Herbal and Dietary Supplement Disclosure to Health Care Providers by Individuals with Chronic Conditions
Open accessAbstract
BACKGROUND: Very little is known about herbal and dietary supplement disclosure in adults with chronic medical conditions, especially on a national level. OBJECTIVE: To examine herbal and dietary supplement disclosure to conventional health care providers by adults with chronic medical conditions. DESIGN: Data on herbal and dietary supplement use (N = 5456 users) in the previous year were used from the 2002 National Health Interview Survey. Bi-variable analyses compared characteristics between herbal and dietary supplement disclosers and nondisclosers. Multivariable logistic regression identified independent correlates of herbal and dietary supplement disclosure. RESULTS: Overall, only 33% of herbal and dietary supplement users reported disclosing use of herbal and dietary supplements to their conventional health care provider. Among herbal and dietary supplement users with chronic conditions, less than 51% disclosed use to their conventional health care provider. Hispanic (adjusted odds ratio and 95% confidence interval = 0.70 [0.52, 0.94]) and Asian American (adjusted odds ratio and 95% confidence interval = 0.54 [0.33, 0.89]) adults were much less likely than non-Hispanic white Americans to disclose herbal and dietary supplement use. Having less than a high school education (adjusted odds ratio and 95% confidence interval = 0.61 [0.45, 0.82]) and not having insurance (adjusted odds ratio and 95% confidence interval = 0.77 [0.59, 1.00]) were associated with being less likely to disclose herbal and dietary supplement use. CONCLUSION: Herbal and dietary supplement disclosure rates are low, even among adults with chronic conditions. These findings raise concerns about the safety of herbal and dietary supplements in combination with allopathic care. Future studies should focus on educating physicians about crosscultural care as well as eliciting information about herbal and dietary supplement use.
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Individuals with chronic medical conditions who access healthcare more frequently and who are managed with prescription drugs have a higher likelihood of disclosure, but the rate is still less than 50%.
“Although they reported that individuals with chronic medical conditions who access healthcare more frequently and who are managed with prescription drugs have a higher likelihood of disclosure, the rate is still less than 50% [14].”
From Suspected cholinergic toxicity due to cevimeline hydrochloride and Bacopa monnieri interaction: a case report (2022) · cites this paper as [14]
Patients may not disclose use of herbal supplements to their clinicians.
“Of note, patients may not disclose use of herbal supplements to their clinicians.”
From Suspected cholinergic toxicity due to cevimeline hydrochloride and Bacopa monnieri interaction: a case report (2022) · cites this paper as [14]
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“Although they reported that individuals with chronic medical conditions who access healthcare more frequently and who are managed with prescription drugs have a higher likelihood of disclosure, the rate is still less than 50% [14].”
Background
- Authors
- Mehta, D. H., Gardiner, P. M., Phillips, R. S., & McCarthy, E. P.
- Affiliations
- Harvard University (US)
- Boston University (US)
- Beth Israel Deaconess Medical Center (US)
- Corresponding author
- Mehta, Darshan H.
- Venue
- The Journal of Alternative and Complementary Medicine
- Publisher
- SAGE Publications
- Published
- 2008-12
- Volume
- 14
- Issue
- 10
- Pages
- 1263-1269
- ISSN
- 1075-5535 (ISSN-L)
- 1557-7708
- PMC
- PMC2787410
- OpenAlex
- W2015531058
- Cited by
- 140
- References
- 35
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 7 · 2023: 6 · 2022: 8 · 2021: 7 · 2020: 5 · 2019: 15 · 2018: 8 · 2017: 8 · 2016: 6 · 2015: 8 · 2014: 12 · 2013: 14 · 2012: 10
- FWCI
- 15.62
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Alternative and Complementary Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
- Funders
- National Institutes of Health
- National Center for Complementary and Alternative Medicine
- National Center for Complementary and Integrative Health (K24AT000589, T32AT00051-06, R03AT002236, T32AT000051)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Keywords
- herbal supplements, dietary supplements, disclosure to healthcare providers, chronic disease, patient-provider communication, Hispanic adults, educational attainment, health insurance, cross-cultural care, National Health Interview Survey
- MeSH terms
- Adult, Aged, Complementary Therapies, Asian, Attitude to Health, Black or African American, Chronic Disease, Female, Health Status, Hispanic or Latino, Humans, Health Knowledge, Attitudes, Practice, Life Style, Male, Middle Aged, Patient Acceptance of Health Care, Surveys and Questionnaires, Socioeconomic Factors, United States, Dietary Supplements, Disclosure, White People
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