Context. - A prior national survey documented the high prevalence and costs of alternative medicine use in the United States in 1990.
- To document trends in alternative medicine use in the United States between 1990 and 1997.
- Nationally representative random household telephone surveys using comparable key questions were conducted in 1991 and 1997 measuring utilization in 1990 and 1997, respectively.
- A total of 1539 adults in 1991 and 2055 in 1997.
- Prevalence, estimated costs, and disclosure of altemative therapies to physicians.
- Use of at least 1 of 16 alternative therapies during the previous year increased from 33.8% in 1990 to 42.1% in 1997 (P<=. 001).
The therapies increasing the most included herbal medicine, massage, megavitamins, self-help groups, folk remedies, energy healing, and homeopathy.
The probability of users visiting an alternative medicine practitioner increased from 36.3% to 46.3% (P=002).
In both surveys altemative therapies were used most frequently for chronic conditions, including back problems, anxiety, depression, and headaches.
There was no significant change in disclosure rates between the 2 survey years ; 39.8% of alternative therapies were disclosed to physicians in 1990 vs 38.5% in 1997.
The percentage of users paying entirely out-of-pocket for services provided by altemative medicine practitioners did not change significantly between 1990 (64.0%) and 1997 (58. (...)
Mots-clés Pascal : Médecine parallèle, Utilisation, Prévalence, Analyse coût, Epidémiologie, Evolution, Homme, Economie santé, Système santé, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Alternative medicine, Use, Prevalence, Cost analysis, Epidemiology, Evolution, Human, Health economy, Health system, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0001334
Code Inist : 002B30A01B. Création : 31/05/1999.