The Use of Complementary and Alternative Medicine in the USA

Main Category: Public Health
Article Date: 08 Aug 2004 - 12:00 PDT


Americans are using complementary and alternative medicine (CAM). But, it is often asked, how many Americans? What therapies are they using? For what health problems and concerns?

The most comprehensive and reliable findings to date on Americans' use of CAM were released in May 2004 by the National Center for Complementary and Alternative Medicine (NCCAM) and the National Center for Health Statistics (NCHS, part of the Centers for Disease Control and Prevention). They came from the 2002 edition of the NCHS's National Health Interview Survey (NHIS), an annual study in which tens of thousands of Americans are interviewed about their health- and illness-related experiences. The 2002 edition included detailed questions on CAM. It was completed by 31,044 adults aged 18 years or older from the U.S. civilian noninstitutionalized population.

What Is CAM?

CAM is a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine--that is, medicine as practiced by holders of M.D. (medical doctor) or D.O. (doctor of osteopathy) degrees and their allied health professionals, such as physical therapists, psychologists, and registered nurses.a

In CAM, complementary medicine is used together with conventional medicine, and alternative medicine is used in place of conventional medicine. While some scientific evidence exists regarding some CAM therapies, for most there are key questions that are yet to be answered through well-designed scientific studies--questions such as whether these therapies are safe and whether they work for the diseases or medical conditions for which they are used.

The list of what is considered to be CAM changes continually, as those therapies that are proven to be safe and effective become adopted into conventional health care and as new approaches to health care emerge.

The Five Domains of CAM

-- Alternative medical systems are built upon complete systems of theory and practice. Often, these systems have evolved apart from and earlier than the conventional medical approach used in the United States.

-- Biologically based therapies use substances found in nature, such as herbs, special diets, or vitamins (in doses outside those used in conventional medicine).

-- Energy therapies involve the use of energy fields, such as magnetic fields or biofields (energy fields that some believe surround and penetrate the human body).

-- Manipulative and body-based methods are based on manipulation or movement of one or more body parts.

-- Mind-body medicine uses a variety of techniques designed to enhance the mind's ability to affect bodily function and symptoms.

MORE......National Center for Alternative and Complementary Medicine, NIH, USA

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