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National Center for Chronic Disease Prevention and Health Promotion
Division of Adult and Community Health
Health Care and Aging Studies Branch
Arthritis Program
Mailstop K-51
4770 Buford Highway NE
Atlanta, GA 30341-3724
Phone: 770.488.5464
Fax: 770.488.5964
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CDC-Funded Science
Complementary and Alternative Medicine Use in Arthritis
Funding Number
U48/CCU409660 SIP 4-00
Project Description
Use of complementary and alternative medicine (CAM) among people with
arthritis is believed to be common, but little is know about
characteristics that influence the use of CAM. The primary goal of this
project was to explore CAM use among persons diagnosed with the three
most common forms of arthritis (osteoarthritis [OA], rheumatoid
arthritis [RA], fibromyalgia) from specialty and
primary care settings. Ninety eight types of CAM were clustered into 8 categories
such as rubs and creams, special diets, nutritional supplements, and
mind/body therapies. Two thousand one hundred forty three individuals being followed in North Carolina
specialty or primary care clinics completed a written survey on their
use of 8 categories of CAM. Eighty percent of the sample was white, 79% were
female, and average age was 57.
Key Findings
- Disability (as measured by the
Health Assessment Questionnaire disability index) was the
health status measure associated with the use of the most CAM
categories.
- Pain, helplessness, and medical skepticism were also associated
with multiple categories of CAM use.
- Being female was associated with CAM use in 6 of the 8 CAM
categories, even after adjustment for health status.
- People with arthritis in rural areas, and those with lower
education levels were less likely to use most forms of CAM.
- Older age was associated with use of vitamins and supplements;
younger age was associated with rubs and CAM providers.
- 71% of people who reported using some form of CAM reported
discussing it with their doctor.
Abstracts, Publications, Presentations
Sheyn Y, Callahan LF, Mielenz T, Jordan J, Sloane P. Patterns
of Complementary and Alternative Care Provider Use by Patients of
Family Physicians Subspecialists. Manuscript in preparation.
Sleath B, Callahan LF, DeVellis R, Sloane PD. Primary care
physicians’ participatory decision-making style and communication about
complementary and alternative medicine for arthritis. Complementary and
Alternative Medicine, in press, 2005, 22 pages.
Sleath B, Callahan LF, DeVellis R, Sloane PD. Primary care
physicians’ participatory decision-making style and communication
about complementary and alternative medicine for arthritis.
Complementary and Alternative Medicine, in press, 2005, 22 pages.
Callahan LF, Mielenz T, Sloane P, DeVellis R, Sleath B. Health
status correlates with complementary and alternative medicine (CAM)
use in 2143 individuals with arthritis. Arthritis Rheum 2004: 50;9,
S696.
Mielenz T, Callahan LF, Sloane P, DeVellis R, Sleath B.
Associations between age, sex, marital status, race, education, and
urban/rural status with complementary and alternative medicine (CAM)
use in 2143 individuals with arthritis. Arthritis Rheum 2004: 50;9,
S696.
Mielenz TJ, Callahan LF.
Prediction
and Utilization of CAM Movement Therapies by Patients with
Arthritis. PT 2005: The Annual Conference and Exposition
of the APTA, June 11, 2005, Boston, MA.
Principal Investigator
Leigh F. Callahan, Ph.D.
University of North Carolina at Chapel Hill
leighcal@medicineexch.med.unc.edu
Back to Funded Science
Page last reviewed: June 4, 2008
Page last modified: July 11, 2006
Content Source: Division of
Adult and Community Health,
National Center for Chronic Disease Prevention and Health Promotion
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