Barriers to acupuncture use among breast cancer survivors: A cross-sectional analysis Journal Article


Authors: Bao, T.; Li, Q.; DeRito, J. L.; Seluzicki, C.; Im, E. O.; Mao, J.
Article Title: Barriers to acupuncture use among breast cancer survivors: A cross-sectional analysis
Abstract: Introduction: Increasing evidence suggests that acupuncture may be helpful to manage common symptoms and treatment side effects among breast cancer (BC) survivors. Acupuncture usage among BC survivors remains low with little known about the barriers to its utilization. We evaluated perceived barriers to acupuncture use among BC survivors and explored the sociodemographic variations of such barriers. Methods: We conducted a cross-sectional analysis at an urban academic cancer center on 593 postmenopausal women with a history of stage I-III hormone receptor-positive BC who were taking or had taken an aromatase inhibitor. We used the modified Attitudes and Beliefs about Complementary and Alternative Medicine instrument to evaluate patients’ perceived barriers to acupuncture. Multiple linear regression analysis was performed to determine sociodemographic factors associated with perceived barrier scores. Results: The most common barriers were lack of knowledge about acupuncture (41.6%), concern for lack of insurance coverage (25.0%), cost (22.3%), and difficulty finding qualified acupuncturists (18.6%). Compared with whites, minority patients had higher perceived barriers to use acupuncture (β coefficient = 1.63, 95% confidence interval = 0.3-2.9, P =.013). Patients with lower education had higher barriers to use acupuncture (β coefficient = 4.23, 95% confidence interval = 3.0-5.4, P <.001) compared with patients with college education or above. Conclusion: Lack of knowledge and concerns for insurance coverage and cost are the common barriers to acupuncture use among BC survivors, especially among minority patients with lower education. Addressing these barriers may lead to more equitable access to acupuncture treatment for BC survivors from diverse backgrounds. © The Author(s) 2018.
Keywords: breast cancer; barriers; acupuncture use
Journal Title: Integrative Cancer Therapies
Volume: 17
Issue: 3
ISSN: 1534-7354
Publisher: Sage Publications  
Date Published: 2018-09-01
Start Page: 854
End Page: 859
Language: English
DOI: 10.1177/1534735418754309
PROVIDER: scopus
PUBMED: 29338443
PMCID: PMC6142082
DOI/URL:
Notes: Article -- Export Date: 4 September 2018 -- Source: Scopus
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MSK Authors
  1. Ting   Bao
    57 Bao
  2. Jun J Mao
    157 Mao
  3. Qing Susan Li
    56 Li
  4. Janice L DeRito
    4 DeRito