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Complementary Health Practice Review, Vol. 9, No. 2, 93-102 (2004)
DOI: 10.1177/1076167503253433

Complementary and Alternative Medicine Use Among Rural Residents in Western North Carolina

Thomas A. Arcury, PhD

Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1084 tarcury{at}wfubmc.edu

John S. Preisser, PhD

Department of Biostatistics, School of Public Health, at the University of North Carolina at Chapel Hill

Wilbert M. Gesler, PhD

Department of Geography at the University of North Carolina at Chapel Hill

Jill E. Sherman, MPH

Department of Geography at the University of North Carolina at Chapel Hill

This analysis examines prevalence and identifies the predictors of complementary and alternative medicine (CAM) use among adults living in a rural region and analyzes the general health concerns for which rural adults use CAM remedies. Data are from a cross-sectional survey of 1,059 adults residing in 12 nonmetropolitan counties in Appalachian North Carolina conducted in 1999. "Home remedies" is the most extensively used CAM category in this population, with "honey-lemon-vinegar-whiskey and herbs" being the most widely used. The use of specific home remedies is associated with age, gender, and education. Chiropractors are the only widely used alternative therapist. Home remedies are differentially used to treat health conditions.

Key Words: rural health • Appalachia • underserved populations • CAM use prevalence


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