Abstract
AimTo investigate the factors predicting adolescent visits to practitioners of complementary and alternative medicine (CAM).MethodsA longitudinal cohort study conducted in an adolescent total population in Central Norway (The Nord-Trøndelag Health Studies (HUNT)). In Young-HUNT 1, all inhabitants aged 13 to 19 years (N = 8944, 89% response rate) were invited to participate, and the youngest group (13 to 15 year olds) was surveyed again 4 years later (Young-HUNT 2, N = 2429, 82% response rate). The participants completed a comprehensive questionnaire on health and life style which included a question regarding visits to a CAM practitioner in the last 12 months.ResultsOne in eleven (8.7%, 95%CI 7.6-9.8%) had visited a CAM practitioner, an increase of 26% in 4 years (1.8% points). The final multivariable analysis predicted increased odds of an adolescent becoming a CAM visitor four years later (p<0.05) if she or he had previously visited a CAM practitioner (adjOR 3.4), had musculoskeletal pain (adjOR 1.5), had migraine (adjOR 2.3), used asthma medicines (adjOR 1.8) or suffered from another disease lasting more than three months (adjOR 2.1). Being male predicted reduced odds of visiting a CAM practitioner in the future (adjOR 0.6).ConclusionWe can conclude from this study that future visits to a CAM practitioner are predicted by both predisposing factors (being female, having visited a CAM practitioner previously) and medical need factors (having had musculoskeletal pain, migraine, used asthma medicines or experienced another disease lasting more than three months). None of the specific variables associated with CAM visits were predictive for CAM visits four years later.
Highlights
Most research on the utilisation of complementary and alternative medicine (CAM) has focused on the adult population [1]
Prevalence of CAM visits One in fourteen (6.9%, 95% confidence interval (95% CI) 5.9–7.9%) had visited a CAM
Future visits to a CAM practitioner were predicted by being female, having visited a CAM practitioner previously, having had musculoskeletal pain, use of asthma medicines, experience of migraine or another disease lasting more than three months
Summary
Most research on the utilisation of complementary and alternative medicine (CAM) has focused on the adult population [1]. It is estimated that the paediatric population in the USA used 127 million dollars visiting CAM practitioners in 1996 [5]. Most studies on CAM consumption in adolescents are based on cross sectional studies [6]. These provide valuable insights into the factors that are associated with CAM use, but have limited value in identifying whether such factors contribute to the initiation of CAM use, are consequences of CAM use, or are not directly causally related to CAM use at all. We have only been able to identify one longitudinal study of CAM use in adolescents, which surveyed parents of 182 adolescents with juvenile idiopathic arthritis [7]
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