Objectives. CAM usage in the U.S. Background to IHIS IHIS website content Performing a data extraction
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1 Alternative and Complementary Medicine (CAM) Use in the U.S. New Data from the National Health Interview Survey (NHIS) Available in the Integrated Health Interview Series (IHIS) Brian R. Lee MPH, PhD, Minnesota Population Center Miriam L. King PhD, Minnesota Population Center Andrew Ward PhD, MPH, Kansas Health Institute 138 th Annual APHA Annual Meeting and Exposition Denver, CO November 6-10,2010
2 Objectives CAM usage in the U.S. Background to IHIS IHIS website content Performing a data extraction Sample analyses
3 CAM in the U.S. Population Almost 4 out of 10 adults used CAM in past 12 months (NCHS, 2007) Modest increases since 2002 Acupuncture Massage Meditation Yoga Differences in prevalence across multiple factors Education Health status Cultural background Important to consider motivational factors and perceived benefits
4 Overview The Integrated Health Interview Series (IHIS) is a NICHD-funded collaboration at the University of MN School of Public Health Minnesota Population Center Harmonize, document, and disseminate publiclyavailable NHIS data from the 1960s to the present
5 Challenges to NHIS Data Use A large number of distinct files per year (range, 6-21 files) Managing different survey levels (household, family, person, episode) Numerous variables (~33,000 unique variable names between 1969 and 2009) Changes in question wording and response categories Harmonization of various file structures and variables, sample weighting schemes, and variance estimation
6 IHIS Data IHIS now includes over 7000 integrated variables from: Household and Person files for Sample Adult/Sample Child files for Supplements from Household and person-level variables
7 IHIS Content Demographics Socio-economic Housing characteristics Geographical identifiers Chronic health conditions Healthy behaviors Risky behaviors Activity limitations Access to medical care Health insurance coverage Mental health Primary preventive practices Alternative health practices
8 CAM Topics in IHIS Acupuncture Ayurveda Biofeedback Chelation Chiropractic Lifestyle diet Energy healing Folk medicine Herbal supplements Homeopathic treatment Hypnosis Massage Movement therapy Naturopathy Prayer Relaxation techniques Vitamins Yoga
9 CAM Measures Ever use Recent use Frequency of use Cost Reasons for use Reasons for not using Concordant conventional medicine Treatment for specific conditions Perceived benefit
10 IHIS Website (
11 Variable Availability
12 General Health Variables
13 Variable Content Each variable on the IHIS website contains Availability (which survey years) Universe statement Codes and frequencies Recommended weights Survey text Comparability over survey years
14 Variable Description & Comparability
15 Variable Codes and Frequencies
16 Data Extract: Samples
17 Data Extract: Variables
18 Data Extract: Summary
19 Download Data & Documentation
20 Proportion of Reported CAM use Among Adults 18+, by Survey Year Class a CAM Estimate 95% CI Estimate 95% CI Estimate 95% CI Ever Acupuncture (0.04, 0.04) (0.06, 0.07) Chiropractor (0.19, 0.21) (0.23, 0.25) Yoga (0.07, 0.08) (0.09, 0.10) Recent Acupuncture (0.01, 0.02) (0.01, 0.01) (0.01, 0.02) Chiropractor (0.07, 0.08) (0.08, 0.09) Yoga (0.05, 0.05) (0.06, 0.07) Treat Acupuncture (0.82, 0.90) (0.81, 0.90) Chiropractor (0.85, 0.88) (0.78, 0.82) Yoga (0.15, 0.19) (0.12, 0.16) a Ever: ever use Recent: use within past 12 month Treat: use within past 12 months, and used to treat a specific health problem
21 Recent CAM use Among Adults 18+, by General Health Status Source: 1999, 2002, and 2007 IHIS data
22 Recent CAM use Among Adults 18+, by Poverty Status Source: 1999, 2002, and 2007 IHIS data
23 Recent CAM use Among Adults 18+, by Insurance Status Source: 1999, 2002, and 2007 IHIS data
24 Odds of Acupuncture for Adults 18+, Based on General Health Status and other Health-related Factors Source: 2002, and 2007 IHIS data
25 Odds of Yoga for Adults 18+, Based on General Health Status and other Health-related Factors Source: 2002, and 2007 IHIS data
26 Why Use the IHIS System Available FREE online Easy to use Saves time Consistent coding Online documentation Comparisons over four decades Online tabulator Customizable extracts Syntax files (SAS, SPSS, Stata) Variable search engine User support
27 For Additional Information
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