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. 2004 Nov;65(6):481–494. doi: 10.1016/j.curtheres.2005.01.005

Complementary and alternative medicine use by patients visiting a free health clinic: A single-site, pilot study

Patrick G Clay 1,2,*, Kevin A Clauson 3, Alan Glaros 4
PMCID: PMC3964552  PMID: 24672100

Abstract

Background:

The rate of use of complementary and alternative medicine (CAM) has been documented to fluctuate widely, can greatly impact medical outcomes, and can influence patients' adherence to conventional medicines. Health care providers should assess the prevalence of CAM use (primarily herbal medicine) in individual settings to most accurately provide appropriate patient care.

Objectives:

The aim of this study was to determine the following: (1) differences in demographic characteristics between users and nonusers of CAM; (2) which CAM patients are using; (3) patients' sources of information concerning CAM; and (4) whether patients recall being asked about CAM use by their health care providers.

Methods:

In this single-center, pilot study, a self-administered survey concerning CAM use was made available to persons seeking care at an inner-city free health clinic (Kansas City Free Health Clinic, Kansas City, Missouri). Completed surveys were scanned into a database, and descriptive analyses were performed.

Results:

Three hundred eleven patients completed ≥1 question on the survey. Of those who reported race (n = 278), 168 (60.4%) were Caucasian/white, 73 (26.3%) were African American/black, and 24 (8.6%) were Hispanic/Latino. Of those who reported educational level (n = 287), 101 (35.2%) had some high school or were high school graduates or had a general equivalency development diploma, 102 (35.5%) had completed some college or vocational training, and 84 (29.3%) had completed college. Of those who reported personal annual income (n = 191), 107 (56.0%) reported up to US $15,000, and 54 (28.3%) reported >$15,000 to $30,000. A high rate of CAM use (past or present) was found among survey respondents (116/285 [40.7%]). No correlation was found between CAM use and any of the demographic characteristics studied. Of 98 patients reporting whether their CAM use was past or current, 64 (65.3%) were using CAM at the time of the survey. Friends and physicians were reported to be most supportive of CAM use (21/41 [51.2%] and 33/86 [38.4%] patients, respectively). The most common CAM products reported as being currently used were garlic and chamomile (both, 5 patients [7.1%]), and echinacea and ginseng (both, 3 patients [4.7%]).

Conclusion:

This survey of patients using an inner-city free health clinic showed a high rate of CAM use, which could significantly impact patient outcomes.

Key words: alternative, complementary, medically indigent, inner city, educational level

Full Text

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Footnotes

The data in this article were presented in poster form at the Annual Meeting of the Society of Infectious Disease Pharmacists, September 14–17, 2002, Chicago, Illinois.

