Complementary and Alternative Medicine Use in Musculoskeletal Disorders: Does Medical Skepticism Matter?
2007

Complementary and Alternative Medicine Use in Musculoskeletal Disorders

Sample size: 2140 publication 10 minutes Evidence: moderate

Author Information

Author(s): Wiley-Exley Elizabeth K, Mielenz Thelma J, Norton Edward C, Callahan Leigh F

Primary Institution: University of North Carolina (UNC) School of Public Health

Hypothesis

Increased medical skepticism is associated with higher use of complementary and alternative medicine (CAM) among individuals with musculoskeletal disorders.

Conclusion

Medical skepticism is linked to increased use of CAM, especially among patients seeing specialists.

Supporting Evidence

  • 88% of the sample used some form of CAM for their musculoskeletal disorders.
  • Increased skepticism was associated with CAM use in both specialist and non-specialist groups.
  • Individuals seeing specialists had slightly lower skepticism scores but used more CAM types.

Takeaway

People who doubt traditional medicine are more likely to try alternative treatments for their joint pain, especially if they see a specialist.

Methodology

Data were collected from a cross-sectional survey of patients with musculoskeletal disorders, comparing those seeing specialists and non-specialists.

Potential Biases

Potential misinterpretation of survey questions could lead to inaccurate reporting of CAM use.

Limitations

Income and area of residence were not included in the model, and the study was cross-sectional, limiting causal inferences.

Participant Demographics

Participants were mostly women (77-80%), aged 19 to 97, with a significant portion having some college education.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI [1.01 - 1.70]

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.2174/1874312900701010005

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