Table 3. Association Between CAM Use and Number of Chronic Conditions, National Health Interview Survey, 2012.
CAM Modality Outcome Measuresa
| ||||||||
---|---|---|---|---|---|---|---|---|
Unadjusted Models |
Minimally Adjustedb Models |
Final Adjustedc Models |
||||||
No. of Chronic Conditions |
No. of Chronic Conditions |
No. of Chronic Conditions |
||||||
0 | 1 | ≥2 | 0 | 1 | ≥2 | 0 | 1 | ≥2 |
| ||||||||
n = 13,790 | n = 7,427 | n = 12,340 | n = 13,790 | n = 7,427 | n = 12,340 | n = 13,790 | n = 7,427 | N = 12,340 |
CAM indexes, β coefficient (95% CI)d | ||||||||
All CAM | ||||||||
Ref | 0.4e | 0.5e | Ref | 0.3e | 0.6e | Ref | 0.3e | 0.6e |
(0.3–0.4) | (0.5–0.6) | (0.3–0.4) | (0.5–0.6) | (0.3–0.4) | (0.6–0.7) | |||
Excluding multivitamins/minerals | ||||||||
Ref | 0.3e | 0.4e | Ref | 0.3e | 0.5e | Ref | 0.3e | 0.5e |
(0.3–0.4) | (0.4–0.5) | (0.2–0.3) | (0.4–0.5) | (0.2–0.3) | (0.5–0.6) | |||
Excluding multivitamins, vitamins, and minerals | ||||||||
Ref | 0.1e | 0.1e | Ref | 0.1e | 0.2e | Ref | 0.1e | 0.2e |
(0.1–0.2) | (0.1–0.1) | (0.1–0.2) | (0.2–0.2) | (0.1–0.2) | (0.2–0.3) | |||
Specific CAM therapies, RR (95% CI)f | ||||||||
Multivitamin or multimineral | ||||||||
Ref | 1.1e | 1.2e | Ref | 1.1g | 1.1e | Ref | 1.1e | 1.2e |
(1.1–1.2) | (1.1–1.2) | (1.0–1.1) | (1.1–1.2) | (1.0–1.1) | (1.1–1.2) | |||
Mineral | ||||||||
Ref | 1.4e | 1.8e | Ref | 1.2e | 1.4e | Ref | 1.2e | 1.4e |
(1.3–1.5) | (1.7–1.9) | (1.1–1.3) | (1.3–1.5) | (1.1–1.3) | (1.4–1.5) | |||
Vitamin | ||||||||
Ref | 1.3e | 1.6e | Ref | 1.2e | 1.4e | Ref | 1.2e | 1.4e |
(1.3–1.4) | (1.5–1.6) | (1.2–1.3) | (1.3–1.5) | (1.2–1.3) | (1.3–1.5) | |||
Nonvitamin or herbal therapies | ||||||||
Ref | 1.5e | 1.6e | Ref | 1.4e | 1.7e | Ref | 1.4e | 1.7e |
(1.4–1.6) | (1.5–1.7) | (1.3–1.5) | (1.5–1.8) | (1.3–1.6) | (1.6–1.9) | |||
Mind–body therapy | ||||||||
Ref | 1.1h | 0.9 e | Ref | 1.2e | 1.4e | Ref | 1.3e | 1.6e |
(1.0–1.2) | (0.8–0.9) | (1.1–1.4) | (1.3–1.6) | (1.2–1.4) | (1.4–1.7) | |||
Chiropractic or osteopathic manipulation | ||||||||
Ref | 1.4e | 1.3e | Ref | 1.3e | 1.4e | Ref | 1.3e | 1.4e |
(1.3–1.6) | (1.2–1.5) | (1.2–1.5) | (1.2–1.6) | (1.2–1.5) | (1.2–1.6) | |||
Massage | ||||||||
Ref | 1.2g | 1.2e | Ref | 1.3e | 1.8e | Ref | 1.3e | 1.9e |
(1.1–1.4) | (1.1–1.4) | (1.1–1.4) | (1.6–2.1) | (1.2–1.5) | (1.7–2.2) | |||
Movement therapy | ||||||||
Ref | 1.1h | 0.7e | Ref | 1.2h | 1.2h | Ref | 1.3e | 1.3e |
(1.0–1.2) | (0.6–0.8) | (1.1–1.4) | (1.0–1.4) | (1.1–1.4) | (1.1–1.5) | |||
Special diets | ||||||||
Ref | 1.5e | 1.5e | Ref | 1.5e | 1.9e | Ref | 1.5e | 1.8e |
(1.2–1.8) | (1.3–1.8) | (1.2–1.9) | (1.5–2.4) | (1.2–1.9) | (1.5–2.4) | |||
Homeopathy | ||||||||
Ref | 1.2h | 1.0 h | Ref | 1.3h | 1.3h | Ref | 1.3h | 1.4h |
(1.0–1.6) | (0.8–1.3) | (1.0–1.6) | (1.0–1.7) | (1.0–1.7) | (1.0–1.8) | |||
Acupuncture | ||||||||
Ref | 1.4h | 1.5e | Ref | 1.3h | 1.6h | Ref | 1.3h | 1.8e |
(1.0–1.8) | (1.2–1.9) | (1.0–1.8) | (1.2–2.1) | (1.0–1.8) | (1.3–2.4) | |||
Naturopathy | ||||||||
Ref | 1.2h | 1.4h | Ref | 1.3h | 2.0h | Ref | 1.4h | 2.4e |
(0.9–1.8) | (1.0–2.0) | (0.9–2.0) | (1.3–3.2) | (0.9–2.1) | (1.5– 3.8) | |||
Traditional healers | ||||||||
Ref | 0.8h | 1.0h | Ref | 1.1h | 1.9h | Ref | 1.1h | 1.9h |
(0.5–1.3) | (0.6–1.5) | (0.6–1.9) | (1.1–3.2) | (0.6–2.0) | (1.1–3.2) | |||
Craniosacral | ||||||||
Ref | 0.8h | 1.2h | Ref | 0.7h | 1.2h | Ref | 0.7h | 1.4h |
(0.4–1.5) | (0.7–2.0) | (0.3–1.4) | (0.6–2.7) | (0.4–1.5) | (0.6–3.1) | |||
Ayurvedic medicine | ||||||||
Ref | 0.7h | 0.5h | Ref | 0.7h | 0.6h | Ref | 0.7h | 0.6h |
(0.4– 1.2) | (0.3– 1.0) | (0.4– 1.2) | (0.3– 1.3) | (0.4– 1.3) | (0.3–1.3) |
Abbreviations: CAM, complementary and alternative medicine; CI, confidence interval; RR, relative risk.
Each modality was run as a separate relative risk regression model.
Adjusted for age, sex, race, income, employment status, and education.
Adjusted for age, sex, race, income, employment status, education, body mass index, and marital status.
Values are β (95% CI).
P value <.001 (α = .003 after Bonferroni adjustment for multiple comparisons).
Values are RR (95% CI).
P value <.003 (α = .003 after Bonferroni adjustment for multiple comparisons).
P value >.003 (α = .003 after Bonferroni adjustment for multiple comparisons).