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Trends in botanical dietary supplement use among US adults by cancer status: The National Health and Nutrition Examination Survey, 1999 to 2014

BACKGROUND Patients with cancer may use botanical dietary supplements (BDS) in an attempt to manage the side effects of chemotherapy, yet evidence about BDS use among patients with cancer is limited. The authors examined trends in BDS use among US adults according to cancer status and patient charac...

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Published in:Cancer 2018-03, Vol.124 (6), p.1207-1215
Main Authors: Li, Chao, Hansen, Richard A., Chou, Chiahung, Calderón, Angela I., Qian, Jingjing
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cited_by cdi_FETCH-LOGICAL-c3933-4907187ac132209e5b3a8bdd83deeed9cb63ec11eaed5b4e07e3d08c215d76743
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container_title Cancer
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creator Li, Chao
Hansen, Richard A.
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description BACKGROUND Patients with cancer may use botanical dietary supplements (BDS) in an attempt to manage the side effects of chemotherapy, yet evidence about BDS use among patients with cancer is limited. The authors examined trends in BDS use among US adults according to cancer status and patient characteristics. METHODS A serial, cross‐sectional study was conducted using data from the National Health and Nutrition Examination Survey from 1999 through 2014 (n = 43,644). Self‐reported cancer diagnosis history and any BDS use in the preceding 30 days were determined. The prevalence of BDS use was calculated in each cycle for respondents with and without cancer, both overall and by patient characteristics. Simple linear regression models were applied to test for trends in BDS use at a 2‐sided P value 
doi_str_mv 10.1002/cncr.31183
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The authors examined trends in BDS use among US adults according to cancer status and patient characteristics. METHODS A serial, cross‐sectional study was conducted using data from the National Health and Nutrition Examination Survey from 1999 through 2014 (n = 43,644). Self‐reported cancer diagnosis history and any BDS use in the preceding 30 days were determined. The prevalence of BDS use was calculated in each cycle for respondents with and without cancer, both overall and by patient characteristics. Simple linear regression models were applied to test for trends in BDS use at a 2‐sided P value &lt; .05. Multiple logistic regression models were performed to identify the patient factors associated with BDS use. The results were weighted to represent national estimates. RESULTS The prevalence of BDS use was greater among participants who had cancer compared with participants who did not have cancer, but trends remained stable during 1999 through 2014 for both groups. Trends in BDS use declined in patients with cancer who were older (Ptrend = .047), had a low annual family income (Ptrend = .028), and had a lower education level (Ptrend = .004). Among the respondents without cancer, trends in BDS use declined in those who were middle‐aged (Ptrend = .025), non‐Hispanic whites (Ptrend = .025), those with a lower education level (Ptrend = .011), and those who were not receiving prescription medication (Ptrend = .036). Patient age, sex, race/ethnicity, income, education, and health conditions were associated with BDS use. CONCLUSIONS The overall use of BDS remained stable during 1999 through 2014 for US adults with and without cancer, but it varied by individual characteristics. Cancer 2018;124:1207‐15. © 2017 American Cancer Society. Trends in the use of botanical dietary supplements are studied among US adults according to cancer status and patient characteristics. Overall, the use of botanical dietary supplements has remained stable from 1999 to 2014 for US adults with and without cancer, but it has varied by individual characteristics.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/cncr.31183</identifier><identifier>PMID: 29211315</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Adults ; Aged ; botanical dietary supplements ; Cancer ; cancer survivors ; Chemotherapy ; Cross-Sectional Studies ; Diet ; Dietary Supplements ; Education ; Female ; Health ; Humans ; Income ; Male ; Middle Aged ; Minority &amp; ethnic groups ; National Health and Nutrition Examination Survey ; Neoplasms - diet therapy ; Nutrition ; Nutrition Surveys - statistics &amp; numerical data ; Oncology ; Patients ; pharmacoepidemiology ; Plant Extracts - administration &amp; dosage ; Regression analysis ; Regression models ; Self Report - statistics &amp; numerical data ; Side effects ; Socioeconomic Factors ; trend ; Trends ; United States</subject><ispartof>Cancer, 2018-03, Vol.124 (6), p.1207-1215</ispartof><rights>2017 American Cancer Society</rights><rights>2017 American Cancer Society.