conventional practitionersFor example, Astin suggested that an association with education may reflect that those with higher education are: more likely to be exposed to various alternative forms of health care through their own reading; more likely to educate themselves about their disease and available treatments; and more likely to question the authority of conventional practitioners. However, the growth of CAM has resulted in greater public exposure to these therapies. Information about CAM, of varying quality, is readily available to patients through local health food stores, complementary practitioners, on television and over the Internet. It is now unlikely that those with higher education are any more likely to be exposed to CAM. flovent inhaler

Of the disease and treatment characteristics examined, only current disease activity was associated with CAM use. This association was seen for both Crohn’s disease and ulcerative colitis and a dose response was observed, with higher levels of disease activity being associated with greater likelihood of CAM use. An association between disease activity and CAM use is supported by the reasons cited by patients for using or not using CAM.