Do Women Who Consult with Naturopaths or Herbalists Have a Healthy Lifestyle?: a Secondary Analysis of the Australian Longitudinal Study on Women's Health

Overview

Journal BMC Complement Med Ther

Publisher Biomed Central

Specialty Rehabilitation Medicine

Date 2020 Nov 19

PMID 33208118

Authors

Amie Steel

Stefania Tiveron

Rebecca Reid

Jon Wardle

Holger Cramer

Jon Adams

David Sibbritt

Romy Lauche

Affiliations

Soon will be listed here.

Abstract

Background: Australians report consulting with a naturopaths or herbalists to improve their wellbeing, yet little is known about the associations between these consultations and the patients' health behaviours. This cross-sectional study aimed to examine the relationship between health behaviour and consultations with naturopaths or herbalists in three age cohorts of Australian women.

Methods: Women aged 19-25 years, 31-36 years, and 62-67 years from the Australian Longitudinal Study on Women's Health (ALSWH) were surveyed regarding smoking, alcohol or drug use, physical activity and dietary behaviour; and whether they consulted with naturopath/herbalists in the last 12 months. Associations were analysed using multivariable logistic regression.

Results: A total of 9151 (19-25 years), 8200 (31-36 years) and 11,344 (62-67 years) women were included in the analysis. Between 7.3 and 11.9% of women reported to have consulted with naturopaths/herbalists in the last 12 months. Women of all cohorts consulting with naturopath/herbalist were less likely to smoke (19-25 yrs.: Odds Ratio [OR] 0.61; 31-36 years: OR 0.58; 62-67 years: OR 0.29), more likely to report at least moderate levels of physical activity (19-25 yrs.: OR 1.41; 31-36 years: OR 1.34; 62-67 years: OR 1.34), and the use of vegetarian diets(19-25 yrs.: OR 1.40; 31-36 years: OR 1.77; 62-67 years: OR 2.28), compared to women not consulting with naturopaths/herbalists. Women consulting with naturopaths/herbalists however were also more likely to have used marijuana (19-25 yrs.: OR 1.18; 31-36 years: OR 1.42), or illicit drugs in the last 12 months (19-25 yrs.: OR 1.24; 31-36 years: OR 1.40).

Conclusions: Consultations with a naturopath or herbalist are associated with positive health behaviours that are protective of internationally important non-communicable diseases. Psychoactive drug use is also reported among women visiting a naturopath or herbalist. Further research is needed to understand the role naturopaths play in advising patients with regards to health and non-healthy behaviours.

References

Costanzo S, de Gaetano G, Di Castelnuovo A, Djousse L, Poli A, van Velden D . Moderate alcohol consumption and lower total mortality risk: Justified doubts or established facts?. Nutr Metab Cardiovasc Dis. 2019; 29(10):1003-1008. DOI: 10.1016/j.numecd.2019.05.062. View

Davis M, West A, Weeks W, Sirovich B . Health behaviors and utilization among users of complementary and alternative medicine for treatment versus health promotion. Health Serv Res. 2011; 46(5):1402-16. PMC: 3207184. DOI: 10.1111/j.1475-6773.2011.01270.x. View

Brown W, Bryson L, Byles J, Dobson A, Lee C, Mishra G . Women's Health Australia: recruitment for a national longitudinal cohort study. Women Health. 1999; 28(1):23-40. DOI: 10.1300/j013v28n01_03. View

Huxley R, Woodward M . Cigarette smoking as a risk factor for coronary heart disease in women compared with men: a systematic review and meta-analysis of prospective cohort studies. Lancet. 2011; 378(9799):1297-305. DOI: 10.1016/S0140-6736(11)60781-2. View

Steel A, Foley H, Bradley R, Van de Venter C, Lloyd I, Schloss J . Overview of international naturopathic practice and patient characteristics: results from a cross-sectional study in 14 countries. BMC Complement Med Ther. 2020; 20(1):59. PMC: 7076821. DOI: 10.1186/s12906-020-2851-7. View

