Type of Multimorbidity and Complementary and Alternative Medicine Use among Adults

Objective. To examine the association between type of multimorbidity and CAM use among adults with multimorbidity. Methods. The current study used a cross-sectional design with retrospective data from 2012 National Health Interview Survey. Multimorbidity was classified into two groups: (1) adults with coexisting physical and mental illnesses and (2) adults with two or more chronic physical illnesses only. CAM use was measured using a set of 18 variables. Logistic regression and multinomial logistic regressions were used to assess the association between the type of multimorbidity and ever used CAM, CAM use in the past 12 months, and type of CAM. Results. Overall, 31.2% of adults with coexisting physical and mental illnesses and 20.1% of adults with only physical illnesses used CAM in the past 12 months. Adults with coexisting physical and mental illnesses were more likely to ever use CAM (AOR = 1.68, 95% CI = 1.49, 1.90), use CAM in the past 12 months (AOR = 1.32, 95% CI = 1.15, 1.52), and use mind-body therapies in the past 12 months (AOR = 1.36, 95% CI = 1.16, 1.59) compared to adults with only physical illnesses. Conclusion. Multimorbidity of chronic physical and mental illnesses was associated with higher CAM use.

[1]  R. Devol,et al.  An Unhealthy America:The Economic Burden of Chronic Disease , 2007 .

[2]  Martin Fortin,et al.  Managing patients with multimorbidity: systematic review of interventions in primary care and community settings , 2012, BMJ : British Medical Journal.

[3]  C. Langer,et al.  Complementary and alternative medicine use and benefit finding among cancer patients. , 2013, Journal of alternative and complementary medicine.

[4]  S. Kennedy,et al.  Treatment resistant depression--advances in somatic therapies. , 2007, Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists.

[5]  L. Bernstein,et al.  Complementary and alternative therapies among very long-term breast cancer survivors , 2009, Breast Cancer Research and Treatment.

[6]  Lisa Klautzer,et al.  Health and Well-Being in the Home: A Global Analysis of Needs, Expectations, and Priorities for Home Health Care Technology , 2011 .

[7]  Marjan van den Akker,et al.  Multimorbidity's many challenges , 2007, BMJ : British Medical Journal.

[8]  G. Litscher,et al.  Evidence-based Complementary and Alternative Medicine , 2006, Evidence-based Complementary and Alternative Medicine.

[9]  M. Young.  Safety of chiropractic interventions: a systematic review. , 2009, Spine.

[10]  M. Stein,et al.  Does co-morbid depressive illness magnify the impact of chronic physical illness? A population-based perspective , 2006, Psychological Medicine.

[11]  U. Sambamoorthi,et al.  Co-occurring mental illness and health care utilization and expenditures in adults with obesity and chronic physical illness. , 2008, Disease management : DM.

[12]  F. Blyth,et al.  Unpacking the burden: Understanding the relationships between chronic pain and comorbidity in the general population , 2012, PAIN.

[13]  N. Alaaeddine,et al.  Use of complementary and alternative therapy among patients with rheumatoid arthritis and osteoarthritis. , 2012, Journal of clinical nursing.

[14]  A. Bardia,et al.  Efficacy of complementary and alternative medicine therapies in relieving cancer pain: a systematic review. , 2006, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[15]  P. Paudyal,et al.  A systematic review of evidence for the effectiveness of practitioner-based complementary and alternative therapies in the management of rheumatic diseases: rheumatoid arthritis. , 2012, Rheumatology.

[16]  J. Grzywacz,et al.  Complementary and alternative medicine use among adults with diabetes in the United States. , 2006, Alternative therapies in health and medicine.

[17]  T. Gansler,et al.  The role of psychological functioning in the use of complementary and alternative methods among disease‐free colorectal cancer survivors , 2009, Cancer.

[18]  A. Kilbourne,et al.  Determinants of complementary and alternative medicine use by patients with bipolar disorder. , 2007, Psychopharmacology bulletin.

