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May 20, 1998JAMA

Why Patients Use Alternative Medicine

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Authors

JAJohn A. AstinUniversity of Maryland, Baltimore

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Implication

Survey study finds alternative medicine adoption correlates with personal values and chronic symptoms in adults, indicating philosophical alignment drives usage rather than dissatisfaction.

Key Points

  • To evaluate demographic, clinical, and philosophical factors that predict the use of alternative healthcare therapies.
  • A written survey was administered to N=1035 individuals randomly selected from a nationwide panel in the United States (69% response rate).
  • Multiple logistic regression was conducted to test hypotheses regarding dissatisfaction with conventional medicine, personal autonomy, congruence with personal beliefs, and health status predicting alternative therapy use in the past year.
  • Alternative healthcare use was predicted by higher education (OR, 1.2; 95% CI, 1.1-1.3), poorer health status (OR, 1.3; 95% CI, 1.1-1.5), holistic health orientation (OR, 1.4; 95% CI, 1.1-1.9), and transformational life experiences (OR, 1.8; 95% CI, 1.3-2.5).
  • Specific chronic conditions significantly increased use: anxiety (OR, 3.1; 95% CI, 1.6-6.0), back problems (OR, 2.3; 95% CI, 1.7-3.2), chronic pain (OR, 2.0; 95% CI, 1.1-3.5), and urinary tract problems (OR, 2.2; 95% CI, 1.3-3.5).
  • Dissatisfaction with conventional medicine did not predict alternative therapy use, and only 4.4% of participants reported relying primarily on alternative treatments.

Cite This Study

John A. Astin (1998) studied this question.

synapsesocial.com/papers/69ffd29b6018b8d0892d9943https://doi.org/10.1001/jama.279.19.1548
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Alternative medicine and American religious life1990 · 89 citations
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  3. 3Why Do Patients Seek a Second Opinion or Alternative Medicine?1994 · 130 citations
  4. 4Patient Satisfaction and Change in Medical Care Provider: A Longitudinal Study1983 · 326 citations
  5. 5A Comparison of the Attitudes Shown by General Practitioners, Hospital Doctors and Medical Students towards Alternative Medicine1994 · 140 citations