Alternative Medicine Use by Homeless Youth

Breuner, Cora Collette; Barry, Paul; Kemper, Kathi J.

doi:10.1001/archpedi.152.11.1071

Cited by 86 publications

(48 citation statements)

References 23 publications

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“…44,[102][103][104][105][106] In Seattle, Washington, 70% of homeless adolescents reported using some form of CAM, 22 and among 9th-and 12th-grade students in Massachusetts, herbal remedies were used by up to 20% of respondents. 107 In a survey of New York teenagers, the most frequently used therapies were massage, prayer or faith healing, herbs, vitamins, performance-enhancing supplements, and special exercises.…”

Section: Adolescentsmentioning

confidence: 99%

The Use of Complementary and Alternative Medicine in Pediatrics

Kemper¹,

Vohra²,

Walls³

2008

Pediatrics

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279

185

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The American Academy of Pediatrics is dedicated to optimizing the well-being of children and advancing family-centered health care. Related to these goals, the American Academy of Pediatrics recognizes the increasing use of complementary and alternative medicine in children and, as a result, the need to provide information and support for pediatricians. From 2000 to 2002, the American Academy of Pediatrics convened and charged the Task Force on Complementary and Alternative Medicine to address issues related to the use of complementary and alternative medicine in children and to develop resources to educate physicians, patients, and families. One of these resources is this report describing complementary and alternative medicine services, current levels of utilization and financial expenditures, and associated legal and ethical considerations. The subject of complementary and alternative medicine is large and diverse, and consequently, an in-depth discussion of each method of complementary and alternative medicine is beyond the scope of this report. Instead, this report will define terms; describe epidemiology; outline common types of complementary and alternative medicine therapies; review medicolegal, ethical, and research implications; review education and training for complementary and alternative medicine providers; provide resources for learning more about complementary and alternative medicine; and suggest communication strategies to use when discussing complementary and alternative medicine with patients and families.

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Section: Adolescentsmentioning

confidence: 99%

The Use of Complementary and Alternative Medicine in Pediatrics

Kemper¹,

Vohra²,

Walls³

2008

Pediatrics

Self Cite

279

185

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“…5 Estimates of pediatric CAM use range from 2% to 70%, depending on the type of treatment, time period, and study population, with greater use generally being reported in more recent surveys. [5][6][7][8][9][10][11][12][13][14][15][16][17] This raises a number of ethical issues, because parents are entrusted with making health care decisions on behalf of their children 18 and many individuals choose not to involve their allopathic physicians in this decision-making process. 19 Naturopathy is a popular CAM therapy, and licensing laws have been enacted in 12 US states and 4 Canadian provinces, although naturopaths also practice in jurisdictions that have no licensing laws.…”

mentioning

confidence: 99%

Characteristics of Pediatric and Adolescent Patients Attending a Naturopathic College Clinic in Canada

Wilson¹,

Busse

Gilchrist

et al. 2005

Pediatrics

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ABSTRACT. Objectives. The use of complementary and alternative medicine (CAM) has grown substantially in North America and has drawn the attention of conventional-medicine practitioners. Conventional-medicine practitioners have expressed concern about the potential for unregulated CAM therapies to cause harm, the sometimes-uncertain cost-benefit ratios associated with these therapies, and the possibility that some CAM providers might advise against established conventional therapies, such as vaccination. These concerns are heightened with respect to the pediatric use of CAM products. To address this issue, we conducted a systematic audit of pediatric and adolescent case files at a large, college-based, Canadian naturopathic teaching clinic. We specifically sought to describe the demographic characteristics, reasons for presentation, use of CAM products, and vaccinations status of children presenting for naturopathic assessment. We also determined factors associated with the use of CAM products and vaccination status.Methods. We identified all charts for children (<18 years of age) who presented to the Robert Schad Naturopathic Clinic, the teaching clinic of the Canadian College of Naturopathic Medicine, between February 1 and May 31, 2002. Data were abstracted directly from the standardized patient intake forms and from clinical notes recorded during the patient's initial visit to the clinic. The following data were obtained: age, gender, chief presenting complaints reported by parents, CAM product use at presentation, vaccination status, and reactions to vaccination. We conducted logistic regression analyses to identify factors associated with both CAM product use and vaccination status.Results. A total of 482 charts were identified. The mean age of patients was 6.5 years (95% confidence interval [CI]: 1.6 -11.4 years). The ratio of female subjects to male subjects was 1.09:1 (248:227). The most common reasons for presentation were skin disorders (23%), gastrointestinal complaints (17%), and psychiatric/behavioral disorders (15%). Thirty-five percent of children were using CAM products at presentation (21.2% when both vitamins and minerals were excluded). Vitamins were the most commonly used products (34.6%), followed by herbal remedies (14.9%), oil blends/fats (7.2%), minerals (5.6%), probiotics (4.5%), and homeopathic remedies (3.7%). Of charts with vaccination information, 8.9% indicated that children had not been vaccinated; possible vaccine-associated adverse events were reported for 27% of those who had been vaccinated.

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“…In a recent study conducted at The Hospital for Sick Children (27), more than 30% of adolescent girls who had been diagnosed with an eating disorder had used herbal supplements and other forms of alternative medicines to accelerate weight loss. Rates of NHP use are also high (70%) among homeless youth, many of whom suffer from chronic physical and mental health problems and who are disaffected by mainstream institutions (28). Additional information about CAM use in children with autism will be published in a future CPS statement.…”

Section: Use Of Nhps In Childrenmentioning

confidence: 99%