Complementary medicine use by the Australian population: a critical mixed studies systematic review of utilisation, perceptions and factors associated with use

Zollman C, Vickers A. What is complementary medicine? BMJ (Clinical research ed). 1999;319(7211):693–6.

Andrews G, Adams J, Segrott J, Lui C. The Profile of Complementary and Alternative Medicine Users and Reasons for Complementary and Alternative Medicine Use. In: Adams J, Andrews G, Barnes J, Magin P, Broom A, editors. Traditional, Complementary and Integrative Medicine: An International Reader. London: Palgrave Macmillan; 2012.

Wardle J, Adams J, Magalhães Soares R, Sibbritt D. Distribution of complementary and alternative medicine (CAM) providers in rural New South Wales, Australia: a step towards explaining high CAM use in rural health? Aust J Rural Health. 2011;19(4):197–204.

Department of Health. The Review of the Australian Government Rebate on Private Health Insurance for Natural Therapies. Australian Government Department of Health and Ageing. 2015. http://www.health.gov.au/internet/main/publishing.nsf/Content/phi-natural-therapies . Accessed 11 May 2015.

National Health and Medical Research Council. Complementary medicines 2015. http://www.nhmrc.gov.au/health-topics/complementary-medicines . Accessed 4 Mar 2015.

Wardle J, Weir M, Marshall B, Archer E. Regulatory and legislative protections for consumers in complementary medicine: lessons from Australian policy and legal developments. European Journal of Integrative Medicine. 2014;6(4):423–33.

Parliament of Australia. Terms of Reference. 2015. http://www.aph.gov.au/Parliamentary_Business/Committees/House/Health/Chronic_Disease/Terms_of_Reference . Accessed 30 Oct 2015.

Australian Institute of Health and Welfare. National health priority areas 2015. http://www.aihw.gov.au/national-health-priority-areas/ . Accessed 14 May 2015.

National Health Priority Action Council. National Chronic Disease Strategy. Canberra: Australian Governement Department of Health and Ageing; 2006.

Australian Institute of Health and Welfare. Impact of rurality on health status. 2015. http://www.aihw.gov.au/rural-health-impact-of-rurality/ . Accessed 30 Oct 2015.

Thomas K, Coleman P. Use of complementary or alternative medicine in a general population in great Britain. Results from the national omnibus survey. Journal of public health (Oxford, England). 2004;26(2):152–7. doi: 10.1093/pubmed/fdh139 .

Bishop FL, Lewith GT. Who uses CAM? a narrative review of demographic characteristics and health factors associated with CAM use. Evidence-based complementary and alternative medicine : eCAM. 2010;7(1):11–28. doi: 10.1093/ecam/nen023 .

Laiyemo MA, Nunlee-Bland G, Lombardo FA, Adams RG, Laiyemo AO. Characteristics and health perceptions of complementary and alternative medicine users in the United States. The American journal of the medical sciences. 2014. doi: 10.1097/MAJ.0000000000000363 .

Chao MT, Wade CM. Socioeconomic factors and women’s use of complementary and alternative medicine in four racial/ethnic groups. Ethnicity & disease. 2008;18(1):65–71.

Wardle J, Lui CW, Adams J. Complementary and alternative medicine in rural communities: current research and future directions. J Rural Health. 2012;28(1):101–12. doi: 10.1111/j.1748-0361.2010.00348.x .

Bishop FL, Yardley L, Lewith GT. A systematic review of beliefs involved in the use of complementary and alternative medicine. J Health Psychol. 2007;12(6):851–67. doi: 10.1177/1359105307082447 .

Adams J, Sommers E, Robinson N. Public health and health services research in integrative medicine: an emerging, essential focus. European Journal of Integrative Medicine. 2013;5(1):1–3. http://www.sciencedirect.com/science/article/pii/S1876382012011225 .

Grant MJ, Booth A. A typology of reviews: an analysis of 14 review types and associated methodologies. Health Info Libr J. 2009;26(2):91–108. doi: 10.1111/j.1471-1842.2009.00848.x .

