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Each year, $100 billion is spent on pain care, yet 40% of Americans experience daily pain, including 50 million people with chronic pain and 25 million people with acute pain. The prevalence of pain has a tremendous impact on business, with an estimated annual cost of $60 billion plus in lost productivity. Despite advances in the treatment of pain, the quality of pain care remains far below the potential for optimal care, and ineffective pain treatment continues to be a growing problem in the United States. The historic progress of pain care in the United States has encountered contemporary barriers. | National Health Statistics Reports Number 12 December 10 2008 Complementary and Alternative Medicine Use Among Adults and Children United States 2007 by Patricia M. Barnes M.A. and Barbara Bloom M.P.A. Division of Health Interview Statistics National Center for Health Statistics and Richard L. Nahin Ph.D. M.P.H. National Center for Complementary and Alternative Medicine National Institutes of Health Abstract Introduction Objective This report presents selected estimates of complementary and alternative medicine CAM use among U.S. adults and children using data from the 2007 National Health Interview Survey NHIS conducted by the Centers for Disease Control and Prevention s CDC National Center for Health Statistics NCHS . Trends in adult use were assessed by comparing data from the 2007 and 2002 NHIS. Methods Estimates were derived from the Complementary and Alternative Medicine supplements and Core components of the 2007 and 2002 NHIS. Estimates were generated and comparisons conducted using the SUDAAN statistical package to account for the complex sample design. Results In 2007 almost 4 out of 10 adults had used CAM therapy in the past 12 months with the most commonly used therapies being nonvitamin nonmineral natural products 17.7 and deep breathing exercises 12.7 . American Indian or Alaska Native adults 50.3 and white adults 43.1 were more likely to use CAM than Asian adults 39.9 or black adults 25.5 . Results from the 2007 NHIS found that approximately one in nine children 11.8 used CAM therapy in the past 12 months with the most commonly used therapies being nonvitamin nonmineral natural products 3.9 and chiropractic or osteopathic manipulation 2.8 . Children whose parent used CAM were almost five times as likely 23.9 to use CAM as children whose parent did not use CAM 5.1 . For both adults and children in 2007 when worry about cost delayed receipt of conventional care individuals were more likely to use CAM than when the cost of conventional care was not a .
