Differences in demographics and complementary and alternative medicine use between patients attending integrative kampo versus biomedical clinics in Japan

Citation metadata

Publisher: Elsevier B.V.
Document Type: Report
Length: 437 words

Document controls

Main content

Abstract :

Keywords Complementary and alternative medicine; Healthcare access; Integrative medicine; Kampo; Patient-centered care Highlights * Self-help CAM use did not differ between Kampo and non-Kampo patients, suggests no pro-CAM orientation among Kampo patients. * Kampo patients went to Kampo physicians for health maintenance more than non-Kampo patients. * CAM use showed OR1 for income, social status, married, and recruited from Kampo clinic. * Poor health may drive use of CAM, while higher income may allow use of CAM, raising issues of access and equity. Abstract Objectives Growing interest in integrative medicine motivates examination of who seeks integrative care, and why. By examining differences in demographics and complementary and alternative medicine (CAM) use between patients recruited from Japanese Kampo (traditional herbal medicine) versus biomedical clinics, this study aimed to identify whether integrative medicine options might attract different patients. Design and setting In this cross-sectional, observational study we administered the International Complementary and Alternative Medicine-Questionnaire (I-CAM-Q) to 209 patients recruited from four hospital clinics. Demographics, use of different types of CAM (self-help CAM, CAM practitioners, CAM products), and motivations were compared between Kampo and Non-Kampo patients and by gender. Factors influencing attendance at the Kampo clinic and CAM use were identified using logistic regression. Results While some demographic characteristics, CAM provider and total CAM use differed between Kampo and non-Kampo patients, self-help CAM use did not. Motivations (for acute, long-term, health maintenance, or other reasons) differed between Kampo and non-Kampo clinic patients for going to non-Kampo physicians (P = 0.02) and Kampo physicians (P = 0.1). Logistic regression results for 'any CAM' use showed odds ratio of 0.32 (95%CI 0.15-0.67) for self-rated health, and 1.60 (95%CI 1.10--2.32) for Macarthur subjective social status scale. Attendance at the Kampo clinic showed odds ratios of 1.50 (95%CI 1.11--2.02) for education and 0.56 (95%CI 0.39-0.80) for employment status. Conclusions Better understanding of factors such as motivation, self-rated health, and socioeconomic conditions that influence patients' CAM use and integrative clinic attendance may enable more effective targeting of populations and integration of CAM into biomedical settings. Author Affiliation: (a) Department of Anthropology, College of Arts and Sciences and College of Health Sciences, University of Delaware, Newark, DE, 19716, United States; Member, CIFAR (b) Center for Kampo Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo, 160-8582, Japan (c) University of Pennsylvania Health System, Philadelphia, PA, 19104, United States * Corresponding author at: Department of Anthropology, University of Delaware, Newark, DE, 19716, United States. Article History: Received 6 January 2019; Revised 1 June 2019; Accepted 3 June 2019 Byline: Melissa K. Melby [mmelby@udel.edu] (a,*), Tetsuhiro Yoshino (b), Dunia Tonob (c), Yuko Horiba (b), Kenji Watanabe (b)

Source Citation

Source Citation   

Gale Document Number: GALE|A598935082