Use of Provider-Based Complementary and Alternative Medicine by Adult Smokers in the United States: Comparison from the 2002 and 2007 NHIS Survey

Abstract

Purpose.

To provide a snapshot of provider-based complementary and alternative medicine (pbCAM) use among adult smokers and assess the opportunity for these providers to deliver tobacco cessation interventions.

Design.

Cross-sectional analysis of data from the 2002 and 2007 National Health Interview Surveys.

Setting.

Nationally representative sample.

Subjects.

A total of 54,437 (31,044 from 2002; 23,393 from 2007) adults 18 years and older.

Measures.

The analysis focuses on 10 types of pbCAM, including acupuncture, Ayurveda, biofeedback, chelation therapy, chiropractic care, energy therapy, folk medicine, hypnosis, massage, and naturopathy.

Analysis.

The proportions of current smokers using any pbCAM as well as specific types of pbCAM in 2002 and 2007 are compared using SAS SURVEYLOGISTIC.

Results.

Between 2002 and 2007, the percentage of recent users of any pbCAM therapy increased from 12.5% to 15.4% (p = .001). The largest increases occurred in massage, chiropractic, and acupuncture. Despite a decrease in the national average of current smokers (22.0% to 19.4%; p = .001), proportions of smokers within specific pbCAM disciplines remained consistent.

Conclusion.

Complementary and alternative medicine (CAM) practitioners, particularly those in chiropractic, acupuncture, and massage, represent new cohorts in the health care community to promote tobacco cessation. There is an opportunity to provide brief tobacco intervention training to CAM practitioners and engage them in public health efforts to reduce the burden of tobacco use in the United States.

Keywords

Smoking Acupuncture Massage Chiropractic Training Tobacco Use Cessation Prevention Research Manuscript format: research Research purpose: descriptive Study design: nonexperimental Outcome measure: behavioral Setting: national Health focus: smoking control Strategy: skill building/behavior change,policy Target population: adults Target population circumstances: education/income level,race/ethnicity

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References

CDC . Smoking-attributable mortality, years of potential life lost, and productivity losses—United States, 2000–2004. MMWR Morb Mortal Wkly Rep. 2008;57:1226–1228.

CDC . Current cigarette smoking among adults—United States, 2011. MMWR Morb Mortal Wkly Rep. 2012;61:889–894.

Fiore

Jaen

Baker

. Treating Tobacco Use and Dependence: 2008 Update. Rockville, Md: US Dept of Health and Human Services, Public Health Service; 2008.

Stead

Lancaster

. Combined pharmacotherapy and behavioural interventions for smoking cessation. Cochrane Database Syst Rev. 2012;(10):CD008286.

Schnoll

Rukstalis

Wileyto

Shields

. Smoking cessation treatment by primary care physicians: An update and call for training. Am J Prev Med. 2006;31:233–239.

Curry

Orleans

Keller

Fiore

. Promoting smoking cessation in the healthcare environment: 10 years later. Am J Prev Med. 2006;31:269–272.

Hughes

Keely

Naud

. Shape of the relapse curve and long-term abstinence among untreated smokers. Addiction. 2004;99:29–38.

Carson

Verbiest

Crone

. Training health professionals in smoking cessation. Cochrane Database Syst Rev. 2012;(5):CD000214.

Lancaster

Silagy

Fowler

. Training health professionals in smoking cessation. Cochrane Database Syst Rev. 2007;(1):CD000214.

10.

Rosseel

Jacobs

Hilberink

. Experienced barriers and facilitators for integrating smoking cessation advice and support into daily dental practice. A short report. Br Dent J. 2011;210:E10.

11.

Gordon

Mahabee-Gittens

. Development of a Web-based tobacco cessation educational program for pediatric nurses and respiratory therapists. J Contin Educ Nurs. 2011;42:136–144.

12.

Gordon

Istvan

Haas

. Tobacco cessation via doctors of chiropractic: Results of a feasibility study. Nicotine Tob Res. 2010;12:305–308.

13.

Barnes

Bloom

Nahin

. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Rep. 2008;(12):1–23.

14.

Arcury

Suerken

Grzywacz

. Complementary and alternative medicine use among older adults: Ethnic variation. Ethn Dis. 2006;16:723–731.

15.

Arcury

Bell

Snively

. Complementary and alternative medicine use as health self-management: Rural older adults with diabetes. J Gerontol B Psychol Sci Soc Sci. 2006;61:S62–S70.

16.

Grzywacz

Suerken

Neiberg

. Age, ethnicity, and use of complementary and alternative medicine in health self-management. J Health Soc Behav. 2007;48:84–98.

17.

Lundy

Morgan

Rhoads

KVL

Bay

. Hispanic and Anglo patients' reported use of alternative medicine in the medical clinic context. Complement Health Pract Rev. 2001;6:205–217.

18.

Zhang

Jones

Ragain

. Complementary and alternative medicine use among primary care patients in west Texas. South Med J. 2008;101:1232–1237.

19.

Wootton

Andrew

. Complementary and alternative medicine usage: A review of general population trends and specific patient populations. Semin Integr Med. 2003;1:10–24.

20.

Steinsbekk

Launso

. Empowering the cancer patient or controlling the tumor? A qualitative study of how cancer patients experience consultations with complementary and alternative medicine practitioners and physicians, respectively. Integr Cancer Ther. 2005;4:195–200.

21.

Rupert

. A survey of practice patterns and the health promotion and prevention attitudes of US chiropractors. Maintenance care: Part I. J Manipulative Physiol Ther. 2000;23:1–9.

22.

Hawk

Ndetan

Evans

Jr . Potential role of complementary and alternative health care providers in chronic disease prevention and health promotion: An analysis of National Health Interview Survey data. Prev Med. 2012;54:18–22.

23.

Wen

Cheung

SYC

. Treatment of drug addiction by acupuncture and electrical stimulation. Asian Med J. 1973;9:138–141.

24.

2002 National Health Interview Survey, Public Use Data Release: NHIS Survey Description [database online]. Atlanta, Ga: Centers for Disease Control and Prevention, National Center for Health Statistics; 2003.

25.

2007 National Health Interview Survey, Public Use Data Release: NHIS Survey Description [database online]. Atlanta, Ga: Centers for Disease Control and Prevention, National Center for Health Statistics; 2008.

26.

National Center for Health Statistics . Data file documentation, National Health Interview Survey, 2002 [machine-readable data file and documentation]. Hyattsville, Md: National Center for Health Statistics, Centers for Disease Control and Prevention; 2003.

27.

National Center for Health Statistics . Data file documentation, National Health Interview Survey, 2007 [machine-readable data file and documentation]. Hyattsville, Md: National Center for Health Statistics, Centers for Disease Control and Prevention; 2008.

28.

National Center for Health Statistics . Design and estimation for the National Health Interview Survey, 1995–2004. Vital Health Stat 2. 2000;(130):1–31.

29.

Wanchai

Armer

Stewart

. Complementary and alternative medicine use among women with breast cancer: A systematic review. Clin J Oncol Nurs. 2010;14:E45–E55.

30.

US Dept of Health and Human Services . Healthy People 2020. Available at: http://healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=41. Accessed June 15, 2012.

31.

US Dept of Health and Human Services . Healthy People 2010. Available at: http://healthypeople.gov/2010/hp2020/Objectives/TopicArea.aspx?id=47&TopicArea=Tobacco+Use. Accessed June 15, 2012.