Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/76105
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Type: Journal article
Title: Who uses complementary and alternative therapies in regional South Australia?: evidence from the Whyalla Integrational Study of Health
Author: D'Onise, K.
Haren, M.
Misan, G.
McDermott, R.
Citation: Australian Health Review, 2013; 37(1):104-111
Publisher: CSIRO Publishing
Issue Date: 2013
ISSN: 1449-8944
1449-8944
Statement of
Responsibility: 
Katina D'Onise, Matthew T. Haren, Gary M.H. Misan and Robyn A. McDermott
Abstract: OBJECTIVE: To assess the prevalence of complementary and alternative medicine (CAM) and service use for people with a chronic disease in rural and regional Australia, where reported prevalence of CAM use is higher. METHODS: Data were from the Whyalla Intergenerational Study of Health, a population representative cross sectional study of 1146 people recruited in 2008–2009. Self-reported chronic disease diagnosis and health service use including CAM use were collected. Complementary and other medicines were recorded at a clinic visit in a reduced sample (n = 722) and SF36 data were collected by questionnaire. RESULTS: Around 32% of respondents reported complementary medicine use and 27% CAM service use. There was no difference in the overall prevalence of CAM use among those with and without a chronic disease (OR 0.9, 95% CI 0.7–1.3). Greater age- and sex-adjusted use of complementary medicines was associated with the ability to save money (OR 1.75, 95% CI 1.17–2.63), but not with any other socioeconomic position indicator. Those who reported using prescribed medication were more likely to report using complementary medicines (OR 2.09, 95% CI 1.35–3.24). CONCLUSIONS: The prevalence of CAM use in this regional community appeared lower than reported in similar communities outside of South Australia. Mainstream medicine use was associated with complementary medicine use, increasing the risk of an adverse drug interaction. This suggests that doctors and pharmacists should be aware of the possibility that their clients may be using complementary medicines, and the need for vigilance regarding potential side effects and interactions between complementary and mainstream therapies. WHAT IS KNOWN ABOUT THIS TOPIC?: The prevalence of complementary and alternative therapy use in Australian rural and regional communities is high relative to urban communities. WHAT DOES THIS PAPER ADD?: The prevalence of complementary and alternative therapy use in a regional South Australian community is lower than reported elsewhere. In this community, mainstream medicine use was associated with an increased chance of complementary medicine use. WHAT ARE THE IMPLICATIONS FOR PRACTITIONERS?: Doctors and pharmacists should be aware of the possibility that their clients may be using complementary medicines, and the need for vigilance regarding potential side effects and interactions between complementary and mainstream therapies.
Keywords: Humans
Chronic Disease
Complementary Therapies
Polypharmacy
Health Surveys
Risk Factors
Cross-Sectional Studies
Age Distribution
Sex Distribution
Herb-Drug Interactions
Socioeconomic Factors
Adult
Middle Aged
Educational Status
Cost Savings
South Australia
Female
Male
Prescription Drugs
Self Report
Rights: © CSIRO 2013
DOI: 10.1071/AH11130
Grant ID: http://purl.org/au-research/grants/nhmrc/511345
Appears in Collections:Aurora harvest 4
Rural Clinical School publications

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