 ◽  
Vol 7 (6) ◽  
pp. 1701-1707
Author(s):  
Akiko Kamimura ◽  
Sullivan Howard ◽  
Shannon Weaver ◽  
Samin Panahi ◽  
Jeanie Ashby
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Care Facility ◽  
Health Care Facility ◽  
Spanish Speakers ◽  
English Speakers ◽  
Free Clinic ◽  
The Us ◽  
Inflammatory Drugs ◽  
Complementary And Alternative

The purpose of this study was to describe the use of opioids and complementary and alternative medicine (CAM) among uninsured free clinic patients. A self-administered paper survey was collected to describe the use of opioids, complementary, and alternative medicine, and other pain relievers from 877 free clinic patients from January to April 2018. The US born English speakers are more likely to use CAM, nonprescription pain relievers, and prescription opioids, and to be more knowledgeable about opioids compared to non-US born English speakers and Spanish speakers. The main source of opioids for free clinic patients is a health care facility other than a free clinic as well as friends. Although nonprescription pain relievers are commonly used among free clinic patients, CAM is less common to use for pain control. More health education programs are needed to increase the knowledge of opioid risks among free clinic patients as well as other underserved population.

The History of Complementary and Alternative Medicine in the US

2007 ◽  
Vol 41 (7-8) ◽  
pp. 1256-1260 ◽  
Author(s):  
Cathy Creger Rosenbaum
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Clinical Pharmacy ◽  
Early History ◽  
The Us ◽  
History Of ◽  
Complementary And Alternative

2006 marked the 40th year of publication for The Annals. Throughout its history, The Annals has provided important contributions to the development of clinical pharmacy. In 2007, we are continuing to publish articles reflecting on the history of clinical pharmacy through the eyes of practitioners, including those pioneering clinical pharmacy, as well as those who have more recently entered the profession and a well-established specialty. In addition, we are presenting articles and editorials from the early history of The Annals that have given direction and shape to the practice of clinical pharmacy (see page 1268).

scholarly journals Complementary and alternative medicine (CAM) use in cancer patients of immigration background.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 12019-12019
Author(s):  
Alex Wu ◽  
Yunhong Wu ◽  
PRABHSIMRANJOT SINGH ◽  
Vijaya Natarajan ◽  
Waseem Cheema ◽  
...  
Keyword(s):  
African American ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Cancer Patients ◽  
Latin American ◽  
Symptom Relief ◽  
Foreign Born ◽  
The Us ◽  
Cam Use ◽  
Complementary And Alternative

12019 Background: Cancer patients are more likely to use complementary and alternative medicine (CAM) than non-cancer patients for immune enhancement and symptom relief. Cancer patients with immigration background may seek out CAM use more readily due to the influence from their cultural background. Methods: We carried out a prospective questionnaire study surveying the use of 21 CAM types to cancer patients between 10/23/2015 and 10/31/2020, to evaluate the association of CAM use with patients’ age, sex, cancer types, stages, race/ethnicity, birthplace, immigration duration, first language, marital status, levels of poverty, education and anxiety. Results: 658 patients were included in this analysis. The median age was 62 years old. The prevalence of CAM use was 66.11%. CAM use was higher in females (71.98%) than the males (54.34%) (p = 1.13x10-5), and higher in patients ≥ 38 years old (67.09%) than < 38 years old (46.88%) (p = 0.0215). Patients of African American descent (both US born and foreign born) (n = 198) had statistically higher CAM use (72.73%) than the Caucasians and Others (including Middle-Eastern, Multi-Racial and Others) (n = 266) (63.53%) (p = 0.0371). There was no difference of CAM use between the US born patients (n = 301, CAM use 68.77%) and the immigrants (n = 347, CAM use 63.98%) as a whole; however, Asian born immigrants (n = 106) had statistically less CAM use (53.77%) than the US born and other non-Latin American born (n = 397, CAM use 66.50%) (p = 0.0161), while the Latin-American born had a trend towards higher CAM use (74.83%, P = 0.0608). The number of years living in the US by the immigrants did not have an association with CAM use. Among psychosocial economic factors, married patients had a lower CAM use (61.23%) than the unmarried group (defined as divorced, separated, widowed, or single status, 70.85%) (p = 0.0102). The levels of education, poverty and anxiety did not show a statistical difference in relation to CAM use. Earlier stages of disease had numerically higher CAM use than stage 4 patients, and patients with breast and GYN cancers had higher CAM use (72.30%, p = 0.00252), consistent with the data on the higher CAM use in females. Prayer and spirituality and Dietary medicine were the 2 most common CAM types used (25.91% and 16.12%, respectively). African Americans of the combined US and Non-US origin showed the highest rate of using Prayer and spirituality (84.72%), versus Hispanics (71.19%), Caucasians (53.85%), and Asians (40.32%). Chiropractic therapy was exclusively used by Caucasian CAM users (9.38%). Conclusions: Among cancer patients of multi-ethnic groups with immigration background served in a community hospital in Brooklyn, New York, CAM use appeared to be higher in the African American patients, and lower in the patients born in Eastern Asia, as compared to the US born, or to Caucasians. Cultural roots appeared to be a strong influencing factor among all the medical and socioeconomic factors.

