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Feinberg, Termeh [1], Lilly, Christa [2], Innes, Kim (Karen) [1].

Correlates of Herbal use for Pain Management in an Appalachian Chronic Pain population.

Background: Herbs indicated for analgesia and rheumatic conditions have traditionally been used in Appalachia. However, determinants and patterns of herbal use with regard to pain management have not been well studied, particularly in West Virginia. In this cross-sectional study, we investigated the relation of herbal use to a variety of factors in Appalachian chronic pain patients. Methods: Participants were 293 adult chronic pain patients (18+) recruited using convenience sampling in four West Virginia pain and rheumatology clinics. All participants completed the Complementary Health Approaches for Pain Survey (CHAPS)(2014-2016); demographic, lifestyle, and health factors were measured, including current and potential future use of herbs, 11 other Complementary Health Approaches (CHAs), and pain severity (Short-Form Global Pain Scale (SF-GPS)). Logistic and linear regression were used to identify correlates of herbal use among participants with current chronic pain (n = 219). Results: 10.1% of participants reported using herbs for pain management;19 herbs were reported. Herbal use was positively associated with intention to use other CHAs in the next 30 days and 6 months (odds ratio (OR)=3.5 (CI 1.3,10.1) and OR=4.2 (CI 1.7,10.4), respectively), and with the current use of other CHAs for both the past 6 months and beyond 6 months (OR=3.0 (CI 1.2,7.2) and OR=2.6 (CI 1.0,6.7)). Those with asthma or musculoskeletal/tissue injury were also more likely to use herbs for pain (OR=2.9 (CI 1.1,7.7) and OR=3.3 (CI 1.3,8.1)). There was no difference in SF-GPS score by herbal use status (p = 0.17). Conclusions: Findings from this study indicate a significant positive association of herbal use to the use of other CHAs and selected comorbid conditions. Further prospective research is needed to confirm these findings and to investigate the reported efficacy of herbs used for pain.


1 - West Virginia University School of Public Health, Epidemiology, 5 Medical Drive, Morgantown, WV, 26506, USA
2 - West Virginia University School of Public Health, Biostatistics, 5 Medical Drive, Morgantown, WV, 26506, USA

Keywords:
Phytotherapy
Herbal Medicine
Traditional Medicine
Integrative Medicine
Chronic Pain
Analgesia
Rheumatic Diseases
Epidemiology
Comorbidity
Surveys and Questionnaires
Appalachian Region
Complementary Health Approaches.

Presentation Type: Oral Presentation
Number:
Abstract ID:60
Candidate for Awards:None