Association Between the Modalities of Complementary and Alternative Medicine Use and Cost-Related Nonadherence to Medical Care Among Older Americans: A Cohort Study

J Altern Complement Med. 2021 Dec;27(12):1131-1135. doi: 10.1089/acm.2021.0225. Epub 2021 Sep 6.


Introduction: Complementary and alternative medicine (CAM) use has been increasingly prevalent among Americans, whereas its relationship with medical nonadherence is unknown. Methods: Using the National Health Interview Survey, we evaluated the use of CAM modalities and their association with cost-related nonadherence to medical care (CRN) among older Americans by gender strata. Results: Men and women were, in general, in the same pattern of higher likelihood of reporting CRN if they utilized herbal supplements, meditation, and chiropractic or osteopathic manipulations (p < 0.05, respectively). Conclusion: Both men and women are more likely to report financial distress while using various CAM modalities.

Keywords: CAM; cost-related nonadherence to medical care; gender.

MeSH terms

  • Aged
  • Cohort Studies
  • Complementary Therapies*
  • Female
  • Humans
  • Male
  • Mind-Body Therapies
  • Patient Care
  • Surveys and Questionnaires
  • United States