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Italia, S. ; Wolfenstetter, S.B. ; Teuner, C.M.

Patterns of Complementary and Alternative Medicine (CAM) use in children: A systematic review.

Eur. J. Pediatr. 173, 1413-1428 (2014)
DOI PMC
Open Access Green as soon as Postprint is submitted to ZB.
UNLABELLED: Utilization of Complementary and Alternative Medicine (CAM) among children/adolescents is popular. This review summarizes the international findings for prevalence and predictors of CAM use among children/adolescents. We therefore systematically searched four electronic databases (PubMed, Embase, PsycINFO, AMED; last update in 07/2013) and reference lists of existing reviews and all included studies. Publications without language restriction reporting patterns of CAM utilization among children/adolescents without chronic conditions were selected for inclusion. The prevalence rates for overall CAM use, homeopathy, and herbal drug use were extracted with a focus on country and recall period (lifetime, 1 year, current use). As predictors, we extracted socioeconomic factors, child's age, and gender. The database search and citation tracking yielded 58 eligible studies from 19 countries. There was strong variation regarding study quality. Prevalence rates for overall CAM use ranged from 10.9-87.6 % for lifetime use and from 8-48.5 % for current use. The respective percentages for homeopathy (highest in Germany, United Kingdom, and Canada) ranged from 0.8-39 % (lifetime) and from 1-14.3 % (current). Herbal drug use (highest in Germany, Turkey, and Brazil) was reported for 0.8-85.5 % (lifetime) and 2.2-8.9 % (current) of the children/adolescents. Studies provided a relatively uniform picture of the predictors of overall CAM use (higher parental income and education, older children), but only a few studies analyzed predictors for single CAM modalities. CONCLUSION: CAM use is widespread among children/adolescents. Prevalence rates vary widely regarding CAM modality, country, and reported recall period.
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Publication type Article: Journal article
Document type Review
Keywords Complementary Therapies ; Homeopathy ; Phytotherapy ; Child ; Drug Utilization ; Socioeconomic Factors; Pediatric Emergency-department; Homeopathic Products; Herbal Medicine; Birth Cohort; Primary-care; Adolescents; Prevalence; Therapies; Population; Reasons
ISSN (print) / ISBN 0340-6199
e-ISSN 1432-1076
Journal European Journal of Pediatrics
Quellenangaben Volume: 173, Issue: 11, Pages: 1413-1428 Article Number: , Supplement: ,
Publisher Springer
Publishing Place New York
Reviewing status Peer reviewed
Institute(s) Institute of Health Economics and Health Care Management (IGM)