Steel A, Frawley J, Adams J, Diezel H. Trained or professional doulas in the support and care of pregnant and birthing women: a critical integrative review. Health & social care in the community. 2014. doi: 10.1111/hsc.12112 .

Steel A, Lucke J, Adams J. The prevalence and nature of the use of preconception services by women with chronic health conditions: an integrative review. BMC Women’s Health. 2015;15(1):14. doi: 10.1186/s12905-015-0165-6 .

Steel A, Lucke J, Adams J. The prevalence and nature of the use of preconception services by women with chronic health conditions: an integrative review. BMC Women’s Health. 2015;15(1):1–12. doi: 10.1186/s12905-015-0165-6 .

Adams J, Barbery G, Lui C-W. Complementary and alternative medicine use for headache and migraine: a critical review of the literature. Headache. 2013;53(3):459–73. doi: 10.1111/j.1526-4610.2012.02271.x .

Adams J, Lui CW, Sibbritt D, Broom A, Wardle J, Homer C, et al. Women’s use of complementary and alternative medicine during pregnancy: a critical review of the literature. Birth. 2009;36(3):237–45. doi: 10.1111/j.1523-536X.2009.00328.x .

Peng W, Adams J, Sibbritt DW, Frawley JE. Critical review of complementary and alternative medicine use in menopause: focus on prevalence, motivation, decision-making, and communication. Menopause. 2014;21(5):536–48. doi: 10.1097/GME.0b013e3182a46a3e .

Solomon D, Adams J. The use of complementary and alternative medicine in adults with depressive disorders. A critical integrative review. J Affect Disord. 2015;179:101–13.

Hoy D, Brooks P, Woolf A, Blyth F, March L, Bain C, et al. Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement. J Clin Epidemiol. 2012;65(9):934–9. doi: 10.1016/j.jclinepi.2011.11.014 .

Adams J, Sibbritt DW, Easthope G, Young AF. The profile of women who consult alternative health practitioners in Australia. The Medical journal of Australia. 2003;179(6):297–300.

Canaway R, Manderson L. Quality of life, perceptions of health and illness, and complementary therapy use among people with type 2 diabetes and cardiovascular disease. J Altern Complement Med. 2013;19(11):882–90. doi: 10.1089/acm.2012.0617 .

Frawley J, Adams J, Sibbritt D, Steel A, Broom A, Gallois C. Prevalence and determinants of complementary and alternative medicine use during pregnancy: results from a nationally representative sample of Australian pregnant women. Aust N Z J Obstet Gynaecol. 2013;53:347–52.

Xue CCL, Zhang AL, Lin V, Da Costa C, Story DF. Complementary and alternative medicine use in Australia: a national population-based survey. Journal of alternative and complementary medicine (New York, NY). 2007;13(6):643–50. doi: 10.1089/acm.2006.6355 .

D’Onise K, Haren MT, Misan GMH, McDermott RA. Who uses complementary and alternative therapies in regional South Australia? Evidence from the Whyalla Intergenerational Study of Health. Australian health review : a publication of the Australian Hospital Association. 2013;37(1):104–11. doi: 10.1071/AH11130 .

Wilkinson JM, Simpson MD. High use of complementary therapies in a New South Wales rural community. The Australian journal of rural health. 2001;9(4):166–71.

Wilkinson JM, Jelinek H. Complementary medicine use among attendees at a rural health screening clinic. Complement Ther Clin Pract. 2009;15(2):80–4. doi: 10.1016/j.ctcp.2008.12.005 .

MacLennan AH, Myers SP, Taylor AW. The continuing use of complementary and alternative medicine in South Australia: costs and beliefs in 2004. The Medical journal of Australia. 2006;184(1):27–31.

Edwards GV, Aherne NJ, Horsley PJ, Benjamin LC, McLachlan CS, McKay MJ, et al. Prevalence of complementary and alternative therapy use by cancer patients undergoing radiation therapy. Asia-Pacific journal of clinical oncology. 2014;10(4):346–53. doi: 10.1111/ajco.12203 .

