Examining CAM use disclosure using the Behavioral Model of Health Services Use Public Deposited

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This is an author's peer-reviewed final manuscript, as accepted by the publisher. The published article is copyrighted by Elsevier and can be found at:  http://www.journals.elsevier.com/complementary-therapies-in-medicine/.

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  • OBJECTIVES: To improve understanding of factors that may influence disclosure of complementary and alternative medicine (CAM) use in the U.S. DESIGN: Cross-sectional survey. METHODS: Data are from the 2001 Health Care Quality Survey (HCQS), a nationally representative study of adults aged 18 and older living in the continental United States. Using the Behavioral Model of Health Services Use, we conducted multivariate logistic regressions to identify factors associated with disclosing CAM use among the sub-sample of recent CAM users (n=1995). Main Outcome Measure: Disclosure of CAM use. RESULTS: Most CAM users (71.0%) disclosed their use of CAM to their doctors. Contextual, individual, and health behavior factors were associated with CAM use disclosure. Of particular interest, disclosure was significantly more likely among those who perceived high quality relationships with their providers (AOR = 1.59, CI: 1.01, 2.49) and among those who had a regular source of medical care (AOR = 1.54, CI: 1.03, 2.29). The odds of disclosure were also higher among those who used practitioner-provided CAM, with (AOR = 2.02, CI: 1.34, 3.06) or without (AOR = 1.52, CI: 1.05, 2.20) concurrent herbal medicine use, compared to those who used herbal medicines only. CONCLUSIONS: The Behavioral Model of Health Services Use is a useful framework for examining factors that may influence disclosure of CAM use. Further research should examine these relationships using more comprehensive measures.
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  • Faith, J., Thorburn, S., & Tippens, K. M. (2013). Examining CAM use disclosure using the Behavioral Model of Health Services Use. Complementary Therapies in Medicine, 21(5), 501-508. doi:10.1016/j.ctim.2013.08.002
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  • description.provenance : Submitted by Deanne Bruner (deanne.bruner@oregonstate.edu) on 2014-02-19T18:56:04Z No. of bitstreams: 1 FaithJenniferPublicHealthHumanSciencesExaminingCAMUse.pdf: 275024 bytes, checksum: cc95d322fdb92759ea954f08804e8745 (MD5)
  • description.provenance : Made available in DSpace on 2014-02-19T18:57:10Z (GMT). No. of bitstreams: 1 FaithJenniferPublicHealthHumanSciencesExaminingCAMUse.pdf: 275024 bytes, checksum: cc95d322fdb92759ea954f08804e8745 (MD5) Previous issue date: 2013-10
  • description.provenance : Approved for entry into archive by Deanne Bruner(deanne.bruner@oregonstate.edu) on 2014-02-19T18:57:10Z (GMT) No. of bitstreams: 1 FaithJenniferPublicHealthHumanSciencesExaminingCAMUse.pdf: 275024 bytes, checksum: cc95d322fdb92759ea954f08804e8745 (MD5)

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