Determinants of the degree of complementary and alternative medicine use among patients with cancer
Abstract
OBJECTIVES: This study explored the use of complementary and alternative medicine (CAM) by degree of use (nonuse, light, moderate, and heavy) by patients with cancer as it relates to sociodemographic and disease characteristics, subjective well-being, and dissatisfaction with the health care system. DESIGN AND PARTICIPANTS: One hundred and forty-three (143) patients with cancer of Asian, Caucasian, and Pacific Islander ethnicities originally recruited through the state-wide population-based Hawaii Tumor Registry and interviewed approximately 3 years postdiagnosis. OUTCOME MEASURES: This study introduced a multidimensional measure, degree of CAM use, to rank participants by quantity of CAMs used as well as frequency, intensity, and breadth of use. Predictor variables explored were sociodemographic variables, disease site, quality-of-life measures, satisfaction with conventional treatment and physicians, satisfaction with medical information, and perceived severity of illness. RESULTS: Heavier CAM use was related to being female, Caucasian, having more education, having breast cancer, and having greater symptoms of nausea and vomiting. Heavier use was also associated with lower doctor satisfaction and a greater perception of disease severity. Sociodemographic and clinical variables accounted for the largest proportion of the variance in degree of use, but subjective well-being and health care satisfaction provided incremental increases in the variance explained. CONCLUSIONS: This study is one of few studies exploring predictors for the quantity or degree of use of CAM by patients with cancer. Understanding factors related to these patients' heavier or lighter CAM use has implications for health care offerings and cancer treatment decision-making.
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Individuals affected by cancer are increasingly turning to complementary and integrative medicine, including mindfulness practices.
“To help cope with the distress associated with the diagnosis, disease symptoms, and treatment, individuals affected by cancer are increasingly turning to complementary and integrative medicine [27–30], including mindfulness practices.”
From Being present: A single-arm feasibility study of audio-based mindfulness meditation for colorectal cancer patients and caregivers (2018) · cites this paper as [27]
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- Authors
- Shumay, D. M., Maskarinec, G., Gotay, C. C., Heiby, E. M., & Kakai, H.
- Affiliations
- University of Hawaiʻi at Mānoa (US)
- Venue
- The Journal of Alternative and Complementary Medicine
- Publisher
- SAGE Publications
- Published
- 2002-10
- Volume
- 8
- Issue
- 5
- Pages
- 661-671
- ISSN
- 1075-5535 (ISSN-L)
- 1557-7708
- OpenAlex
- W2126725295
- Cited by
- 99
- References
- 37
- Citations by year
- 2022: 2 · 2020: 2 · 2019: 3 · 2018: 2 · 2017: 4 · 2016: 6 · 2015: 6 · 2014: 3 · 2013: 2 · 2012: 5
- FWCI
- 10.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Alternative and Complementary Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Hawaii Community Foundation
- National Institutes of Health (n01pc067001-013)
- National Cancer Institute (N01 PC67001)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Complementary and alternative medicine › Medical Research and Treatments
- Keywords
- complementary and alternative medicine, cancer patients, predictors of CAM use, health care satisfaction, physician satisfaction, perceived illness severity, quality of life, nausea and vomiting, sociodemographic factors, breast cancer, cancer treatment decision-making
- MeSH terms
- Adult, Complementary Therapies, Attitude to Health, Female, Hawaii, Humans, Health Knowledge, Attitudes, Practice, Life Style, Male, Middle Aged, Neoplasms, Patient Acceptance of Health Care, Personal Satisfaction, Quality of Life, Surveys and Questionnaires, Sex Factors, Health Behavior
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