{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T13:42:34Z","timestamp":1790343754190,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,3,30]],"date-time":"2012-03-30T00:00:00Z","timestamp":1333065600000},"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":["Health Services Research"],"published-print":{"date-parts":[[2012,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To test the association between delays in utilization of conventional medical care and complementary and alternative medicine (<jats:styled-content style=\"fixed-case\">CAM<\/jats:styled-content>) utilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Source<\/jats:title><jats:p>The 2007 National Health Interview Survey, a cross\u2010sectional nationally representative study of adults aged 18\u00a0years and older.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Using zero\u2010inflated regression models, delays in utilizing conventional care due to organizational inaccessibility are examined to determine whether delays are associated with both the decision to try <jats:styled-content style=\"fixed-case\">CAM<\/jats:styled-content> and the number of <jats:styled-content style=\"fixed-case\">CAM<\/jats:styled-content> types used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>Individuals have significantly higher odds using provider\u2010based <jats:styled-content style=\"fixed-case\">CAM<\/jats:styled-content> types if they delayed seeking conventional care due to organizational inaccessibility (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.63). Individuals use significantly more types of both provider\u2010based (<jats:styled-content style=\"fixed-case\">IRR<\/jats:styled-content>\u00a0=\u00a01.35) and non\u2010provider\u2010based (<jats:styled-content style=\"fixed-case\">IRR<\/jats:styled-content>\u00a0=\u00a01.49) <jats:styled-content style=\"fixed-case\">CAM<\/jats:styled-content> if they delayed seeking conventional care due to organizational inaccessibility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Individuals who delay seeking conventional medical care are more likely to use <jats:styled-content style=\"fixed-case\">CAM<\/jats:styled-content> and use more types of <jats:styled-content style=\"fixed-case\">CAM<\/jats:styled-content>. The current structure of the conventional health care system may have created barriers that can make conventional health care inaccessible. Individuals who face these barriers appear to be pushed not only into trying <jats:styled-content style=\"fixed-case\">CAM<\/jats:styled-content> but using a greater number of <jats:styled-content style=\"fixed-case\">CAM<\/jats:styled-content> types, a finding not in previous research.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1475-6773.2012.01406.x","type":"journal-article","created":{"date-parts":[[2012,4,3]],"date-time":"2012-04-03T13:52:24Z","timestamp":1333461144000},"page":"2081-2096","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Delays in Seeking Conventional Medical Care and Complementary and Alternative Medicine Utilization"],"prefix":"10.1111","volume":"47","author":[{"given":"Stephanie L.","family":"Ayers","sequence":"first","affiliation":[{"name":"Arizona State University Southwest Interdisciplinary Research Center 411\u00a0N. Central Ave. Suite 720 Phoenix AZ 85004\u20100693"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennie J.","family":"Kronenfeld","sequence":"additional","affiliation":[{"name":"Arizona State University Sociology Program School of Social and Family Dynamics P.O. Box 873701 Tempe AZ 85287\u20103701"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,3,30]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/acm.2005.11.s-67"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.279.19.1548"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0893-3200.21.4.726"},{"issue":"3","key":"e_1_2_7_5_1","first-page":"234","article-title":"Bridging the Gap between Conventional and Alternative Medicine: Results of a Qualitative Study of Patients and Providers","volume":"49","author":"Barrett B.","year":"2000","journal-title":"The Journal of Family Practice"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/107555303771952271"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/14768320500444216"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721706290435"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511814365"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-101-1-105"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.7.651"},{"issue":"4","key":"e_1_2_7_12_1","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1056\/NEJM199301283280406","article-title":"Unconventional Medicine in the United States: Prevalence, Costs, and Patterns of Use","volume":"328","author":"Eisenberg D. 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