References

  • 1.National Center for Complementary and Alternative Medicine (NCCAM) May 26, 2004. What Is Complementary and Alternative Medicine (CAM) [NCCAM Web site]?http://www.nccam.nih.gov/health/whatiscam Available at: NCCAM publication no. D156. NCCAM publication no. D156. NCCAM publication no. D156. [Google Scholar]
  • 2.Eisenberg DM, Kessler RC, Foster C. Unconventional medicine in the United States. Prevalence, costs, and patterns of use. N Engl J Med. 1993;328:246–252. doi: 10.1056/NEJM199301283280406. [DOI] [PubMed] [Google Scholar]
  • 3.Arts TE. Vol. 5. 2000. Annual industry overview; pp. 1–31. (Nutrition Bus J). [Google Scholar]
  • 4.Eisenberg DM, Davis RB, Ettner SL. Trends in alternative medicine use in the United States, 1990–1997: Results of a follow-up national survey. JAMA. 1998;280:1569–1575. doi: 10.1001/jama.280.18.1569. [DOI] [PubMed] [Google Scholar]
  • 5.Jordan KM, Sawyer S, Coakley P. The use of conventional and complementary treatments for knee osteoarthritis in the community. Rheumatology (Oxford) 2004;43:381–384. doi: 10.1093/rheumatology/keh045. [DOI] [PubMed] [Google Scholar]
  • 6.Coon JT, Ernst E. Complementary and alternative therapies in the treatment of chronic hepatitis C: A systematic review. J Hepatol. 2004;40:491–500. doi: 10.1016/j.jhep.2003.11.014. [DOI] [PubMed] [Google Scholar]
  • 7.Brunelli B, Gorson KC. The use of complementary and alternative medicines by patients with peripheral neuropathy. J Neurol Sci. 2004;218:59–66. doi: 10.1016/j.jns.2003.10.013. [DOI] [PubMed] [Google Scholar]
  • 8.Cassileth BR, Deng G. Complementary and alternative therapies for cancer. Oncologist. 2004;9:80–89. doi: 10.1634/theoncologist.9-1-80. [DOI] [PubMed] [Google Scholar]
  • 9.Diamond B, Johnson S, Torsney K. Complementary and alternative medicines in the treatment of dementia: An evidence-based review. Drugs Aging. 2003;20:981–998. doi: 10.2165/00002512-200320130-00003. [DOI] [PubMed] [Google Scholar]
  • 10.Bica I, Tang AM, Skinner S. Use of complementary and alternative therapies by patients with human immunodeficiency virus disease in the era of highly active antiretroviral therapy. J Altern Complement Med. 2003;9:65–76. doi: 10.1089/107555303321222955. [DOI] [PubMed] [Google Scholar]
  • 11.Wolsko PM, Eisenberg DM, Davis RB. Patterns and perceptions of care for treatment of back and neck pain: Results of a national survey. Spine. 2003;28:292–298. doi: 10.1097/01.BRS.0000042225.88095.7C. [DOI] [PubMed] [Google Scholar]
  • 12.Reginster JY, Deroisy R, Rovati LC. Long-term effects of glucosamine sulphate on osteoarthritis progression: A randomised, placebo-controlled clinical trial. Lancet. 2001;357:251–256. doi: 10.1016/S0140-6736(00)03610-2. [DOI] [PubMed] [Google Scholar]
  • 13.Piscitelli SC, Burstein AH, Chaitt D. Indinavir concentrations and St John's wort. Lancet. 2000;355:547–548. doi: 10.1016/S0140-6736(99)05712-8. [published correction appears in Lancet. 2001;357:1210] [DOI] [PubMed] [Google Scholar]
  • 14.Izzo AA. Drug interactions with St. John's Wort (Hypericum perforatum): A review of the clinical evidence. Int J Clin Pharmacol Ther. 2004;42:139–148. doi: 10.5414/cpp42139. [DOI] [PubMed] [Google Scholar]
  • 15.Ruschitzka F, Meier PJ, Turina M. Acute heart transplant rejection due to Saint John's wort. Lancet. 2000;355:548–549. doi: 10.1016/S0140-6736(99)05467-7. [DOI] [PubMed] [Google Scholar]
  • 16.Mai I, Stormer E, Bauer S. Impact of St John's wort treatment on the pharmacokinetics of tacrolimus and mycophenolic acid in renal transplant patients. Nephrol Dial Transplant. 2003;18:819–822. doi: 10.1093/ndt/gfg002. [DOI] [PubMed] [Google Scholar]
  • 17.Norred CL, Zamudio S, Palmer SK. Use of complementary and alternative medicines by surgical patients. AANA J. 2000;68:13–18. [PubMed] [Google Scholar]
  • 18.Marbella AM, Harris MC, Diehr S. Use of Native American healers among native American patients in an urban Native American health center. Arch Fam Med. 1998;7:182–185. doi: 10.1001/archfami.7.2.182. [DOI] [PubMed] [Google Scholar]
  • 19.Maskarinec G, Shumay DM, Kakai H, Gotay CC. Ethnic differences in complementary and alternative medicine use among cancer patients. J Altern Complement Med. 2000;6:531–538. doi: 10.1089/acm.2000.6.531. [DOI] [PubMed] [Google Scholar]
  • 20.Barnett MC, Cotroneo M, Purnell J. Use of CAM in local African-American communities: Community-partnered research. J Natl Med Assoc. 2003;95:943–950. [PMC free article] [PubMed] [Google Scholar]
  • 21.Mackenzie ER, Taylor L, Bloom BS. Ethnic minority use of complementary and alternative medicine (CAM): A national probability survey of CAM utilizers. Altern Ther Health Med. 2003;9:50–56. [PubMed] [Google Scholar]
  • 22.Barnes PM, Powell-Griner E, McFann K, Nahin RL. Centers for Disease Control and Prevention (CDC); New York, NY: May 27, 2004. Complementary and Alternative Medicine Use Among Adults: United States, 2002. CDC Advance Data from Vital and Health Statistics report no. 343. [PubMed] [Google Scholar]
  • 23.Lie D. International Conference on Complementary, Alternative and Integrative Medicine Research. 2nd ed. 2002. p. 4. (Medscape Primary Care). [Google Scholar]
  • 24.Board of Directors . August 10, 2004. (2002 Kansas City Free Health Clinic Annual Report). Accessed. Available at: [Google Scholar]
  • 25.Najm W, Reinsch S, Hoehler F, Tobis J. Use of complementary and alternative medicine among the ethnic elderly. Altern Ther Health Med. 2003;9:50–57. [PubMed] [Google Scholar]
  • 26.Kim C, Kwok YS. Navajo use of native healers. Arch Intern Med. 1998;158:2245–2249. doi: 10.1001/archinte.158.20.2245. [DOI] [PubMed] [Google Scholar]
  • 27.Rivera JO, Ortiz M, Lawson ME, Verma KM. Evaluation of the use of complementary and alternative medicine in the largest United States—Mexico border city. Pharmacotherapy. 2002;22:256–264. doi: 10.1592/phco.22.3.256.33543. [DOI] [PubMed] [Google Scholar]

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