[Omeo33] Art 1017 - Amb Ped, 2004, 4 (5), 429-435

[Gino Santini]

Visits to Complementary and Alternative Medicine Providers by Children  
and Adolescents in the United States
Susan M. Yussman, Sheryl A. Ryan, Peggy Auinger MS and Michael Weitzman

Objective.—Determine the prevalence, patterns, costs, and predictors  
of visits to complementary and alternative medicine (CAM) providers  
and subsequent remedy use in a nationally representative pediatric  
sample.
Methods.—The 1996 Medical Expenditure Panel Survey provided data on  
7371 subjects ≤21 years of age. The primary outcome variable was CAM  
provider visits as defined by consulting a CAM provider “for health  
reasons.” Predictors included sociodemographics, family resources,  
health status, parental CAM use, and perceptions and use of  
conventional medical care. Bivariate analyses and logistic regression  
determined independent factors associated with CAM use.
Results.—Overall, 2.0% used CAM. Only 12.3% disclosed this use to  
their usual source of care (USC). The most common providers were  
chiropractors and clergy or spiritualists. The most common therapies  
were herbal remedies and spiritual healing. Mean amount spent per  
person on CAM visits was $73.40 and on remedies was $13.06. Weighted  
estimates to the national pediatric population of annual expenditures  
on CAM visits and remedies were $127 million and $22 million,  
respectively. Significant factors independently associated with CAM  
visits were female gender, older age, good and very good perceived  
physical health as compared with excellent health, parental CAM use,  
and dissatisfaction with the quality of care received from the USC.
Conclusions.—Two percent of parents reported that their children  
consulted a CAM provider and rarely disclosed this use to their USC.  
While dissatisfaction with the quality of care by the USC and less  
good perceived physical health predicted CAM visits, parental CAM use  
was the most predictive.

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