Use of traditional and complementary medicine among Norwegian cancer patients in the seventh survey of the Tromsø study

Abstract Background Traditional and complementary medicine (T&CM) is commonly used by cancer patients in Northern Norway, in particular spiritual forms like traditional healing. T&CM is mainly used complementary to conventional cancer treatment and is rarely discussed with conventional healt...

Full description

Bibliographic Details
Main Authors: Agnete Egilsdatter Kristoffersen, Trine Stub, Ann Ragnhild Broderstad, Anne Helen Hansen
Format: Article
Language:English
Published: BMC 2019-11-01
Series:BMC Complementary and Alternative Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12906-019-2762-7
_version_ 1818965935307882496
author Agnete Egilsdatter Kristoffersen
Trine Stub
Ann Ragnhild Broderstad
Anne Helen Hansen
author_facet Agnete Egilsdatter Kristoffersen
Trine Stub
Ann Ragnhild Broderstad
Anne Helen Hansen
author_sort Agnete Egilsdatter Kristoffersen
collection DOAJ
description Abstract Background Traditional and complementary medicine (T&CM) is commonly used by cancer patients in Northern Norway, in particular spiritual forms like traditional healing. T&CM is mainly used complementary to conventional cancer treatment and is rarely discussed with conventional health care providers, increasing the risk of negative interaction with conventional cancer care. The aim of this study was to investigate the use of T&CM among cancer patients in Tromsø, and to investigate the differences in T&CM use between people living with cancer, people with cancer previously, and people without a history of cancer. Method Data was drawn from the seventh survey of the Tromsø study conducted in 2015–2016. All inhabitants of Tromsø aged 40 and above were invited to participate (n = 32,591) of whom n = 21,083 accepted the invitation (response rate 65%). Data was collected thorough three self-administered questionnaires and a comprehensive clinical examination. Pearson chi-square tests, Fisher exact tests and one-way ANOVA tests were used to describe differences between the groups while binary logistic regressions were used for adjusted values. Results Eight percent of the participants (n = 1636) reported to have (n = 404) or have had (n = 1232) cancer. Of the participants with cancer at present 33.4% reported use of T&CM within the last year, 13.6% had consulted a T&CM provider, 17.9% had used herbal medicine/natural remedies and 6.4% had practiced self-help techniques. The participants with cancer at present were more likely to have visited a T&CM provider than participants with cancer previously (13.6% vs. 8.7%, p = 0.020). Among the participants with cancer at present, 6.4% reported to have consulted a TM provider, 5.8% had consulted an acupuncturist, while 4.7% had consulted other CM providers. Women were significantly more likely than men to have used acupuncture and self-help techniques. No significant gender differences were found regarding visits to other CM providers, TM providers nor use of herbal medicine/natural remedies. Conclusion The findings are in line with previous research suggesting that both men and women use TM complementary to other CM modalities outside the official health care system. As herbal medicine might interact with conventional cancer treatment, health care providers need to discuss such use with their patients.
first_indexed 2024-12-20T13:24:54Z
format Article
id doaj.art-934005e6fe144044a7faed0c606d75d3
institution Directory Open Access Journal
issn 1472-6882
language English
last_indexed 2024-12-20T13:24:54Z
publishDate 2019-11-01
publisher BMC
record_format Article
series BMC Complementary and Alternative Medicine
spelling doaj.art-934005e6fe144044a7faed0c606d75d32022-12-21T19:39:17ZengBMCBMC Complementary and Alternative Medicine1472-68822019-11-0119111310.1186/s12906-019-2762-7Use of traditional and complementary medicine among Norwegian cancer patients in the seventh survey of the Tromsø studyAgnete Egilsdatter Kristoffersen0Trine Stub1Ann Ragnhild Broderstad2Anne Helen Hansen3National Research Center in Complementary and Alternative Medicine (NAFKAM), Department of Community Medicine, Faculty of Health Science, UiT The Arctic University of NorwayNational Research Center in Complementary and Alternative Medicine (NAFKAM), Department of Community Medicine, Faculty of Health Science, UiT The Arctic University of NorwayCentre for Sami Health Research, Department of Community Medicine, Faculty of Health