A spatial-temporal study of complementary and alternative medicine (CAM) by type: exploring localization economies implications in urban areas in Ontario

Abstract Objectives This study adds to the geography of complementary and alternative medicine (CAM) literature by comparing the spatial-temporal patterns of five types of CAM within 19 cities in light of clustering benefits from localization economies. Methods CAM office location points and nearest neighbour, standard distance, local spatial autocorrelation, and Mann–Whitney analyses are utilized to test potential clustering tendencies of CAM types over time. Results It is shown that ‘within’ (chiropractors near chiropractors, for example) and ‘amongst’ (chiropractors proximate to other CAM types) spatial clustering occurs in 2007 and 2017. This implies the persistent influence of localization economies. Conclusions Continued clustering of CAM within urban locations already replete with CAM offices will widen spatial disparities through time. This has implications for policy-makers concerned with dispersing medical resources over space for better accessibility.

Download Full-text

The Use of Complementary and Alternative Medicine(CAM) and Health Promotion Activities by Some Adult Women in Urban Areas

Journal of the Korean society for Wellness ◽

10.21097/ksw.2017.02.12.1.677 ◽

2017 ◽

Vol 12 (1) ◽

pp. 677 ◽

Cited By ~ 1

Author(s):

Mi-Aa Kang ◽

Bum-Ho Kim ◽

Hee-Jeong Kim

Keyword(s):

Health Promotion ◽

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

Urban Areas ◽

Adult Women ◽

Complementary And Alternative

Download Full-text

The Utilization of Complementary and Alternative Medicine among Saudi Older Adults: A Population-Based Study

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2020/4357194 ◽

2020 ◽

Vol 2020 ◽

pp. 1-14

Author(s):

Mohammad H. Aljawadi ◽

Abdullah T. Khoja ◽

Azzam D. AlOtaibi ◽

Khalid Turki Alharbi ◽

Muhannad Abdulwahed Alodayni ◽

...

Keyword(s):

Older Adults ◽

Alternative Medicine ◽

Marital Status ◽

Complementary And Alternative Medicine ◽

Urban Areas ◽

Herbal Products ◽

Factors Associated ◽

Cam Use ◽

Manual Manipulation ◽

Complementary And Alternative

Background. Complementary and alternative medicine (CAM) is an integral part of patients' therapeutic experience worldwide. Among Saudi older adults, less is known about CAM utilization. Objectives. To determine the prevalence, patterns, and factors associated with CAM utilization among SOA. Methods. In the Saudi National Survey for Elderly Health (SNSEH), subjects were asked about CAM use during the last twelve months before the interview. CAM use was defined as any use of herbal products, acupuncture, bloodletting, cauterization, medical massage, bones manual manipulation, honey, or religious rituals. Demographic characteristics included gender, age, marital status, region, educational level, and residence area. In addition, multiple comorbidities were included as possible factors that may be associated with CAM use. Multivariable logistic regression was used to explore factors associated with CAM utilization. All statistical analyses were done using STATA v.14. Results. Out of 2946 respondents, 50.4% were males, the mean age was 70.3 ± 8.3 years, and 70% were illiterate. CAM use was prevalent (62.5%). The most common CAM types were herbal products (25.4%), acupuncture (21.2%), bloodletting (12%), honey (9.5%), cauterization (7.4%), medical massage and bones manual manipulation (4%), and traditional bone setting (2.1%). In the multivariable regression, age, gender, and marital status did not have an impact on the odds of using CAM. Subjects from rural areas were 2.92 times more likely to use CAM compared with subjects in urban areas (OR = 2.92; 95%CI: 2.28‐3.75). Subjects with metabolic disorders (OR = 0.50; 95% CI: 0.42‐0.60) or kidney disease were less likely to use CAM (OR = 0.30; 95%CI: 0.14‐0.64). About pain, CAM is used more in neck pain (OR = 1.69; 95%CI: 1.30‐2.21) and also used in back pain (OR = 1.22; 95%CI: 1.03‐1.46). Conclusions. CAM use was very prevalent among SOA. Clinicians and pharmacists must ask about CAM use among older adults as many of CAM may interact with patients medications.

Download Full-text