Burke A, Upchurch D, Dye C, Chyu L . Acupuncture use in the United States: findings from the National Health Interview Survey. J Altern Complement Med. 2006; 12(7):639-48. DOI: 10.1089/acm.2006.12.639. View

Benziger C, Roth G, Moran A . The Global Burden of Disease Study and the Preventable Burden of NCD. Glob Heart. 2016; 11(4):393-397. DOI: 10.1016/j.gheart.2016.10.024. View

Wardle J, Oberg E . The intersecting paradigms of naturopathic medicine and public health: opportunities for naturopathic medicine. J Altern Complement Med. 2011; 17(11):1079-84. DOI: 10.1089/acm.2010.0830. View

Ellison C, Bradshaw M, Roberts C . Spiritual and religious identities predict the use of complementary and alternative medicine among US adults. Prev Med. 2011; 54(1):9-12. PMC: 3770857. DOI: 10.1016/j.ypmed.2011.08.029. View

10.

Bishop F, Lewith G . Who Uses CAM? A Narrative Review of Demographic Characteristics and Health Factors Associated with CAM Use. Evid Based Complement Alternat Med. 2008; 7(1):11-28. PMC: 2816378. DOI: 10.1093/ecam/nen023. View

11.

Brown W, Burton N, Marshall A, Miller Y . Reliability and validity of a modified self-administered version of the Active Australia physical activity survey in a sample of mid-age women. Aust N Z J Public Health. 2008; 32(6):535-41. DOI: 10.1111/j.1753-6405.2008.00305.x. View

12.

Nahin R, Dahlhamer J, Taylor B, Barnes P, Stussman B, Simile C . Health behaviors and risk factors in those who use complementary and alternative medicine. BMC Public Health. 2007; 7:217. PMC: 2031902. DOI: 10.1186/1471-2458-7-217. View

13.

Fleming S, Gutknecht N . Naturopathy and the primary care practice. Prim Care. 2010; 37(1):119-36. PMC: 2883816. DOI: 10.1016/j.pop.2009.09.002. View

14.

Reid R, Steel A, Wardle J, Trubody A, Adams J . Complementary medicine use by the Australian population: a critical mixed studies systematic review of utilisation, perceptions and factors associated with use. BMC Complement Altern Med. 2016; 16:176. PMC: 4902999. DOI: 10.1186/s12906-016-1143-8. View

15.

Foley H, Steel A, Adams J . Perceptions of person-centred care amongst individuals with chronic conditions who consult complementary medicine practitioners. Complement Ther Med. 2020; 52:102518. DOI: 10.1016/j.ctim.2020.102518. View

16.

Taylor G, McNeill A, Girling A, Farley A, Lindson-Hawley N, Aveyard P . Change in mental health after smoking cessation: systematic review and meta-analysis. BMJ. 2014; 348:g1151. PMC: 3923980. DOI: 10.1136/bmj.g1151. View

17.

Ilieva I, Farah M . Enhancement stimulants: perceived motivational and cognitive advantages. Front Neurosci. 2013; 7:198. PMC: 3813924. DOI: 10.3389/fnins.2013.00198. View

18.

Sofi F, Valecchi D, Bacci D, Abbate R, Gensini G, Casini A . Physical activity and risk of cognitive decline: a meta-analysis of prospective studies. J Intern Med. 2010; 269(1):107-17. DOI: 10.1111/j.1365-2796.2010.02281.x. View

19.

Artero A, Artero A, Tarin J, Cano A . The impact of moderate wine consumption on health. Maturitas. 2014; 80(1):3-13. DOI: 10.1016/j.maturitas.2014.09.007. View

20.

Holman C, English D, Milne E, Winter M . Meta-analysis of alcohol and all-cause mortality: a validation of NHMRC recommendations. Med J Aust. 1996; 164(3):141-5. DOI: 10.5694/j.1326-5377.1996.tb122011.x. View