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Alternative Therapy Used by Women

With Breast Cancer in Four Ethnic Populations

BACKGROUND: Interest in alternative therapies is growing rapidly in the United States. Researchers looked at the types and prevalence of conventional and alternative therapies used by women in four ethnic groups (Latino, white, black, and Chinese) diagnosed with breast cancer from 1990 through 1992 in San Francisco, CA, and explored factors influencing the choices of their therapies.

379 women were intereviewed via telephone in the language of their preference.

About one half of the women used at least one type of alternative therapy, and about one third used two types; most therapies were used for a duration of less than 6 months. Both the alternative therapies used and factors influencing the choice of therapy varied by ethnicity. Blacks most often used spiritual healing (36%), Chinese most often used herbal remedies (22%), and Latino women most often used dietary therapies (30%) and spiritual healing (26%). Among whites, 35% used dietary methods and 21% used physical methods, such as massage and acupuncture.

In general, women who had a higher educational level or income, were of younger age, had private insurance, and exercised or attended support groups were more likely to use alternative therapies. About half of the women using alternative therapies reported discussing this use with their physicians. More than 90% of the subjects found the therapies helpful and would recommend them to their friends.

CONCLUSIONS: Given the high prevalence of alternative therapies used in San Francisco by the four ethnic groups and the relatively poor communication between patients and doctors, physicians who treat patients with breast cancer should initiate dialogues on this topic to better understand patients' choices with regard to treatment options.

Journal of the National Cancer Institute January 5, 2000

Ann's NOTE: Research AGAIN confirms that many patients, regardless of ethnicity DO use alternative therapies. This study looked at use of alternative or complementary therapies from 1990-1992. Since then the use of these methods has grown. I am sure new studies will show greater use among all age groups and among all income levels.


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padPatient Use of Unconventional Therapy
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As reported at ASCO 2000 Ask or they do not tell
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CAM in Breast Ca Survivors: Nurses' Study
70+% Adults w/Cancer Use Alt Thrpies
Herbal Medicine-Elderly Hispanic/Non-Hispanic
Alternative Therapy Use: Elderly Afro-Am
Complementary, Alternative, Integrative or Unconventional Medicine?
CAM and Traditional Oncology
Cancer Pts Spend $500 Year:MORE Likely to Use Alt Med
Cancer Pts MORE Likely to Use Alternatives
CAM Use by Women Post/BCa Conventl Thrpy
Use of Alternative Therapy in a Randomized TRIAL
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padCAM, Integrative or Unconventional Med?
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The Oncologist (Schwartz Ctr Rounds) 10/01
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Alt Cures: "Unproven"/"Disproven"
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padFrom the Washington Post
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Why patients want "alternatives" June 2000
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padCAM and Pediatric Patients
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J Pediatr Hematol Oncol. 2000;22(5):412-416.
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padCancer Specialists Avoid Alt Therapies
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Danish survey finds docs last to want to know
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Oncology Profsls & Cancer Pts Communicate on CAM
Use of CAM By Brazilian Oncologists
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padPatient Track-abstract (presented at conferences)
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Join The Project in asking for randomized clinical trials
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padAlternative Medicine Used Worldwide
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Oncologists are concerned worldwide
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Survey of Canadian Patients Using CAM (66%)
Israeli Survey of CAM Users (called CT)
3/4 of UK reast Cancer Patients Use CAM
Use of Alternative/complementary Therapy in Breast ca Pts
Swedish Women and CAM Use
Attitudes of Pts w/Breast Ca & Prostate Ca and CAM
Attitudes Toward CAM in Finland
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padAs Quoted in Artemis, 2/3 Americans use CAM
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March 2001 Poll a Johns Hopkins publication
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padPatient's Need Information on Nutrition
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Doctors' Guide Report on Hawaiin Patient Survey 6/01
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padUse of Alt Med Not Rejection of MD's
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Reuters Health Article, July, 2001
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padPerceived Cancer Causes Use of CAM
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Cancer Practice, 7/19/01
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Complementary Med & Genetic Testing Program
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padPerceptions on CAM Among Adults Who Use Conventional & CAM
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Ann Intern Med, 9/01
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CAM for Breast Cancer
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padAlt Med &New Theories in Conv'l Med
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Annals of Internal Med 10/01
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padStudy on Dietary Supp Shows Bias & Misunderstanding
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healthynews.com, Arch Internal Medicine, 9/01
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Supplement Use Among Cancer Survivors:VITAL Study
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padMainstreaming CAM: Improving Studies
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The Scientist, Dec, 2001
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padUpdate on Natural Product-Drug Interactions
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Am J Health-Syst Pharm, 4/02 Not necessarily about cancer drugs
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Specific Natural Substances-Drug Interactions
References
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padCommunication Barriers:Pt Perspective
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Psycho-Oncology,5/02
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padDecision to Forgo Conventional Treatment
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Cancer Practice, 7/02
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padCAM During Cancer Treatment
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Cancer Control, 2002
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padInternet for Medical Info
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Psychosomatics, 4/03
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padPercptns/Attitudes/Clin Onc CAM: Japan
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Cancer, 5/03
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padAm Med Association Article Supports CAM
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Source: Tim Bolen, Consumer Advocate 11/03
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Wisconsin & Quackbusters
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padUse of Mind-Body Medical Therapies
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J Gen Internal Med, 1/04
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Cancer Supportive Care: Yoga, Massage, Qigong
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padKnowledge & Attitudes Toward CAM Among
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Eur J Cancer, 3/04
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padIntegrative Cancer Therapies Journal
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LINK to journal homepage
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padMedbio Journals
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LINK to many topics of journals in the alternative med world
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