</rights><rights>2018 American Cancer Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3933-4907187ac132209e5b3a8bdd83deeed9cb63ec11eaed5b4e07e3d08c215d76743</citedby><cites>FETCH-LOGICAL-c3933-4907187ac132209e5b3a8bdd83deeed9cb63ec11eaed5b4e07e3d08c215d76743</cites><orcidid>0000-0003-2124-3282</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29211315$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Chao</creatorcontrib><creatorcontrib>Hansen, Richard A.</creatorcontrib><creatorcontrib>Chou, Chiahung</creatorcontrib><creatorcontrib>Calderón, Angela I.</creatorcontrib><creatorcontrib>Qian, Jingjing</creatorcontrib><title>Trends in botanical dietary supplement use among US adults by cancer status: The National Health and Nutrition Examination Survey, 1999 to 2014</title><title>Cancer</title><addtitle>Cancer</addtitle><description>BACKGROUND Patients with cancer may use botanical dietary supplements (BDS) in an attempt to manage the side effects of chemotherapy, yet evidence about BDS use among patients with cancer is limited. The authors examined trends in BDS use among US adults according to cancer status and patient characteristics. METHODS A serial, cross‐sectional study was conducted using data from the National Health and Nutrition Examination Survey from 1999 through 2014 (n = 43,644). Self‐reported cancer diagnosis history and any BDS use in the preceding 30 days were determined. The prevalence of BDS use was calculated in each cycle for respondents with and without cancer, both overall and by patient characteristics. Simple linear regression models were applied to test for trends in BDS use at a 2‐sided P value &lt; .05. Multiple logistic regression models were performed to identify the patient factors associated with BDS use. The results were weighted to represent national estimates. RESULTS The prevalence of BDS use was greater among participants who had cancer compared with participants who did not have cancer, but trends remained stable during 1999 through 2014 for both groups. Trends in BDS use declined in patients with cancer who were older (Ptrend = .047), had a low annual family income (Ptrend = .028), and had a lower education level (Ptrend = .004). Among the respondents without cancer, trends in BDS use declined in those who were middle‐aged (Ptrend = .025), non‐Hispanic whites (Ptrend = .025), those with a lower education level (Ptrend = .011), and those who were not receiving prescription medication (Ptrend = .036). Patient age, sex, race/ethnicity, income, education, and health conditions were associated with BDS use. CONCLUSIONS The overall use of BDS remained stable during 1999 through 2014 for US adults with and without cancer, but it varied by individual characteristics. Cancer 2018;124:1207‐15. © 2017 American Cancer Society. Trends in the use of botanical dietary supplements are studied among US adults according to cancer status and patient characteristics. Overall, the use of botanical dietary supplements has remained stable from 1999 to 2014 for US adults with and without cancer, but it has varied by individual characteristics.</description><subject>Adult</subject><subject>Adults</subject><subject>Aged</subject><subject>botanical dietary supplements</subject><subject>Cancer</subject><subject>cancer survivors</subject><subject>Chemotherapy</subject><subject>Cross-Sectional Studies</subject><subject>Diet</subject><subject>Dietary Supplements</subject><subject>Education</subject><subject>Female</subject><subject>Health</subject><subject>Humans</subject><subject>Income</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minority &amp; ethnic groups</subject><subject>National Health and Nutrition Examination Survey</subject><subject>Neoplasms - diet therapy</subject><subject>Nutrition</subject><subject>Nutrition Surveys - statistics &amp; numerical data</subject><subject>Oncology</subject><subject>Patients</subject><subject>pharmacoepidemiology</subject><subject>Plant Extracts - administration &amp; dosage</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Self Report - statistics &amp; numerical data</subject><subject>Side effects</subject><subject>Socioeconomic Factors</subject><subject>trend</subject><subject>Trends</subject><subject>United States</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kU1rFEEQhhtRzBq9-AOkwIuIE_tjenvamyzRCGEFswFvTU93xUyY6dn0h7q_wr9sbzZ68OCpqOLhoapeQp4zesIo5W9dcPFEMNaJB2TBqFYNZS1_SBaU0q6Rrfh6RJ6kdFNbxaV4TI645owJJhfk1yZi8AmGAP2cbRicHcEPmG3cQSrb7YgThgwlIdhpDt_g8gKsL2NO0O_A2eAwQso2l_QONtcIa5uHOVTLGdoxX4MNHtYlx2E_htOfdhrCHQIXJX7H3RtgWmvIM_C69lPy6MqOCZ_d12Ny-eF0szprzj9__LR6f944oYVoWk0V65R1THBONcpe2K73vhMeEb12_VKgYwwtetm3SBUKTzvHmfRqqVpxTF4dvNs43xZM2UxDcjiONuBckmFaiVZq3amKvvwHvZlLrBcmUzemnVxKISv1-kC5OKcU8cps4zDVLxpGzT4ms4_J3MVU4Rf3ytJP6P-if3KpADsAP4YRd_9RmdV69eUg_Q3v6pzS</recordid><startdate>20180315</startdate><enddate>20180315</enddate><creator>Li, Chao</creator><creator>Hansen, Richard A.</creator><creator>Chou, Chiahung</creator><creator>Calderón, Angela I.