Conventional and Complementary Healthcare Utilization Among US Adults With Cardiovascular Disease or Cardiovascular Risk Factors: A Nationally Representative Survey
Background Cardiovascular diseases (CVDs) and their risk factors need guideline‐oriented treatment to provide the best benefit for patients. These guidelines include recommendations for regular checkups, realized by general medical practitioners. In addition, individuals with CVD or CVD risk factors...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-05-01
|
| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.119.014759 |
| _version_ | 1828313872283467776 |
|---|---|
| author | Wiebke Kathrin Kohl Gustav Dobos Holger Cramer |
| author_facet | Wiebke Kathrin Kohl Gustav Dobos Holger Cramer |
| author_sort | Wiebke Kathrin Kohl |
| collection | DOAJ |
| description | Background Cardiovascular diseases (CVDs) and their risk factors need guideline‐oriented treatment to provide the best benefit for patients. These guidelines include recommendations for regular checkups, realized by general medical practitioners. In addition, individuals with CVD or CVD risk factors tend to use complementary methods for their condition. There is limited information on the association between complementary healthcare utilization and the adherence to recommended conventional health care. Methods and Results In this cross‐sectional analysis of the nationally representative 2017 National Health Interview Survey (n=26 742; response rate 80.7%) we examined the prevalence of conventional and complementary healthcare utilization within the past 12 months in individuals with CVD and/or CVD risk factors and the interactions between the two categories of health care. Of all participants, 38.1% reported risk factors for CVD and 11.4% a CVD diagnosis (groups show an overlap). Overall prevalence of visits to conventional and complementary medicine providers and the use of mind–body medicine was high within the population analyzed. Individuals with CVD and/or CVD risk factors using complementary health care were as likely or more likely to consult general practitioners (CVD: adjusted odds ratio [aOR], 1.17; 95% CI, 0.93–1.47; CVD risk: aOR, 1.21; 95% CI, 1.05–1.39) and medical specialists (CVD: aOR, 1.38; 95% CI, 1.17–1.64; CVD risk: aOR, 1.42; 95% CI, 1.28–1.58) than those not using complementary health care. Those using complementary health care were as likely to adhere to medical checkup as those not using complementary health care. Conclusions Complementary healthcare utilization use was not associated with a reduced adherence to conventional health care and recommended checkups. The potential positive association of complementary and conventional healthcare utilization needs to be confirmed in further studies. |
| first_indexed | 2024-04-13T16:36:44Z |
| format | Article |
| id | doaj.art-f1d393f6b2eb4fa0a6182b12738f21d1 |
| institution | Directory Open Access Journal |
| issn | 2047-9980 |
| language | English |
| last_indexed | 2024-04-13T16:36:44Z |
| publishDate | 2020-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj.art-f1d393f6b2eb4fa0a6182b12738f21d12022-12-22T02:39:25ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802020-05-019910.1161/JAHA.119.014759Conventional and Complementary Healthcare Utilization Among US Adults With Cardiovascular Disease or Cardiovascular Risk Factors: A Nationally Representative SurveyWiebke Kathrin Kohl0Gustav Dobos1Holger Cramer2Department of Internal and Integrative Medicine Evangelische Kliniken Essen‐Mitte Faculty of Medicine University of Duisburg‐Essen Essen GermanyDepartment of Internal and Integrative Medicine Evangelische Kliniken Essen‐Mitte Faculty of Medicine University of Duisburg‐Essen Essen GermanyDepartment of Internal and Integrative Medicine Evangelische Kliniken Essen‐Mitte Faculty of Medicine University of Duisburg‐Essen Essen GermanyBackground Cardiovascular diseases (CVDs) and their risk factors need guideline‐oriented treatment to provide the best benefit for patients. These guidelines include recommendations for regular checkups, realized by general medical practitioners. In addition, individuals with CVD or CVD risk factors tend to use complementary methods for their condition. There is limited information on the association between complementary healthcare utilization and the adherence to recommended conventional health care. Methods and Results In this cross‐sectional analysis of the nationally representative 2017 National Health Interview Survey (n=26 742; response rate 80.7%) we examined the prevalence of conventional and complementary healthcare utilization within the past 12 months in individuals with CVD and/or CVD risk factors and the interactions between the two categories of health care. Of all participants, 38.1% reported risk factors for CVD and 11.4% a CVD diagnosis (groups show an overlap). Overall prevalence of visits to conventional and complementary medicine providers and the use of mind–body medicine was high within the population analyzed. Individuals with CVD and/or CVD risk factors using complementary health care were as likely or more likely to consult general practitioners (CVD: adjusted odds ratio [aOR], 1.17; 95% CI, 0.93–1.47; CVD risk: aOR, 1.21; 95% CI, 1.05–1.39) and medical specialists (CVD: aOR, 1.38; 95% CI, 1.17–1.64; CVD risk: aOR, 1.42; 95% CI, 1.28–1.58) than those not using complementary health care. Those using complementary health care were as likely to adhere to medical checkup as those not using complementary health care. Conclusions Complementary healthcare utilization use was not associated with a reduced adherence to conventional health care and recommended checkups. The potential positive association of complementary and conventional healthcare utilization needs to be confirmed in further studies.https://www.ahajournals.org/doi/10.1161/JAHA.119.014759cardiovascular diseasescomplementary therapieshealth surveymind–body therapies |
| spellingShingle | Wiebke Kathrin Kohl Gustav Dobos Holger Cramer Conventional and Complementary Healthcare Utilization Among US Adults With Cardiovascular Disease or Cardiovascular Risk Factors: A Nationally Representative Survey Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease cardiovascular diseases complementary therapies health survey mind–body therapies |
| title | Conventional and Complementary Healthcare Utilization Among US Adults With Cardiovascular Disease or Cardiovascular Risk Factors: A Nationally Representative Survey |
| title_full | Conventional and Complementary Healthcare Utilization Among US Adults With Cardiovascular Disease or Cardiovascular Risk Factors: A Nationally Representative Survey |
| title_fullStr | Conventional and Complementary Healthcare Utilization Among US Adults With Cardiovascular Disease or Cardiovascular Risk Factors: A Nationally Representative Survey |
| title_full_unstemmed | Conventional and Complementary Healthcare Utilization Among US Adults With Cardiovascular Disease or Cardiovascular Risk Factors: A Nationally Representative Survey |
| title_short | Conventional and Complementary Healthcare Utilization Among US Adults With Cardiovascular Disease or Cardiovascular Risk Factors: A Nationally Representative Survey |
| title_sort | conventional and complementary healthcare utilization among us adults with cardiovascular disease or cardiovascular risk factors a nationally representative survey |
| topic | cardiovascular diseases complementary therapies health survey mind–body therapies |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.119.014759 |
| work_keys_str_mv | AT wiebkekathrinkohl conventionalandcomplementaryhealthcareutilizationamongusadultswithcardiovasculardiseaseorcardiovascularriskfactorsanationallyrepresentativesurvey AT gustavdobos conventionalandcomplementaryhealthcareutilizationamongusadultswithcardiovasculardiseaseorcardiovascularriskfactorsanationallyrepresentativesurvey AT holgercramer conventionalandcomplementaryhealthcareutilizationamongusadultswithcardiovasculardiseaseorcardiovascularriskfactorsanationallyrepresentativesurvey |