Klafke N, Eliott JA, Wittert GA, Olver IN. Prevalence and predictors of complementary and alternative medicine (CAM) use by men in Australian cancer outpatient services. Annals of oncology : official journal of the European Society for Medical Oncology/ESMO. 2012;23(6):1571–8. doi: 10.1093/annonc/mdr521 .

Hunter D, Oates R, Gawthrop J, Bishop M, Gill S. Complementary and alternative medicine use and disclosure amongst Australian radiotherapy patients. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 2014;22(6):1571–8. doi: 10.1007/s00520-014-2120-8 .

Dunning T. Complementary therapies and diabetes. Complementary therapies in nursing & midwifery. 2003;9(2):74–80. doi: 10.1016/S1353-6117(02)00143-9 .

Day AS, Whitten KE, Bohane TD. Use of complementary and alternative medicines by children and adolescents with inflammatory bowel disease. J Paediatr Child Health. 2004;40(12):681–4. doi: 10.1111/j.1440-1754.2004.00510.x .

Sinha D, Efron D. Complementary and alternative medicine use in children with attention deficit hyperactivity disorder. J Paediatr Child Health. 2005;41(1–2):23–6. doi: 10.1111/j.1440-1754.2005.00530.x .

Wadhera V, Lemberg DA, Leach ST, Day AS. Complementary and alternative medicine in children attending gastroenterology clinics: usage patterns and reasons for use. J Paediatr Child Health. 2011;47(12):904–10. doi: 10.1111/j.1440-1754.2011.02100.x .

Lim A, Cranswick N, Skull S, South M. Survey of complementary and alternative medicine use at a tertiary children’s hospital. J Paediatr Child Health. 2005;41(8):424–7. doi: 10.1111/j.1440-1754.2005.00659.x .

Fong DPS, Fong LKS. Usage of complementary medicine among children. Aust Fam Physician. 2002;31(4):388–91.

Feldman, Robert LR. The use of complementary and alternative medicine practices among Australian university students. Complement Health Pract Rev. 2004;9:173.

Shorofi SA, Arbon P. Complementary and alternative medicine (CAM) among hospitalised patients: an Australian study. Complement Ther Clin Pract. 2010;16(2):86–91.

Basedow M, Runciman WB, March L, Esterman A. Australians with osteoarthritis; the use of and beliefs about complementary and alternative medicines. Complement Ther Clin Pract. 2014. doi: 10.1016/j.ctcp.2014.08.002 .

Adams J, Sibbritt D, Young AF. Consultations with a naturopath or herbalist: the prevalence of use and profile of users amongst mid-aged women in Australia. Public health. 2007;121(12):954–7. doi: 10.1016/j.puhe.2007.03.007 .

Stankiewicz M, Smith C, Alvino H, Norman R. The use of complementary medicine and therapies by patients attending a reproductive medicine unit in South Australia: a prospective survey. The Australian & New Zealand journal of obstetrics & gynaecology. 2007;47(2):145–9. doi: 10.1111/j.1479-828X.2007.00702.x .

Adams J, Sibbritt D, Lui CW. The urban–rural divide in complementary and alternative medicine use: a longitudinal study of 10,638 women. BMC Complement Altern Med. 2011;11:2. doi: 10.1186/1472-6882-11-2 .

van der Sluijs CP, Bensoussan A, Liyanage L, Shah S. Women’s health during mid-life survey: the use of complementary and alternative medicine by symptomatic women transitioning through menopause in Sydney. Menopause (New York, NY). 2007;14(3):397–403. doi: 10.1097/01.gme.0000236937.36078.f4 .

Markovica M, Manderson L, Wraya N, Quinn M. Complementary medicine use by Australian women with gynaecological cancer. Psycho-Oncology. 2006;15(3):209–20.

