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http://dx.doi.org/10.5393/JAMCH.2013.38.1.025

Utilization Behaviour and Influencing Factors of Complementary and Alternative Medicine Therapies Among the Elderly  

Moon, Gi-Won (Department of Alternative Medicine Graduate School, Kyonggi University)
Kim, Jun-Ho (Department of Health Industry Promotion, Korea Health Industry Development Institute)
Kim, Chun-Bae (Department of Preventive Medicine, Yonsei University Wonju College of Medicine)
Publication Information
Journal of agricultural medicine and community health / v.38, no.1, 2013 , pp. 25-38 More about this Journal
Abstract
Objectives: The aim of this study is to analyze the utilization behaviour and influencing factors of complementary and alternative medicine (CAM) therapies among elderly people with chronic diseases. Methods: The study population was selected among 9 welfare facilities for the aged in 2 cities among Daegu Metropolitan City & Gyeongsangnam Province by two-stage cluster sampling. 250 senior citizens participated in a face-to-face interview using a structured questionnaire. Logistic regression analysis was performed to examine the association between the utilization of CAM therapies and various characteristics of the elderly. All statistics were analyzed using the PASW (ver 18.0). Results: Among 233 elderly peoples, 70.4% (164 persons) had used various kinds of CAM therapies (including nutritional methods, pharmacologic and biologic treatments, etc.) more than once during the last year. 48.8% (64 persons) ~ 60.7% (88 persons) of the elderly used CAM therapies without health and medical experts' counsel. The elderly with perceptions of CAM therapy used it 2 times more than those without knowledge of CAM therapies. The number of chronic diseases was more likely to increase the usage of nutritional methods (OR=2.92, 95% CI: 1.07-7.97), manipulative and body-based practices (OR=5.85, 95% CI: 1.97-17.34), pharmacologic and biologic treatments (OR=2.92, 95% CI: 1.49-8.17). Elderly with diabetes used nutritional methods 3.76 (95% CI: 1.49-9.47) more than elderly without diabetes. Conclusions: CAM therapies use in the aged with chronic diseases appears common. The findings suggest that the clinical efficacy and safety of CAM therapies on medical management of chronic disease may be investigated and that patient-physician communication need to be strengthened.
Keywords
Aged; Complementary Therapies; Utilization;
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Times Cited By KSCI : 9  (Citation Analysis)
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