A systematic search of the existing literature utilizing different databases, including PubMed/Medline, PSYNDEX, and PsycLit has been conducted, to research the use and acceptance of CAM among the general population and medical personnel. A special focus on CAM-referring literature was set by limiting the PubMed search to “Complementary Medicine” and adding two other search engines: CAMbase and CAMRESEARCH . These engines were used to reveal publications that at the time of the review were not indexed in PubMed.
The authors found a higher utilization of homeopathy and acupuncture in German-speaking countries. The data demonstrate that chiropractic manipulation, herbal medicine, massage, and homeopathy were the therapies most commonly used by the general population. More users were women, middle aged, and more educated. CAM users have more active coping styles and are more interested in making treatment decisions.
The studies examined 10 different countries, including Austria, Switzerland, Germany, Denmark, Italy, Great Britain, Canada, USA, Australia and South Korea. Between 5% and 74.8% of the population uses CAM, the average prevalence being 32.2%. The data also demonstrate an increase of CAM usage from 1990 through 2006 in all countries investigated. For instance in Germany surveys show a steady increase of CAM utilization since 1970. In 1970 about 14% of respondents had used some form of CAM over the past 3 months; this amount doubled to 28% in 1997 and ascended to 34% in 2002. However in India it is more then 50%.
More users were women, middle aged, and more educated. The ailments most often associated with CAM utilization included back pain or pathology, depression, insomnia, severe headache or migraine, and stomach or intestinal illnesses. Medical students were the most critical toward CAM. Compared to students of other professions (ie, nursing students: 44.7%, pharmacy students: 18.2%), medical students reported the least consultation with a CAM practitioner (10%).
The authors cite several other studies which concluded that the large majority of physicians had received no education in CAM but did want some education on the subject. Although knowledge levels were low, half of physicians believed in the efficacy of CAM. A majority felt that CAM should be taught as a topic course during a medical student’s training (medical students 84%, GPs 75%, hospital doctors 60%).
Frass M, Strassl RP, Friehs H, Müllner M, Kundi M, Kaye AD (2012) Use and acceptance of complementary and alternative medicine among the general population and medical personnel: a systematic review. Ochsner Journal, 12:45-56.[PubMed]