</creator><creator>Qian, Jingjing</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TO</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2124-3282</orcidid></search><sort><creationdate>20180315</creationdate><title>Trends in botanical dietary supplement use among US adults by cancer status: The National Health and Nutrition Examination Survey, 1999 to 2014</title><author>Li, Chao ; Hansen, Richard A. ; Chou, Chiahung ; Calderón, Angela I. ; Qian, Jingjing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3933-4907187ac132209e5b3a8bdd83deeed9cb63ec11eaed5b4e07e3d08c215d76743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Aged</topic><topic>botanical dietary supplements</topic><topic>Cancer</topic><topic>cancer survivors</topic><topic>Chemotherapy</topic><topic>Cross-Sectional Studies</topic><topic>Diet</topic><topic>Dietary Supplements</topic><topic>Education</topic><topic>Female</topic><topic>Health</topic><topic>Humans</topic><topic>Income</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minority &amp; ethnic groups</topic><topic>National Health and Nutrition Examination Survey</topic><topic>Neoplasms - diet therapy</topic><topic>Nutrition</topic><topic>Nutrition Surveys - statistics &amp; numerical data</topic><topic>Oncology</topic><topic>Patients</topic><topic>pharmacoepidemiology</topic><topic>Plant Extracts - administration &amp; dosage</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Self Report - statistics &amp; numerical data</topic><topic>Side effects</topic><topic>Socioeconomic Factors</topic><topic>trend</topic><topic>Trends</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Chao</creatorcontrib><creatorcontrib>Hansen, Richard A.</creatorcontrib><creatorcontrib>Chou, Chiahung</creatorcontrib><creatorcontrib>Calderón, Angela I.</creatorcontrib><creatorcontrib>Qian, Jingjing</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Chao</au><au>Hansen, Richard A.</au><au>Chou, Chiahung</au><au>Calderón, Angela I.</au><au>Qian, Jingjing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in botanical dietary supplement use among US adults by cancer status: The National Health and Nutrition Examination Survey, 1999 to 2014</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>2018-03-15</date><risdate>2018</risdate><volume>124</volume><issue>6</issue><spage>1207</spage><epage>1215</epage><pages>1207-1215</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><abstract>BACKGROUND Patients with cancer may use botanical dietary supplements (BDS) in an attempt to manage the side effects of chemotherapy, yet evidence about BDS use among patients with cancer is limited. The authors examined trends in BDS use among US adults according to cancer status and patient characteristics. METHODS A serial, cross‐sectional study was conducted using data from the National Health and Nutrition Examination Survey from 1999 through 2014 (n = 43,644). Self‐reported cancer diagnosis history and any BDS use in the preceding 30 days were determined. The prevalence of BDS use was calculated in each cycle for respondents with and without cancer, both overall and by patient characteristics. Simple linear regression models were applied to test for trends in BDS use at a 2‐sided P value &lt; .05. Multiple logistic regression models were performed to identify the patient factors associated with BDS use. The results were weighted to represent national estimates. RESULTS The prevalence of BDS use was greater among participants who had cancer compared with participants who did not have cancer, but trends remained stable during 1999 through 2014 for both groups. Trends in BDS use declined in patients with cancer who were older (Ptrend = .047), had a low annual family income (Ptrend = .028), and had a lower education level (Ptrend = .004). Among the respondents without cancer, trends in BDS use declined in those who were middle‐aged (Ptrend = .025), non‐Hispanic whites (Ptrend = .025), those with a lower education level (Ptrend = .011), and those who were not receiving prescription medication (Ptrend = .036). Patient age, sex, race/ethnicity, income, education, and health conditions were associated with BDS use. CONCLUSIONS The overall use of BDS remained stable during 1999 through 2014 for US adults with and without cancer, but it varied by individual characteristics. Cancer 2018;124:1207‐15. © 2017 American Cancer Society. Trends in the use of botanical dietary supplements are studied among US adults according to cancer status and patient characteristics. 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identifier ISSN: 0008-543X
ispartof Cancer, 2018-03, Vol.124 (6), p.1207-1215
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source Wiley-Blackwell Read & Publish Collection; EZB Electronic Journals Library
subjects Adult
Adults
Aged
botanical dietary supplements
Cancer
cancer survivors
Chemotherapy
Cross-Sectional Studies
Diet
Dietary Supplements
Education
Female
Health
Humans
Income
Male
Middle Aged
Minority & ethnic groups
National Health and Nutrition Examination Survey
Neoplasms - diet therapy
Nutrition
Nutrition Surveys - statistics & numerical data
Oncology
Patients
pharmacoepidemiology
Plant Extracts - administration & dosage
Regression analysis
Regression models
Self Report - statistics & numerical data
Side effects
Socioeconomic Factors
trend
Trends
United States
title Trends in botanical dietary supplement use among US adults by cancer status: The National Health and Nutrition Examination Survey, 1999 to 2014
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