scholarly journals Complementary and Alternative Medicine (CAM) use in Cancer Patients of Immigration Background

2022 ◽  
Author(s):  
Alex Wu ◽  
Yunhong Wu ◽  
Vijaya Natarajan ◽  
Prabhsimranjot Singh ◽  
Waseem Cheema ◽  
...  
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Cancer Patients ◽  
Latin American ◽  
Asian Americans ◽  
Symptom Relief ◽  
The Us ◽  
Cam Use ◽  
The Impact ◽  
Complementary And Alternative

Abstract Background: Previous studies have shown that cancer patients are more likely to use complementary and alternative medicine (CAM) than non-cancer patients for immune enhancement and symptom relief. We hypothesized that cancer patients with immigration background may seek out CAM use more readily than the US born patients due to the impact from their cultural background.Methods: This is a prospective, single institution, questionnaire study on cancer patient for the use of CAM. Correlates of CAM use with age, sex, cancer types, stages, race, birthplace, immigration duration, first language use, marital status, levels of poverty, education and anxiety, were studied.Results: Among 658 patients, the prevalence of CAM use was 66.11%. CAM use was 71.98% in females and 54.34% in males (p=1.13x10-5), 67.09% in patients ≥ 38 years old and 46.88% in patients < 38 years old (p=0.0215). Patients of African descent had higher CAM use (72.73%) than the Caucasians and Others (63.53%) (p=0.0371). There was no difference of CAM use between the US born (68.77%) and the immigrants (63.98%) as a whole; however, Asian born immigrants had lower CAM use (53.77%) than the US born (66.50%) (p=0.0161), while the Latin-American born had a trend towards higher CAM use (74.83%, P=0.0608). The number of years living in the US by the immigrants did not have an association with CAM use. Among psychosocial economic factors, married patients had a lower CAM use (61.23%) than the unmarried (70.85%) (p=0.0102). The levels of education, poverty and anxiety did not show a statistical difference in relation to CAM use, nor was the difference between the early or late stages of disease. Prayer and spirituality, and Dietary medicine were the two most common CAM subtypes used (25.91% and 16.12%, respectively). African Americans showed the highest rate of using Prayer and spirituality (84.72%) while the Asian Americans had the lowest rate (40.32%). Conclusions: Among cancer patients of multi-ethnic and immigration background, CAM use was higher in African American patients, and lower in Asian Americans, as compared to the US born, or to Caucasians. Cultural roots appeared to be a strong influencing factor for the selection of CAM.

Prevalence of Complementary and Alternative Medicine Use among General Population in South India - A Cross-Sectional Study

2021 ◽  
Vol 12 (4) ◽  
pp. 2400-2405
Author(s):  
Yamuna Devi M. S. ◽  
Shanmugapriya S ◽  
Kaavya S
Keyword(s):  
General Population ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
South India ◽  
Geographical Area ◽  
Care Facility ◽  
Cross Sectional ◽  
Study Results ◽  
Wide Range ◽  
Complementary And Alternative