Mak JCS, Faux S. Complementary and alternative medicine use by osteoporotic patients in Australia (CAMEO-A): a prospective study. Journal of alternative and complementary medicine (New York, NY). 2010;16(5):579–84. doi: 10.1089/acm.2009.0425 .

Kremser T, Evans A, Moore A, Luxford K, Begbie S, Bensoussan A, et al. Use of complementary therapies by Australian women with breast cancer. Breast (Edinburgh, Scotland). 2008;17(4):387–94.

Rayner J, McLachlan HL, Forster DA, Cramer R. Australian women’s use of complementary and alternative medicines to enhance fertility: exploring the experiences of women and practitioners. BMC Complement Altern Med. 2009;9(1):52.

Adams J, Sibbritt D, Lui C-W. Health service use among persons with self-reported depression: a longitudinal analysis of 7,164 women. Arch Psychiatr Nurs. 2012;26(3):181–91. doi: 10.1016/j.apnu.2011.10.002 .

de Visser R, Ezzy D, Bartos M. Alternative or complementary? Nonallopathic therapies for HIV/AIDS. Altern Ther Health Med. 2000;6(5):44–52.

Field KM, Jenkins MA, Friedlander ML, McKinley JM, Price MA, Weideman P, et al. Predictors of the use of complementary and alternative medicine (CAM) by women at high risk for breast cancer. European journal of cancer (Oxford, England : 1990). 2008;45(4):551–60. doi: 10.1016/j.ejca.2008.09.023 .

Shenfield G, Lim E, Allen H. Survey of the use of complementary medicines and therapies in children with asthma. J Paediatr Child Health. 2002;38(3):252–7.

Braun LA, Cohen M. Use of complementary medicines by cardiac surgery patients; undisclosed and undetected. Heart, lung & circulation. 2011;20(5):305–11. doi: 10.1016/j.hlc.2011.01.013 .

George J, Ioannides-Demos LL, Santamaria NM, Kong DCM, Stewart K. Use of complementary and alternative medicines by patients with chronic obstructive pulmonary disease. The Medical journal of Australia. 2004;181(5):248–51.

Sibbritt D, Adams J, Lui C-W. A longitudinal analysis of complementary and alternative medicine use by a representative cohort of young Australian women with asthma, 1996–2006. The Journal of asthma : official journal of the Association for the Care of Asthma. 2011;48(4):380–6. doi: 10.3109/02770903.2011.560323 .

Sibbritt D, Adams J, Murthy V. The prevalence and determinants of Chinese medicine use by Australian women: analysis of a cohort of 10,287 women aged 56–61 years. The American journal of Chinese medicine. 2013;41(2):281–91. doi: 10.1142/S0192415X13500201 .

Magin PJ, Adams J, Heading GS, Pond DC, Smith W. Complementary and alternative medicine therapies in acne, psoriasis, and atopic eczema: results of a qualitative study of patients’ experiences and perceptions. Journal of alternative and complementary medicine (New York, NY). 2006;12(5):451–7. doi: 10.1089/acm.2006.12.451 .

Steel A, Adams J, Sibbritt D, Broom A, Gallois C, Frawley J. Utilisation of complementary and alternative medicine (CAM) practitioners within maternity care provision: results from a nationally representative cohort study of 1,835 pregnant women. BMC pregnancy and childbirth. 2012;12:146. doi: 10.1186/1471-2393-12-146 .

Correa-Velez I, Clavarino A, Barnett AG, Eastwood H. Use of complementary and alternative medicine and quality of life: changes at the end of life. Palliat Med. 2003;17(8):695–703.

Correa-Velez I, Clavarino A, Eastwood H. Surviving, relieving, repairing, and boosting up: reasons for using complementary/alternative medicine among patients with advanced cancer: a thematic analysis. J Palliat Med. 2005;8(5):953–61. doi: 10.1089/jpm.2005.8.953 .

