Women's Health Issues
Volume 18, Issue 1 , Pages 62-71 , January 2008

A Sociobehavioral Model of Acupuncture Use, Patterns, and Satisfaction Among Women in the United States, 2002

  • Dawn M. Upchurch, PhD

      Affiliations

    • UCLA School of Public Health, Los Angeles, California
    • Dawn M. Upchurch, PhD, is a health demographer and Professor of Public Health at the University of California, Los Angeles. She has researched many aspects of women’s health for over 20 years, most recently focusing on women’s health and well-being during midlife. Currently, she is also investigating women’s use of complementary and alternative medicine, including acupuncture.
    • Corresponding Author InformationCorrespondence to: Dr Dawn M. Upchurch, Professor, UCLA School of Public Health, 650 Charles E. Young Drive South, Los Angeles, California 90095-1772.
  • ,
  • Adam Burke, PhD, MPH, LAc

      Affiliations

    • Institute for Holistic Health Healing Studies, Department of Health Education, San Francisco State University, San Francisco, California
    • Adam Burke, LAc, MPH, PhD, is an Associate Professor in the Department of Health Education and Director of the Institute for Holistic Health Studies at San Francisco State University. Research activities include curricular innovation, traditional medicine utilization/integration, and mental imagery.
  • ,
  • Claire Dye, MSPH

      Affiliations

    • UCLA School of Public Health, Los Angeles, California
    • Claire Dye, MSPH, is a Community Health Sciences doctoral student at the University of California, Los Angeles, School of Public Health. Her work explores the impact of changes in sociodemographic and health status on midlife women’s sexual health.
  • ,
  • Laura Chyu, MA

      Affiliations

    • UCLA School of Public Health, Los Angeles, California
    • Laura Chyu, MA, is a Community Health Sciences doctoral student at the University of California, Los Angeles, School of Public Health. Her research integrates biological and social processes in understanding women’s health across the life course.
  • ,
  • Yasamin Kusunoki, MPH

      Affiliations

    • UCLA School of Public Health, Los Angeles, California
    • Yasamin Kusunoki, PhD, MPH, is a recent graduate of the Department of Community Health Sciences, UCLA School of Public Health. She is currently a postdoctoral fellow at the Population Studies Center at the University of Michigan and studies reproductive health issues across the life course, with a focus on the role of social contexts and intimate relationships.
  • ,
  • Gail A. Greendale, MD

      Affiliations

    • UCLA David Geffen School of Medicine, Division of Geriatrics, Los Angeles, California
    • Gail A. Greendale, MD, is a Professor of Medicine in the Geffen School of Medicine at the University of California, Los Angeles. Her area of research concentration is women’s health, with emphasis on menopause, osteoporosis and health-promoting behaviors.

Received 9 March 2007 ,Accepted 20 August 2007.

