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Factors Associated with the Use of Complementary and Alternative Medicine for Korean Patients with Rheumatoid Arthritis

Authors
 Minkyung Han  ;  Yoon-Kyoung Sung  ;  Soo-Kyung Cho  ;  Dam Kim  ;  Soyoung Won  ;  Chan-Bum Choi  ;  So-Young Bang  ;  Hoon-Suk Cha  ;  Jung-Yoon Choe  ;  Won Tae Chung  ;  Seung-Jae Hong  ;  Jae-Bum Jun  ;  Young Ok Jung  ;  Seong-Kyu Kim  ;  Tae-Hwan Kim  ;  Eunmi Koh  ;  Hye-Soon Lee  ;  Jisoo Lee  ;  Joo-Hyun Lee  ;  Shin-Seok Lee  ;  Seong-Su Nah  ;  Seung-Cheol Shim  ;  Dae-Hyun Yoo  ;  Wan-Hee Yoo  ;  Bo Young Yoon  ;  Sun Ha Jee  ;  Sang-Cheol Bae 
Citation
 JOURNAL OF RHEUMATOLOGY, Vol.42(11) : 2075-2081, 2015 
Journal Title
 JOURNAL OF RHEUMATOLOGY 
ISSN
 0315-162X 
Issue Date
2015
MeSH
Acupuncture Therapy/methods ; Adult ; Age Factors ; Aged ; Analysis of Variance ; Arthritis, Rheumatoid/diagnosis* ; Arthritis, Rheumatoid/therapy* ; Cohort Studies ; Complementary Therapies/methods* ; Complementary Therapies/statistics & numerical data* ; Female ; Follow-Up Studies ; Homeopathy/methods ; Humans ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Odds Ratio ; Patient Preference ; Phytotherapy/methods ; Predictive Value of Tests ; Republic of Korea ; Risk Assessment ; Severity of Illness Index ; Sex Factors ; Treatment Outcome
Keywords
COMPLEMENTARY AND ALTERNATIVE MEDICINE ; DEPRESSION ; HOUSEHOLD ; RHEUMATOID ARTHRITIS ; SEX
Abstract
OBJECTIVE: Rheumatoid arthritis (RA) is a chronic autoimmune disease that is often painful and debilitating. Patients with RA are increasingly receiving complementary and alternative medicine (CAM). We aimed to identify the patient characteristics and disease-specific factors associated with Korean patients with RA who decide to start treatment with CAM. METHODS: Among the total 5371 patients with RA in the KORean Observational study Network for Arthritis (KORONA), 2175 patients who had no experience with CAM were included in our study. In our study, we assessed the frequency of new incident CAM use, its patterns, and the predictive factors of new CAM use. RESULTS: Of the 2175 patients, 229 patients (10.5%) newly started receiving CAM within a year of enrolling in the cohort. Of those who started treatment with CAM, 17.0% received only herbal medicine, 54.6% only acupuncture treatments (7.0% used a combination of both), and 21.4% "Other" (e.g., physical therapy and placental extract injections). Women (OR 1.89, 95% CI 1.13-3.14) and patients with depression (OR 3.52, 95% CI 1.65-7.50) were significantly more likely to be treated with CAM. Regarding household types, patients who lived in an extended family (OR 1.78, 95% CI 1.08-2.95) or as part of a couple (OR 1.55, 95% CI 1.07-2.24) were more likely to be treated with CAM than patients living in a nuclear family. CONCLUSION: Our study found, within a year, an incidence rate of 10.5% for new CAM use among patients with no previous experience with CAM. Sex, depression, and household type were significantly associated with new CAM use.
Full Text
http://www.jrheum.org/content/42/11/2075.long
DOI
10.3899/jrheum.141447
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Jee, Sun Ha(지선하) ORCID logo https://orcid.org/0000-0001-9519-3068
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/157119
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