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Comparative Analysis of Factors Affecting the Use of Complementary and Alternative Medicine and Prayer and Spiritual Healing. by Catherine M. Simile, Patricia M. Barnes, Barbara J. Stussman, Beth Taylor, and Catherine M. Simile National Center for Health Statistics

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Comparative Analysis of Factors Affecting the Use of Complementary and Alternative Medicine and Prayer and Spiritual Healing

by

Catherine M. Simile, Patricia M. Barnes, Barbara J. Stussman,

Beth Taylor, and Catherine M. Simile

National Center for Health Statistics

Kim McFann and Richard L. Nahin

National Center for Complementary and Alternative Medicine


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The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.


Background l.jpg
Background those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.

  • CAM – a group of diverse medical and health care systems , practices, and products that are not presently considered to be part of conventional medicine.


Methods l.jpg
Methods those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.

  • CAM supplement to the sample adult core of the 2002 National Health Interview Survey (NHIS)

    • Administered to 31,044 sample adults (74.3% response rate)

    • Addressed 17 types of CAM therapies (including prayer and spiritual healing)

    • Sponsored by the National Center for Complementary and Alternative Medicine (NCCAM), National Institutes of Health (NIH)


Methods cont d l.jpg
Methods (cont’d) those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.

  • Topical scope of NHIS allows inclusion of previously unexplored and underutilized concepts and measures

    • respondent health behaviors

    • access to conventional medical services

  • Logistic regression used to identify independent associations with CAM use and use of prayer


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Dependent Variables those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.


Model variables health behaviors and status l.jpg
Model Variables: those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.Health Behaviors and Status

  • Health behaviors:

    • Physical activity (no exercise, some, regular)

    • Body weight status (underweight, normal weight, overweight, obese)

    • Drinking status (<12 drinks in lifetime, 0 drinks in past year, <1 per week, 1-7 per week, 8-14 per week, 15+ per week)

    • Smoking status (never smoked, former smoker, current smoker)

  • Health status:

    • Number of health conditions (0, 1-2, 3-5, 6+)

    • Functional limitation (yes, no)

    • Health compared to 12 months ago (worse, same, better)


Model variables health care l.jpg
Model Variables: Health Care those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.

  • Access to conventional care:

    • Delayed care due to cost (yes, no)

    • Delayed care for reasons other than cost (yes, no)

    • Insurance status (uninsured, private coverage, public coverage)

    • Poverty status (at or below poverty line, 101-199%, 200-299%, 300-399%, 400-499%, 500%+)

  • Use of conventional medical services:

    • Number of doctor visits in past 12 months (0, 1, 2-3, 4-9, 10+)

    • Used over-the-counter medications in past 12 months (yes, no)

    • Used prescription medications in past 12 months (yes, no)


Model variables sociodemographics l.jpg
Model Variables: Sociodemographics those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.

  • Gender (male, female)

  • Employment status (not employed, private sector, public sector, self-employed/family business)

  • Race/ethnicity (Hispanic, non-Hispanic white, non-Hispanic black, non-Hispanic AIAN, non-Hispanic API)

  • Region (Northeast, Midwest, South, West)

  • Education (< than HS, HS grad/GED, some college/Associate’s, Bachelor’s, Master’s/Doctorate/Professional)

  • Age (18-44, 45-64, 65+)


Results l.jpg
Results those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.

  • Overall, 36.1% of adults used CAM (excluding prayer) and 45.1% used prayer for health reasons in the past 12 months


Results health behaviors l.jpg
Results: Health Behaviors those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.


Results health behaviors12 l.jpg
Results: Health Behaviors those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.


Results health status l.jpg
Results: Health Status those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.


Results access to conventional care l.jpg
Results: Access to Conventional Care those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.


Results access to conventional care15 l.jpg
Results: Access to Conventional Care those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.


Results use of conventional care l.jpg
Results: Use of Conventional Care those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.


Results sociodemographics l.jpg
Results: Sociodemographics those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.


Results sociodemographics18 l.jpg
Results: Sociodemographics those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.


Results sociodemographics19 l.jpg
Results: Sociodemographics those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.


Conclusions l.jpg
Conclusions those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.

  • Different segments of population using CAM and PRAYER; similar findings within these segments

  • Cost and non-cost barriers to conventional care increase likelihood of CAM use

  • Respondent health behaviors associated with both CAM use and use of PRAYER


Contact information l.jpg

Contact Information those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.

Catherine M. Simile, Ph.D.

National Center for Health Statistics

Division of Health Interview Statistics

3311 Toledo Road, Room 2115

Hyattsville, MD 20782

Phone: (301) 458-4499

Email: [email protected]


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