References 

  1. Acupuncture Today. Acupuncturist density map – USA. www.acupuncturetoday.com/list/info/aculocatorzip/2006;Accessed April 15, 2006
  2. Ahn AC, Ngo-Metzger Q, Legedza ATR, Massagli MP, Clarridge BR, Phillips RS. Complementary and alternative medical therapy use among Chinese and Vietnamese Americans: Prevalence, associated factors, and effects of patient-clinician communication. American Journal of Public Health. 2006;96:647–653
  3. Andersen R. Revisiting the behavioral model and access to medical care: Does it matter?. Journal of Health and Social Behavior. 1995;36(1):1–10
  4. Andersen R, Newman JF. Societal and individual determinants of medical care utilization in the United States. Milbank Memorial Fund Quarterly. 1973;51:95–124
  5. Astin JA. Why patients use alternative medicine: Results of a national study. Journal of the American Medical Association. 1998;279:1548–1553
  6. Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. Hyattsville, MD: National Center for Health Statistics; 2004;(Advance data from vital and health statistics, no. 343)
  7. Berman BM, Lao L, Langenberg P, Lee WL, Gilpin AM, Hochberg MC. Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee: A randomized, controlled trial. Annals of Internal Medicine. 2004;141:901–910
  8. Burke A, Upchurch DM, Dye CE, Chyu L. Acupuncture use in the United States: Findings from the National Health Interview Survey. Journal of Alternative and Complementary Medicine. 2006;12:639–648
  9. Carlin JB, Li N, Greenwood P, Coffey C. Tools for analyzing multiple imputed datasets. The Stata Journal. 2003;3:226–244
  10. Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, et al. Trends in alternative medicine use in the United States, 1990–1997: Results of a follow-up national survey. Journal of the American Medical Association. 1998;280:1569–1575
  11. Furnham A, Beard R. Health, just world beliefs and coping style preferences in patients of complementary and orthodox medicine. Social Science and Medicine. 1995;40:1425–1432
  12. Furnham A, Forey J. The attitudes, behaviors and beliefs of patients of conventional vs. complementary (alternative) medicine. Journal of Clinical Psychology. 1994;50:458–469
  13. Graham RE, Ahn AC, Davis RB, O’Connor BB, Eisenberg DM, Phillips RS. Use of complementary and alternative medical therapies among racial and ethnic minority adults: Results from the 2002 National Health Interview Survey. Journal of the National Medical Association. 2005;97:535–545
  14. Institute of Medicine [IOM] of the National Academies, Committee on the Use of Complementary and Alternative Medicine by the American Public. Complementary and Alternative Medicine In the United States. Washington, D.C.: The National Academies Press; 2005;
  15. Keith VM, Kronenfeld JJ, Rivers PA, Liang SY. Assessing the effects of race and ethnicity on use of complementary and alternative therapies in the USA. Ethnicity and Health. 2005;10:19–32
  16. Kelner M, Wellman B. Health care and consumer choice: Medical and alternative therapies. Social Science and Medicine. 1997;45:203–212
  17. MacDowell M, Guo L, Short A. Preventive health services use, lifestyle health behavior risks, and self-reported health status of women in Ohio by ethnicity and completed education status. Women’s Health Issues. 2002;12:96–102
  18. Mackenzie ER, Taylor L, Bloom BS, Hufford DJ, Johnson JC. Ethnic minority use of complementary and alternative medicine (CAM): A national probability survey of CAM utilizers. Alternative Therapies in Health and Medicine. 2003;9(4):50–56
  19. National Center for Health Statistics (NCHS). Data file documentation, National Health Interview Survey, 2002. (machine readable data file and documentation) Hyattsville, MD: National Center for Health Statistics, Centers for Disease Control and Prevention; 2003;
  20. National Center for Health Statistics (NCHS). 2002 National Health Interview Survey (NHIS) Public use data release: NHIS survey description. Hyattsville, MD: Centers for Disease Control and Prevention; 2003;
  21. Ni H, Simile C, Hardy AM. Utilization of complementary and alternative medicine by United States adults: Results from the 1999 National Health Interview Survey. Medical Care. 2002;40:353–358
  22. National Institutes of Health Consensus Statement. (1997, November 3–5). Acupuncture. 15 (5), 1–34.
  23. Rao JNK, Scott AJ. The analysis of categorical data from complex sample surveys: Chi-squared tests for goodness of fit and independence in two-way tables. Journal of the American Statistical Association. 1981;76:221–230
  24. Schenker N, Raghunathan TE, Chiu PL, Makuc DM, Zhang G, Cohen AJ. Multiple imputation of family income and personal earnings in the National Health Interview Survey: Methods and examples. www.cdc.gov/nchs/data/nhis/tecdoc1.pdf2005;Accessed May 1, 2006
  25. Sherman KJ, Cherkin DC, Eisenberg DM, Erro J, Hrbek A, Deyo RA. The practice of acupuncture: Who are the providers and what do they do?. Annals of Family Medicine. 2005;3:151–158
  26. Sirois FM, Gick ML. An investigation of the health beliefs and motivations of complementary medicine clients. Social Science and Medicine. 2002;55:1025–1037
  27. Smith C, Crowther C, Beilby J. Acupuncture to treat nausea and vomiting in early pregnancy: a randomized controlled trial. Birth. 2002;29(1):1–9
  28. StataCorp. Stata Statistical Software: Release 9. College Station, TX: StataCorp LP; 2005;
  29. Sturm R, Unutzer J. State legislation and the use of complementary and alternative medicine. Inquiry. 2000;37:423–429
  30. Tindle HA, Davis RB, Phillips RS, Eisenberg DM. Trends in use of complementary and alternative medicine by US adults: 1997–2002. Alternative Therapies in Health and Medicine. 2005;11(1):42–49
  31. Upchurch DM, Chyu L. Use of complementary and alternative medicine among American women. Women’s Health Issues. 2005;15:5–13
  32. Upchurch DM, Chyu L, Greendale GA, Utts J, Bair YA, Zhang G, et al. Complementary and alternative medicine use among American women: Findings from the National Health Interview Survey, 2002. Journal of Women’s Health. 2007;16:102–113
  33. Vincent C, Furnham A. Why do patients turn to complementary medicine? (An empirical study). British Journal of Clinical Psychology. 1996;35:37–48
  34. White AR. A review of controlled trials of acupuncture for women’s reproductive health care. The Journal of Family Planning and Reproductive Health Care. 2003;29:233–236
  35. White P, Lewith G, Prescott P, Conway J. Acupuncture versus placebo for the treatment of chronic mechanical neck pain. Annals of Internal Medicine. 2004;141:911–919
  36. Wu APW, Burke A, LeBaron S. Use of traditional medicine by immigrant Chinese patients. Family Medicine. 2007;39:548–553

 Supported by NCCAM grant K01AT002156 (D.M.U.) and NICHD grant R24HD041022 (pilot grant to D.M.U.).

PII: S1049-3867(07)00141-7

doi: 10.1016/j.whi.2007.08.003

Women's Health Issues
Volume 18, Issue 1 , Pages 62-71 , January 2008