Smith C, Eckert K. Prevalence of complementary and alternative medicine and use among children in South Australia. J Paediatr Child Health. 2006;42(9):538–43. doi: 10.1111/j.1440-1754.2006.00918.x .

Broom AF, Kirby ER, Sibbritt DW, Adams J, Refshauge KM. Back pain amongst mid-age Australian women: a longitudinal analysis of provider use and self-prescribed treatments. Complementary therapies in medicine. 2012;20(5):275–82. doi: 10.1016/j.ctim.2012.05.003 .

Heath JA, Oh LJ, Clarke NE, Wolfe J. Complementary and alternative medicine use in children with cancer at the End of life. J Palliat Med. 2012;15(11):1218–21.

Forster DA, Denning A, Wills G, Bolger M, McCarthy E. Herbal medicine use during pregnancy in a group of Australian women. BMC pregnancy and childbirth. 2006;6:21. doi: 10.1186/1471-2393-6-21 .

Brownie S. Predictors of dietary and health supplement use in older Australians. The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation. 2006;23(3):26–32.

Buchbinder R, Gingold M, Hall S, Cohen M. Non-prescription complementary treatments used by rheumatoid arthritis patients attending a community-based rheumatology practice. Intern Med J. 2002;32(5–6):208–14.

Adams J, Sibbritt D, Broom A, Loxton D, Wardle J, Pirotta M, et al. Complementary and alternative medicine consultations in urban and nonurban areas: a national survey of 1427 Australian women. J Manip Physiol Ther. 2013;36(1):12–9. doi: 10.1016/j.jmpt.2012.12.010 .

Murthy V, Sibbritt D, Adams J, Broom A, Kirby E, Refshauge KM. Consultations with complementary and alternative medicine practitioners amongst wider care options for back pain: a study of a nationally representative sample of 1,310 Australian women aged 60–65 years. Clin Rheumatol. 2014;33(2):253–62. doi: 10.1007/s10067-013-2357-5 .

Adams J, Sibbritt D, Young AF. Naturopathy/herbalism consultations by mid-aged Australian women who have cancer. European journal of cancer care. 2005;14(5):443–7. doi: 10.1111/j.1365-2354.2005.00610.x .

Sarris J, Robins Wahlin T-B, Goncalves DC, Byrne GJ. Comparative use of complementary medicine, allied health, and manual therapies by middle-aged and older Australian women. Journal of women & aging. 2010;22(4):273–82. doi: 10.1080/08952841.2010.518876 .

Broom AF, Kirby ER, Sibbritt DW, Adams J, Refshauge KM. Use of complementary and alternative medicine by mid-age women with back pain: a national cross-sectional survey. BMC Complement Altern Med. 2012;12:98.

Trutnovsky G, Law C, Simpson J, Mindel A. Use of complementary therapies in a sexual health clinic setting. Int J STD AIDS. 2001;12(5):307–9.

Sibbritt D, Adams J, Young AF. A profile of middle-aged women who consult a chiropractor or osteopath: findings from a survey of 11,143 Australian women. J Manip Physiol Ther. 2006;29(5):349–53. doi: 10.1016/j.jmpt.2006.04.013 .

Chatfield SM, Dharmage SC, Boers A, Martin BJ, Buchanan RRC, Maksymowych WP, et al. Complementary and alternative medicines in ankylosing spondylitis: a cross-sectional study. Clin Rheumatol. 2009;28(2):213–7. doi: 10.1007/s10067-008-1029-3 .

Heath JA, Oh LJ, Clarke NE, Wolfe J. Complementary and alternative medicine use in children with cancer at the end of life. J Palliat Med. 2012;15(11):1218–21. doi: 10.1089/jpm.2012.0150 .

Day AS. Use of complementary and alternative therapies and probiotic agents by children attending gastroenterology outpatient clinics. J Paediatr Child Health. 2002;38(4):343–6.

Spinks J, Johnston D, Hollingsworth B. Complementary and alternative medicine (CAM) use and quality of life in people with type 2 diabetes and/or cardiovascular disease. Complementary therapies in medicine. 2014;22(1):107–15. doi: 10.1016/j.ctim.2013.11.007 .