Science, UiT The Arctic University of NorwayCentre for Quality Improvement and Development, University Hospital of North NorwayAbstract Background Traditional and complementary medicine (T&CM) is commonly used by cancer patients in Northern Norway, in particular spiritual forms like traditional healing. T&CM is mainly used complementary to conventional cancer treatment and is rarely discussed with conventional health care providers, increasing the risk of negative interaction with conventional cancer care. The aim of this study was to investigate the use of T&CM among cancer patients in Tromsø, and to investigate the differences in T&CM use between people living with cancer, people with cancer previously, and people without a history of cancer. Method Data was drawn from the seventh survey of the Tromsø study conducted in 2015–2016. All inhabitants of Tromsø aged 40 and above were invited to participate (n = 32,591) of whom n = 21,083 accepted the invitation (response rate 65%). Data was collected thorough three self-administered questionnaires and a comprehensive clinical examination. Pearson chi-square tests, Fisher exact tests and one-way ANOVA tests were used to describe differences between the groups while binary logistic regressions were used for adjusted values. Results Eight percent of the participants (n = 1636) reported to have (n = 404) or have had (n = 1232) cancer. Of the participants with cancer at present 33.4% reported use of T&CM within the last year, 13.6% had consulted a T&CM provider, 17.9% had used herbal medicine/natural remedies and 6.4% had practiced self-help techniques. The participants with cancer at present were more likely to have visited a T&CM provider than participants with cancer previously (13.6% vs. 8.7%, p = 0.020). Among the participants with cancer at present, 6.4% reported to have consulted a TM provider, 5.8% had consulted an acupuncturist, while 4.7% had consulted other CM providers. Women were significantly more likely than men to have used acupuncture and self-help techniques. No significant gender differences were found regarding visits to other CM providers, TM providers nor use of herbal medicine/natural remedies. Conclusion The findings are in line with previous research suggesting that both men and women use TM complementary to other CM modalities outside the official health care system. As herbal medicine might interact with conventional cancer treatment, health care providers need to discuss such use with their patients.https://doi.org/10.1186/s12906-019-2762-7CancerComplementary and alternative medicineCAMTraditional and complementary medicineT&CMComplementary therapies
spellingShingle Agnete Egilsdatter Kristoffersen
Trine Stub
Ann Ragnhild Broderstad
Anne Helen Hansen
Use of traditional and complementary medicine among Norwegian cancer patients in the seventh survey of the Tromsø study
BMC Complementary and Alternative Medicine
Cancer
Complementary and alternative medicine
CAM
Traditional and complementary medicine
T&CM
Complementary therapies
title Use of traditional and complementary medicine among Norwegian cancer patients in the seventh survey of the Tromsø study
title_full Use of traditional and complementary medicine among Norwegian cancer patients in the seventh survey of the Tromsø study
title_fullStr Use of traditional and complementary medicine among Norwegian cancer patients in the seventh survey of the Tromsø study
title_full_unstemmed Use of traditional and complementary medicine among Norwegian cancer patients in the seventh survey of the Tromsø study
title_short Use of traditional and complementary medicine among Norwegian cancer patients in the seventh survey of the Tromsø study
title_sort use of traditional and complementary medicine among norwegian cancer patients in the seventh survey of the tromso study
topic Cancer
Complementary and alternative medicine
CAM
Traditional and complementary medicine
T&CM
Complementary therapies
url https://doi.org/10.1186/s12906-019-2762-7
work_keys_str_mv AT agneteegilsdatterkristoffersen useoftraditionalandcomplementarymedicineamongnorwegiancancerpatientsintheseventhsurveyofthetromsøstudy
AT trinestub useoftraditionalandcomplementarymedicineamongnorwegiancancerpatientsintheseventhsurveyofthetromsøstudy
AT annragnhildbroderstad useoftraditionalandcomplementarymedicineamongnorwegiancancerpatientsintheseventhsurveyofthetromsøstudy
AT annehelenhansen useoftraditionalandcomplementarymedicineamongnorwegiancancerpatientsintheseventhsurveyofthetromsøstudy