Prevalence and Use of Complementary Health Approaches among Women with Chronic Pelvic Pain in a Prospective Cohort Study

Maria T. Chao, Priscilla D. Abercrombie, Sanae Nakagawa, Steven E. Gregorich, Lee A. Learman, Miriam Kuppermann

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objective: The aim of this study was to examine the prevalence of and factors associated with use of complementary health approaches among women with chronic pelvic pain (CPP). Design: We analyzed data from the Study of Pelvic Problems, Hysterectomy, and Intervention Alternatives, a prospective cohort study of women seeking care for noncancerous pelvic problems with intact uteri at enrollment. Among a subset of 699 participants who reported having CPP, we analyzed the prevalence of complementary health approaches used and associated patient sociodemographic and clinical characteristics, health-related quality of life, attitudes and beliefs, and conventional health care practices. Results: At baseline, slightly over one-half (51%) of women with CPP used at least one complementary health approach in the past year, including acupuncture (8%), special foods or diets (22%), herbs (27%), and vitamins and minerals (29%). During follow-up surveys conducted annually for 4 years, a substantial proportion of women (44.8%) used complementary health approaches at more than half of the assessments. Users of complementary health approaches were more likely to undergo a hysterectomy or oophorectomy or to use gonadotropin-releasing hormone agonists or opioids during the study compared with nonusers. Women with CPP who used complementary health approaches also had more optimal health-related quality of life measured by the Pelvic Problem Impact Questionnaire (31.6 vs 25.6, P<0.001). Conclusion(s): Many women with CPP consistently use complementary health approaches. The substantial interest in and high prevalence of complementary health approaches used alongside conventional medical approaches highlight the need for better understanding of multimodal approaches to address the complex condition of CPP.

Original languageEnglish
Pages (from-to)328-340
Number of pages13
JournalPain Medicine
Volume16
Issue number2
DOIs
StatePublished - Feb 1 2015

Fingerprint

Pelvic Pain
Chronic Pain
Cohort Studies
Prospective Studies
Health
Hysterectomy
Quality of Life
Ovariectomy
Acupuncture
Gonadotropin-Releasing Hormone
Vitamins
Opioid Analgesics
Uterus
Minerals
Diet
Delivery of Health Care
Food

Keywords

  • Chronic Pelvic Pain
  • Complementary Health Approaches
  • Complementary Medicine
  • Integrative Medicine

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

Chao, M. T., Abercrombie, P. D., Nakagawa, S., Gregorich, S. E., Learman, L. A., & Kuppermann, M. (2015). Prevalence and Use of Complementary Health Approaches among Women with Chronic Pelvic Pain in a Prospective Cohort Study. Pain Medicine, 16(2), 328-340. https://doi.org/10.1111/pme.12585

Prevalence and Use of Complementary Health Approaches among Women with Chronic Pelvic Pain in a Prospective Cohort Study. / Chao, Maria T.; Abercrombie, Priscilla D.; Nakagawa, Sanae; Gregorich, Steven E.; Learman, Lee A.; Kuppermann, Miriam.

In: Pain Medicine, Vol. 16, No. 2, 01.02.2015, p. 328-340.

Research output: Contribution to journalArticle

Chao, MT, Abercrombie, PD, Nakagawa, S, Gregorich, SE, Learman, LA & Kuppermann, M 2015, 'Prevalence and Use of Complementary Health Approaches among Women with Chronic Pelvic Pain in a Prospective Cohort Study', Pain Medicine, vol. 16, no. 2, pp. 328-340. https://doi.org/10.1111/pme.12585
Chao, Maria T. ; Abercrombie, Priscilla D. ; Nakagawa, Sanae ; Gregorich, Steven E. ; Learman, Lee A. ; Kuppermann, Miriam. / Prevalence and Use of Complementary Health Approaches among Women with Chronic Pelvic Pain in a Prospective Cohort Study. In: Pain Medicine. 2015 ; Vol. 16, No. 2. pp. 328-340.
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