Leong EM, Semple SJ, Angley M, Siebert W, Petkov J, McKinnon RA. Complementary and alternative medicines and dietary interventions in multiple sclerosis: what is being used in South Australia and why? Complementary therapies in medicine. 2009;17(4):216–23. doi: 10.1016/j.ctim.2009.03.001 .

Smith CA, Bateson DJ, Weisberg E. A survey describing the use of complementary therapies and medicines by women attending a family planning clinic. BMC Complement Altern Med. 2013;13:10.1186/1472-6882-13-224.

Alderman CP, Kiepfer B. Complementary medicine use by psychiatry patients of an Australian hospital. Ann Pharmacother. 2003;37(12):1779–84. doi: 10.1345/aph.1C179 .

Gollschewski S, Anderson D, Skerman H, Lyons-Wall P. The use of complementary and alternative medications by menopausal women in South East Queensland. Women’s health issues : official publication of the Jacobs Institute of Women’s Health. 2004;14(5):165–71. doi: 10.1016/j.whi.2004.08.001 .

Keleher H, Murphy B. Understanding health: a determinants approach. Oxford, England: Oxford University Press; 2004.

Spinks J, Hollingsworth B. Policy implications of complementary and alternative medicine use in Australia: data from the National Health Survey. J Altern Complement Med. 2012;18(4):371–8. doi: 10.1089/acm.2010.0817 .

Robinson A, Chesters J, Cooper S. People’s choice: complementary and alternative medicine modalities. Complement Health Pract Rev. 2007;12(2):99–119. doi: 10.1177/1533210107302436 .

Caughey GE, Vitry AI, Gilbert AL, Roughead EE. Prevalence of comorbidity of chronic diseases in Australia. BMC Public Health. 2008;8(1):221.

Hall AK, Bernhardt JM, Dodd V. Older Adults’ use of online and offline sources of health information and constructs of reliance and self-efficacy for medical decision making. J Health Commun. 2015;20(7):751–8. doi: 10.1080/10810730.2015.1018603 .

Armstrong BK, Gillespie JA, Leeder SR, Rubin GL, Russell LM. Challenges in health and health care for Australia. Med J Aust. 2007;187(9):485.

Australian Institute of Health and Welfare. In: AIHW, editor. Rural, regional and remote health Indicators of health status and determinants of health. Canberra ACT: Australian Institute of Health and Welfare; 2008.

Murthy V, Sibbritt D, Adams J, Broom A, Kirby E, Refshauge KM. Self-prescribed complementary and alternative medicine use for back pain amongst a range of care options: results from a nationally representative sample of 1310 women aged 60–65 years. Complement Ther Med. 2014;22(1):133–40. doi: 10.1016/j.ctim.2013.11.013 .

O’Callaghan FV, Jordan N. Postmodern values, attitudes and the use of complementary medicine. Complementary therapies in medicine. 2003;11(1):28–32.

Skouteris H, Wertheim EH, Rallis S, Paxton SJ, Kelly L, Milgrom J. Use of complementary and alternative medicines by a sample of Australian women during pregnancy. The Australian & New Zealand journal of obstetrics & gynaecology. 2008;48(4):384–90. doi: 10.1111/j.1479-828X.2008.00865.x .

Steel A, Adams J, Sibbritt D, Broom A, Frawley J, Gallois C. The influence of complementary and alternative medicine use in pregnancy on labor pain management choices: results from a nationally representative sample of 1,835 women. Journal of alternative and complementary medicine (New York, NY). 2014;20(2):87–97. doi: 10.1089/acm.2013.0171 .

Steel A, Adams J, Sibbritt D, Broom A, Gallois C, Frawley J. Determinants of women consulting with a complementary and alternative medicine practitioner for pregnancy-related health conditions. Women & health. 2014;54(2):127–44. doi: 10.1080/03630242.2013.876488 .