Complementary and alternative medicine (CAM) refers to a wide range of clinical therapies outside of conventional medicine used along with the physician prescribed drugs to complement the treatment. It is widely accepted and used across the globe. The aim of this study was to assess the prevalence of use of CAM among the general population and to determine the acceptability, extent and pattern of CAM use. This cross-sectional questionnaire-based study was done among the general population in South India. 300 participants aged >18 years were included in the study irrespective of their genders. An interviewer-administered questionnaire with 20 questions was used to assess CAM usage. The statistical analysis was done by Chi-square test using SPSS version 25. The mean age was 50.39 (± 15.67) years. CAM usage was significantly influenced by age, educational qualification, occupation, geographical area and accessibility to a health care facility. The prevalence of CAM usage was found to be 62%. Homeopathy/Herbal medicine (34%) was the most commonly used CAM. About 35% had used CAM without the knowledge of their treating physician. More than 60% believe that CAM is safe with fewer side effects and around half of them had symptomatic relief following CAM usage. Our study results indicate the need for more studies testing various CAM modalities exploring their uses, adverse effects & interactions with other drugs, which in turn can guide the physicians in their treatment. 

scholarly journals Patient Disclosure about Herb and Supplement Use among Adults in the US

2008 ◽  
Vol 5 (4) ◽  
pp. 451-456 ◽  
Author(s):  
Jae Kennedy ◽  
Chi-Chuan Wang ◽  
Chung-Hsuen Wu
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
National Health ◽  
Herbal Product ◽  
Physician Communication ◽  
Supplement Use ◽  
Health Interview ◽  
The Us ◽  
Potential Risks ◽  
Complementary And Alternative

Analyses of 2002 National Health Interview supplement on complementary and alternative medicine (NHI%AM) indicate that approximately 38 million adults in the US (18.9% of the population) used natural herbs or supplements in the preceding 12 months, but only one-third told their physician about this use. The objectives of this study are: (i) to determine subpopulation rates of patient–physician communication about herbal product and natural supplement use and (ii) to identify the relative influence of patient factors and interaction factors associated with patient-physician communication about herb and supplement use. Logistic secondary analysis was done by using the complementary and alternative medicine supplement of the 2002 National Health Interview Survey. Subjects were a random stratified sample of US adults who used herbs in the past 12 months (n= 5 196) and self-reported rates of disclosure to physicians about herb and supplement use. Results show that disclosure rates were significantly lower for males, younger adults, racial and ethnic minorities and less intensive users of medical care. Across subpopulations, disclosure was the exception rather than the norm. Given the potential risks of delayed or inappropriate treatment and adverse drug reactions and interactions, physicians should be aware of herb and supplement use and counsel patients on the potential risks and benefits of these treatments.

scholarly journals Crowdfunding for complementary and alternative medicine: What are cancer patients seeking?

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242048
Author(s):  
Jeremy Snyder ◽  
Marco Zenone ◽  
Timothy Caulfield
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
National Institutes Of Health ◽  
High Dose ◽  
Search Terms ◽  
The Us ◽  
Cancer Types ◽  
The Uk ◽  
High Dose Vitamin ◽  
Complementary And Alternative

Background Complementary and alternative medicine (CAM) is increasingly being integrated into conventional medical care for cancer, used to counter the side effects of conventional cancer treatment, and offered as an alternative to conventional cancer care. Our aim is to gain a broader understanding of trends in CAM interventions for cancer and crowdfunding campaigns for these interventions. Methods GoFundMe campaigns fundraising for CAM were retrieved through a database of crowdfunding campaign data. Search terms were drawn from two National Institutes of Health lists of CAM cancer interventions and a previous study. Campaigns were excluded that did not match these or related search terms or were initiated outside of June 4th, 2018 to June 4th, 2019. Results 1,396 campaigns were identified from the US (n = 1,037, 73.9%), Canada (n = 165, 11.8%), and the UK (n = 107, 7.7%). Most common cancer types were breast (n = 344, 24.6%), colorectal (n = 131, 9.4%), and brain (n = 98, 7.0%). CAM interventions sought included supplements (n = 422, 30.2%), better nutrition (n = 293, 21.0%), high dose vitamin C (n = 276, 19.8%), naturopathy (n = 226, 16.2%), and cannabis products (n = 211, 15.1%). Mexico (n = 198, 41.9%), and the US (n = 169, 35.7%) were the most common treatment destinations. Conclusions These findings confirm active and ongoing interest in using crowdfunding platforms to finance CAM cancer interventions. They confirm previous findings that CAM users with cancer tend to have late stage cancers, cancers with high mortality rates, and specific diseases such as breast cancer. These findings can inform targeted responses where facilities engage in misleading marketing practices and the efficacy of interventions is unproven.

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