Prevalence and Determinants of Traditional,Complementary and Alternative Medicine Provider Use among

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Objective:To estimate recent prevalence data (2011-2013) on traditional,complementary and alternative medicine (TCAM) provider use and sociodemographic and health related correlates in nationally representative population samples from 32 countries from all world regions.Methods:This secondary analysis was based on the Intemational Social Survey Program (ISSP),2011-2013,Health and Health Care Module.In a cross-sectional population-based survey (N=52,801),simple or multi-stage stratified random sampling was used,resulting in representative samples of the adult population of respective countries.Results:Overall,the 12-month TCAM provider use prevalence was 26.4%,ranging from under 10% in Bulgaria,Poland and Slovenia to over 50% in China mainland,the Philippines and Republic of Korea.Over 80% TCAM treatment satisfaction was found in Europe in Denmark,Slovenia,Spain and Switzerland,in Asia in Taiwan (China) and USA.Multivariate logistic regression found sociodemographic variables (middle age,female sex,lower educational status,not having a religious affiliation,and lower economic indicators) and health variables (perceived poor or fair health status,being unhappy and depressed,having a chronic condition or disability,and having positive attitudes towards TCAM) were associated with TCAM provider use.Conclusions:A high prevalence TCAM provider use was found in all world regions and several sociodemographic and health related factors of its use were identified.
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