[19]  R. Kessler,et al.  The use of complementary and alternative therapies to treat anxiety and depression in the United States. , 2001, The American journal of psychiatry.

[20]  Harald Schmidt,et al.  Chronic Disease Prevention and Health Promotion , 2016 .

[21]  C. Gotay,et al.  Determinants of the degree of complementary and alternative medicine use among patients with cancer. , 2002, Journal of alternative and complementary medicine.

[22]  Z. Russinova,et al.  Toward Understanding the Usefulness of Complementary and Alternative Medicine for Individuals With Serious Mental Illnesses: Classification of Perceived Benefits , 2009, The Journal of nervous and mental disease.

[23]  C. Hoven,et al.  Use of complementary and alternative medicine among women with depression: results of a national survey. , 2007, Psychiatric services.

[24]  J. Grzywacz,et al.  Older adults' use of complementary and alternative medicine for mental health: findings from the 2002 National Health Interview Survey. , 2006, Journal of alternative and complementary medicine.

[25]  R. Andersen,et al.  Societal and individual determinants of medical care utilization in the United States. , 1973, The Milbank Memorial Fund quarterly. Health and society.

[26]  Carolyn M. Brown,et al.  A multivariate test of an expanded Andersen Health Care utilization model for complementary and alternative medicine (CAM) use in African Americans. , 2009, Journal of alternative and complementary medicine.

[27]  J Ormel,et al.  Mental–physical co-morbidity and its relationship with disability: results from the World Mental Health Surveys , 2008, Psychological Medicine.

[28]  Maurizio Fava,et al.  The STAR*D project results: A comprehensive review of findings , 2007, Current psychiatry reports.

[29]  F. Schellevis,et al.  The Prevalence of Disease Clusters in Older Adults with Multiple Chronic Diseases – A Systematic Literature Review , 2013, PloS one.

[30]  K. Wells,et al.  Mental disorders and the use of alternative medicine: results from a national survey. , 2000, The American journal of psychiatry.

[31]  U. Sambamoorthi,et al.  Multimorbidity, Mental Illness, and Quality of Care: Preventable Hospitalizations among Medicare Beneficiaries , 2012, International journal of family medicine.

[32]  R. Kessler,et al.  COMORBIDITY AND DISEASE BURDEN IN THE NATIONAL COMORBIDITY SURVEY REPLICATION (NCS‐R) , 2012, Depression and anxiety.

[33]  Cynthia M Boyd,et al.  From Bedside to Bench: summary from the American Geriatrics Society/National Institute on Aging Research Conference on Comorbidity and Multiple Morbidity in Older Adults , 2008, Aging clinical and experimental research.

[34]  K. Weaver,et al.  Characteristics associated with the use of complementary health approaches among long-term cancer survivors , 2014, Supportive Care in Cancer.

[35]  Anne L Hume,et al.  Complementary and alternative medicine. , 2007, American journal of pharmaceutical education.

[36]  S. Saydah,et al.  Use of complementary and alternative medicine among adults with chronic diseases: United States 2002. , 2006, Journal of alternative and complementary medicine.

[37]  D. Cherkin,et al.  Employer-sponsored health insurance for chiropractic services. , 1998, Medical care.

[38]  J. Unützer,et al.  The burden of depressive symptoms and various chronic conditions and health concerns on the quality of life among those with Medicare Supplement Insurance , 2012, International journal of geriatric psychiatry.

[39]  C. Sherbourne,et al.  Use of complementary and alternative medicine in a large sample of anxiety patients. , 2012, Psychosomatics.

[40]  K. Pilkington,et al.  Complementary medicine and safety: a systematic investigation of design and reporting of systematic reviews. , 2012, Complementary therapies in medicine.

[41]  Andrew Anesetti-Rothermel,et al.  Physical and mental illness burden: disability days among working adults. , 2011, Population health management.

[42]  Lihong Cui,et al.  The impact of comorbidity of mental and physical conditions on role disability in the US adult household population. , 2007, Archives of general psychiatry.