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dc.contributor.authorBirdee, Gurjeet S.
dc.contributor.authorPhillips, Russell S.
dc.contributor.authorDavis, Roger B.
dc.contributor.authorGardiner, Paula
dc.date2022-08-11T08:08:06.000
dc.date.accessioned2022-08-23T15:42:23Z
dc.date.available2022-08-23T15:42:23Z
dc.date.issued2010-02-01
dc.date.submitted2019-02-25
dc.identifier.citation<p>Pediatrics. 2010 Feb;125(2):249-56. doi: 10.1542/peds.2009-1406. Epub 2010 Jan 25. <a href="https://doi.org/10.1542/peds.2009-1406">Link to article on publisher's site</a></p>
dc.identifier.issn0031-4005 (Linking)
dc.identifier.doi10.1542/peds.2009-1406
dc.identifier.pmid20100769
dc.identifier.urihttp://hdl.handle.net/20.500.14038/26836
dc.description<p>At the time of publication, Paula Gardiner was not yet affiliated with the University of Massachusetts Medical School.</p>
dc.description.abstractBACKGROUND: Limited data are available on the use of complementary and alternative medicine (CAM) and factors associated with use among the pediatric population in the United States. METHODS: Using the 2007 National Health Interview Survey data among individuals < 18 years of age (n = 9417), we compared CAM users (excluding those using vitamins and minerals) and non-CAM users. Using bivariable and multivariable logistic regression models, we examined independent associations of CAM use with sociodemographic factors, prescription medication use, delays in health care caused by access difficulties, and common medical conditions/symptoms. RESULTS: In an adjusted multivariable logistic model, CAM users were more likely than non-CAM users to be adolescents rather than infants or toddlers (adjusted odds ratio [aOR]: 1.61 [95% confidence interval (CI): 1.11-2.34]); live in the West (aOR: 2.05 [95% CI: 1.62-2.59]), Northeast (aOR: 1.36 [95% CI: 1.02-1.80]), or Midwest (aOR: 1.35 [95% CI: 1.04-1.74]) compared with those in the South; more likely to have a parent with a college education (aOR: 4.33 [95% CI: 2.92-6.42]); and more likely to use prescription medication (aOR: 1.51 [95% CI: 1.19-1.92]). Pediatric CAM users were more likely to have anxiety or stress (aOR: 2.54 [95% CI: 1.89-3.42]), dermatologic conditions (aOR: 1.35 [95% CI: 1.03-1.78]), musculoskeletal conditions (aOR: 1.94 [95% CI: 1.31-2.87]), and sinusitis (aOR: 1.54 [95% CI: 1.11-2.14]). Use of CAM by a parent was strongly associated with the child's use of CAM (aOR: 3.83 [95% CI: 3.04-4.84]). CONCLUSIONS: In 2007, pediatric CAM users were more likely to take prescription medications, have a parent who used CAM, and have chronic conditions such as anxiety or stress, musculoskeletal conditions, dermatologic conditions, or sinusitis. Research is required to guide pediatricians in making recommendations on CAM modalities for children including potential risks and/or benefits and interactions with conventional therapies.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=20100769&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057373/
dc.subjectcomplementary therapies
dc.subjectinfant
dc.subjectchild
dc.subjectadolescent
dc.subjectAlternative and Complementary Medicine
dc.subjectBehavioral Medicine
dc.subjectHealth Psychology
dc.subjectIntegrative Medicine
dc.subjectPediatrics
dc.subjectPsychiatry and Psychology
dc.titleFactors associated with pediatric use of complementary and alternative medicine
dc.typeJournal Article
dc.source.journaltitlePediatrics
dc.source.volume125
dc.source.issue2
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/cipc/77
dc.identifier.contextkey13889812
html.description.abstract<p>BACKGROUND: Limited data are available on the use of complementary and alternative medicine (CAM) and factors associated with use among the pediatric population in the United States.</p> <p>METHODS: Using the 2007 National Health Interview Survey data among individuals < 18 years of age (n = 9417), we compared CAM users (excluding those using vitamins and minerals) and non-CAM users. Using bivariable and multivariable logistic regression models, we examined independent associations of CAM use with sociodemographic factors, prescription medication use, delays in health care caused by access difficulties, and common medical conditions/symptoms.</p> <p>RESULTS: In an adjusted multivariable logistic model, CAM users were more likely than non-CAM users to be adolescents rather than infants or toddlers (adjusted odds ratio [aOR]: 1.61 [95% confidence interval (CI): 1.11-2.34]); live in the West (aOR: 2.05 [95% CI: 1.62-2.59]), Northeast (aOR: 1.36 [95% CI: 1.02-1.80]), or Midwest (aOR: 1.35 [95% CI: 1.04-1.74]) compared with those in the South; more likely to have a parent with a college education (aOR: 4.33 [95% CI: 2.92-6.42]); and more likely to use prescription medication (aOR: 1.51 [95% CI: 1.19-1.92]). Pediatric CAM users were more likely to have anxiety or stress (aOR: 2.54 [95% CI: 1.89-3.42]), dermatologic conditions (aOR: 1.35 [95% CI: 1.03-1.78]), musculoskeletal conditions (aOR: 1.94 [95% CI: 1.31-2.87]), and sinusitis (aOR: 1.54 [95% CI: 1.11-2.14]). Use of CAM by a parent was strongly associated with the child's use of CAM (aOR: 3.83 [95% CI: 3.04-4.84]).</p> <p>CONCLUSIONS: In 2007, pediatric CAM users were more likely to take prescription medications, have a parent who used CAM, and have chronic conditions such as anxiety or stress, musculoskeletal conditions, dermatologic conditions, or sinusitis. Research is required to guide pediatricians in making recommendations on CAM modalities for children including potential risks and/or benefits and interactions with conventional therapies.</p>
dc.identifier.submissionpathcipc/77
dc.contributor.departmentDepartment of Family Medicine and Community Health
dc.contributor.departmentCenter for Integrated Primary Care
dc.source.pages249-56


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