Use of Complementary and Alternative Medicine Among Men with Prostate Cancer in a Rural Setting
- 232 Downloads
The purpose of this study was to examine the prevalence and predictors of complementary and alternative medicine (CAM) use among rural patients with localized prostate cancer. The study also examined the participants’ disclosure of CAM use to their physicians. Baseline and 6-month follow-up data were taken from a study examining the factors that influence treatment choice and quality of life among men diagnosed with and being treated for localized prostate cancer residing in rural southwest Georgia (N = 321). A total of 291 participants were interviewed at baseline and 6-month follow-up. Findings: At baseline, 26.4% reported ever using CAM. Among them, dietary supplements were the most commonly used (75%), and 56% of patients did not disclose their CAM use to their physicians. At 6-month follow-up, 11% of the study sample reported using CAM since starting treatment (half of these were new users). The proportions of CAM users who reported taking dietary supplements after treatment were significantly lower than the corresponding proportions before treatment. CAM use after treatment was more common among those who selected surgery and watchful waiting. While 44% of the sample disclosed using CAM to their doctors before treatment, 61% after treatment began (P = 0.05). We found that CAM use after cancer treatment in this population was markedly less common than in nationally reported data for cancer patients. In line with national patterns, younger and more educated rural patients were significantly more likely to have ever used CAM and to use it after treatment.
KeywordsProstate cancer Cancer Complementary and alternative medicine
This publication was supported by Cooperative Agreement Number SIP 25-04 (Grant 3 U48 DP000043-01S1) from the Centers for Disease Control and Prevention. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
- 4.Barnes, P., Powell-Griner, E., McFann, K., & Nahin, R. (2002) CDC Advance Data Report #343. Complementary and alternative medicine use among adults: United States.Google Scholar
- 9.Percentages of adults aged 18 and over who use complementary and alternative medicine (CAM), by selected diseases and conditions and sex—National Health Interview Survey, United States, 2007. Morbidity and Mortality Weekly Report, 2008; 57(35), 971.Google Scholar
- 20.Cuellar, N., Aycock, T., Cahill, B., & Ford, J. (2003). Complementary and alternative medicine (CAM) use by African American (AA) and Caucasian American (CA) older adults in a rural setting: a descriptive, comparative study. BMC Complementary and Alternative Medicine, 3, 8.PubMedCrossRefGoogle Scholar
- 25.American Cancer Society. (2009). Cancer Facts & Figures 2009. Atlanta: American Cancer Society.Google Scholar