{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T08:43:20Z","timestamp":1773305000410,"version":"3.50.1"},"reference-count":47,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,5,9]],"date-time":"2019-05-09T00:00:00Z","timestamp":1557360000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The use of complementary and alternative medicine (CAM) therapies have been reported for the management of arthritis. However, little is known about CAM use among adults with self\u2010reported doctor\u2010diagnosed arthritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine (1) the prevalence and type of CAM use, (2) the difference in characteristics between CAM users and non\u2010CAM users, and (3) the factors related to CAM use, among U.S. adults with self\u2010reported doctor\u2010diagnosed arthritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Secondary analysis of the 2012 National Health Interview Survey (NHIS) data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>The NHIS is a cross\u2010sectional survey that gathers health\u2010related data on the civilian, noninstitutionalized U.S. population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>The NHIS 2012 uses a complex, multistage sampling design and oversamples minorities to achieve population representation; it included 34\u2009525 adults, with 7179 adults having arthritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were analyzed using Stata 15.1 survey syntax. The potential factors related to CAM use included sociodemographics and health\u2010related characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measurements<\/jats:title><jats:p>CAM modalities were categorized into six groups: natural products, manipulative therapies, mind\u2010body therapies, special diets, movement therapies, and other practitioner\u2010based CAM modalities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the adults with arthritis, 2428 (weighted estimate of 36.2% of U.S. adult population) had used CAM within the last year. Adults with arthritis reported greater use of CAM than those without, particularly the use of natural products, manipulative therapies and other practitioner\u2010based CAM modalities. Factors associated with higher CAM use included being female, residing in regions other than the U.S. South, having a college degree or higher, reporting very good\/excellent self\u2010rated health status, and having current symptoms of joint stiffness\/pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>As more than one\u2010third of U.S. adults with arthritis seek CAM therapies, open and nonjudgmental conversations between conventional medicine providers, CAM providers, and patients should be encouraged to ensure patient health care needs are being met.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>III<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.12124","type":"journal-article","created":{"date-parts":[[2019,2,7]],"date-time":"2019-02-07T02:48:47Z","timestamp":1549507727000},"page":"1059-1069","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Complementary and Alternative Medicine Use by U.S. Adults with Self\u2010Reported Doctor\u2010Diagnosed Arthritis: Results from the 2012 National Health Interview Survey"],"prefix":"10.1002","volume":"11","author":[{"given":"Yan","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine Texas Tech University Health Sciences Center  Lubbock TX"},{"name":"Australian Research Centre in Complementary and Integrative Medicine (ARCCIM) Faculty of Health, University of Technology Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeff A.","family":"Dennis","sequence":"additional","affiliation":[{"name":"Department of Public Health Texas Tech University Health Sciences Center  Lubbock TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felicity L.","family":"Bishop","sequence":"additional","affiliation":[{"name":"Australian Research Centre in Complementary and Integrative Medicine (ARCCIM) Faculty of Health, University of Technology Sydney  Sydney Australia"},{"name":"Faculty of Social Human and Mathematical Sciences University of Southampton  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Cramer","sequence":"additional","affiliation":[{"name":"Australian Research Centre in Complementary and Integrative Medicine (ARCCIM) Faculty of Health, University of Technology Sydney  Sydney Australia"},{"name":"Department of Internal and Integrative Medicine, Kliniken Essen\u2010Mitte, Faculty of Medicine University of Duisburg\u2010Essen  Essen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Leach","sequence":"additional","affiliation":[{"name":"Australian Research Centre in Complementary and Integrative Medicine (ARCCIM) Faculty of Health, University of Technology Sydney  Sydney Australia"},{"name":"Department of Rural Health University of South Australia  Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Romy","family":"Lauche","sequence":"additional","affiliation":[{"name":"Australian Research Centre in Complementary and Integrative Medicine (ARCCIM) Faculty of Health, University of Technology Sydney  Sydney Australia"},{"name":"Department of Integrative and Complementary Medicine Sozialstiftung  Bamberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Sundberg","sequence":"additional","affiliation":[{"name":"Australian Research Centre in Complementary and Integrative Medicine (ARCCIM) Faculty of Health, University of Technology Sydney  Sydney Australia"},{"name":"Musculoskeletal &amp; 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