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AGE AND USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE

Complementary and alternative medicines (CAM) are often obtained over the counter and not disclosed to health care practitioners—leading to possible unforeseen, harmful drug interactions. These concerns are especially true for older adults who have a high likelihood of experiencing multiple comorbid...

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Autores principales: Halpin, Sean N, Potapragaa, Nivedita R, Bergquist, Sharon H, Jarrett, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6845855/
http://dx.doi.org/10.1093/geroni/igz038.1842
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author Halpin, Sean N
Potapragaa, Nivedita R
Bergquist, Sharon H
Jarrett, Thomas
author_facet Halpin, Sean N
Potapragaa, Nivedita R
Bergquist, Sharon H
Jarrett, Thomas
author_sort Halpin, Sean N
collection PubMed
description Complementary and alternative medicines (CAM) are often obtained over the counter and not disclosed to health care practitioners—leading to possible unforeseen, harmful drug interactions. These concerns are especially true for older adults who have a high likelihood of experiencing multiple comorbidities. Yet few studies examine the patterns of CAM use and disclosure across a wide age range. We used a mixed-methods in a study on patient attitudes toward CAM in a large primary care setting. Participants (n=279) ranged in age from 21-85 (mean=58), were mostly white (75%), and had a bachelor’s degree or higher (83%). Most rated their physical health as good or very good (90%) and had a score of zero on the Charlson Comorbidity Index (76%). Use and disclosure of twelve types of CAM were assessed across three modalities including ingestible (e.g., herbs), psychological/mind-body (e.g., meditation), and physical (e.g., acupuncture). Age was not predictive of disclosure across the larger sample, but within respondents aged 65-85 (n=90), linear regression analyses showed likelihood of disclosure was associated with younger age, positive attitudes toward CAM, and expectation that their physician had positive attitudes about CAM. Semi-structured phone interviews (n=32) revealed older adults were more likely to have long-term CAM use, particularly for pain, and not feel it necessary to disclose to their physician. Meanwhile younger individuals reported trying CAM episodically for preventative health purposes. Understanding patterns of CAM use can help guide age-appropriate conversations and limit possible adverse outcomes from non-disclosure.
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spelling pubmed-68458552019-11-18 AGE AND USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE Halpin, Sean N Potapragaa, Nivedita R Bergquist, Sharon H Jarrett, Thomas Innov Aging Session 2385 (Poster) Complementary and alternative medicines (CAM) are often obtained over the counter and not disclosed to health care practitioners—leading to possible unforeseen, harmful drug interactions. These concerns are especially true for older adults who have a high likelihood of experiencing multiple comorbidities. Yet few studies examine the patterns of CAM use and disclosure across a wide age range. We used a mixed-methods in a study on patient attitudes toward CAM in a large primary care setting. Participants (n=279) ranged in age from 21-85 (mean=58), were mostly white (75%), and had a bachelor’s degree or higher (83%). Most rated their physical health as good or very good (90%) and had a score of zero on the Charlson Comorbidity Index (76%). Use and disclosure of twelve types of CAM were assessed across three modalities including ingestible (e.g., herbs), psychological/mind-body (e.g., meditation), and physical (e.g., acupuncture). Age was not predictive of disclosure across the larger sample, but within respondents aged 65-85 (n=90), linear regression analyses showed likelihood of disclosure was associated with younger age, positive attitudes toward CAM, and expectation that their physician had positive attitudes about CAM. Semi-structured phone interviews (n=32) revealed older adults were more likely to have long-term CAM use, particularly for pain, and not feel it necessary to disclose to their physician. Meanwhile younger individuals reported trying CAM episodically for preventative health purposes. Understanding patterns of CAM use can help guide age-appropriate conversations and limit possible adverse outcomes from non-disclosure. Oxford University Press 2019-11-08 /pmc/articles/PMC6845855/ http://dx.doi.org/10.1093/geroni/igz038.1842 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Session 2385 (Poster)
Halpin, Sean N
Potapragaa, Nivedita R
Bergquist, Sharon H
Jarrett, Thomas
AGE AND USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE
title AGE AND USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE
title_full AGE AND USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE
title_fullStr AGE AND USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE
title_full_unstemmed AGE AND USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE
title_short AGE AND USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE
title_sort age and use of complementary and alternative medicine
topic Session 2385 (Poster)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6845855/
http://dx.doi.org/10.1093/geroni/igz038.1842
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