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Homeopathy 2017; 106(02): 69-78
DOI: 10.1016/j.homp.2017.03.002
Review
Copyright © The Faculty of Homeopathy 2017

Prevalence of homeopathy use by the general population worldwide: a systematic review

Clare Relton
,
Katy Cooper
,
Petter Viksveen
,
Philippa Fibert
,
Kate Thomas
Further Information

Publication History

Received01 August 2016
revised23 February 2017

accepted09 March 2017

Publication Date:
28 December 2017 (online)

Also available at
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Aim: To systematically review surveys of 12-month prevalence of homeopathy use by the general population worldwide.

Methods: Studies were identified via database searches to October 2015. Study quality was assessed using a six-item tool. All estimates were in the context of a survey which also reported prevalence of any complementary and alternative medicine use.

Results: A total of 36 surveys were included. Of these, 67% met four of six quality criteria.

Twelve-month prevalence of treatment by a homeopath was reported in 24 surveys of adults (median 1.5%, range 0.2–8.2%). Estimates for children were similar to those for adults. Rates in the USA, UK, Australia and Canada all ranged from 0.2% to 2.9% and remained stable over the years surveyed (1986–2012).

Twelve-month prevalence of all use of homeopathy (purchase of over-the-counter homeopathic medicines and treatment by a homeopath) was reported in 10 surveys of adults (median 3.9%, range 0.7–9.8%) while a further 11 surveys which did not define the type of homeopathy use reported similar data. Rates in the USA and Australia ranged from 1.7% to 4.4% and remained stable over the years surveyed. The highest use was reported by a survey in Switzerland where homeopathy is covered by mandatory health insurance.

Conclusions: This review summarises 12-month prevalence of homeopathy use from surveys conducted in eleven countries (USA, UK, Australia, Israel, Canada, Switzerland, Norway, Germany, South Korea, Japan and Singapore). Each year a small but significant percentage of these general populations use homeopathy. This includes visits to homeopaths as well as purchase of over-the-counter homeopathic medicines.

Keywords

Systematic review - Prevalence - Homeopathy - Treatment by homeopaths - Homeopathic medicines - Over-the-counter medicines - Worldwide
 

  • References

  • 1 Hahnemann S. Pure pharmaceutical science: first part. Arnold; Dresden: 1811.
    Search in Google Scholar
  • 2 The end of homoeopathy. Lancet 2005; 366-9487 690.
    PubMedSearch in Google Scholar
  • 3 Manchanda R.K., Kulashreshtha M. Cost effectiveness and efficacy of homeopathy in primary health care units of government of Delhi – a study. In: 60th International Homeopathic Congress, Berlin 2005.
    Search in Google Scholar
  • 4 National Institute of Homoeopathy, India: Council directive 92/73/EEC of 22 September 1992. No L 297/8, 13/10/1992. Available from: http://www.nih.nic.in/ 2016.
    PubMed
  • 5 Moher D., Liberati A., Tetzlaff J., Altman D.G. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 2009; 151 (04) 264-269.
    CrossrefPubMedSearch in Google Scholar
  • 6 Harris P.E., Cooper K.L., Relton C., Thomas K.J. Prevalence of complementary and alternative medicine (CAM) use by the general population: a systematic review and update. Int J Clin Pract 2012; 66 (10) 924-939.
    CrossrefPubMedSearch in Google Scholar
  • 7 Cooper K.L., Harris P.E., Relton C., Thomas K.J. Prevalence of visits to five types of complementary and alternative medicine practitioners by the general population: a systematic review. Complement Ther Clin Pract 2013. http://dx.doi.org/10.1016/j.ctcp.2013.06.006
    CrossrefSearch in Google Scholar
  • 8 Harris P., Rees R. The prevalence of complementary and alternative medicine use among the general population: a systematic review of the literature. Complement Ther Med 2000; 8 (02) 88-96.
    CrossrefPubMedSearch in Google Scholar
  • 9 Ernst E. Prevalence of use of complementary/alternative medicine: a systematic review. Bull World Health Organ 2000; 78 (02) 252-257.
    PubMedSearch in Google Scholar
  • 10 Relton C., O'Cathain A., Thomas K.J. ‘Homeopathy’: untangling the debate. Homeopathy 2008; 97 (03) 152-155.
    Thieme ConnectPubMedSearch in Google Scholar
  • 11 Clarke T.C., Black L.I., Stussman B.J., Barnes P.M., Nahin R.L. Trends in the use of complementary health approaches among adults: United States, 2002–2012. Natl Health Stat Rep 2015; 79: 1-16.
    PubMedSearch in Google Scholar
  • 12 Barnes P.M., Bloom B., Nahin R.L. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Rep 2008; 12: 1-23.
    PubMedSearch in Google Scholar
  • 13 Barnes P.M., Powell-Griner E., McFann K., Nahin R.L. Complementary and alternative medicine use among adults: United States, 2002. Adv Data 2004; 343: 1-19.
    PubMedSearch in Google Scholar
  • 14 Ni H., Simile C., Hardy A.M. Utilization of complementary and alternative medicine by United States adults: results from the 1999 national health interview survey. Med Care 2002; 40 (04) 353-358.
    CrossrefPubMedSearch in Google Scholar
  • 15 Druss B.G., Rosenheck R.A. Association between use of unconventional therapies and conventional medical services. JAMA 1999; 282 (07) 651-656.
    CrossrefPubMedSearch in Google Scholar
  • 16 Honda K., Jacobson J.S. Use of complementary and alternative medicine among United States adults: the influences of personality, coping strategies, and social support. Prev Med 2005; 40 (01) 46-53.
    CrossrefPubMedSearch in Google Scholar
  • 17 Eisenberg D.M., Davis R.B., Ettner S.L. et al Trends in alternative medicine use in the United States, 1990-1997: results of a follow-up national survey. JAMA 1998; 280 (18) 1569-1575.
    CrossrefPubMedSearch in Google Scholar
  • 18 Landmark Healthcare. The landmark report on public perceptions of alternative care. Sacramento: Landmark Healthcare 1998
    PubMed
  • 19 Eisenberg D.M., Kessler R.C., Foster C., Norlock F.E., Calkins D.R., Delbanco T.L. Unconventional medicine in the United States – prevalence, costs, and patterns of use. N Engl J Med 1993; 328 (04) 246-252.
    CrossrefPubMedSearch in Google Scholar
  • 20 Arcury T.A., Preisser J.S., Gesler W.M., Sherman J.E. Complementary and alternative medicine use among rural residents in Western North Carolina. Complement Health Pract Rev 2004; 9 (02) 93-102.
    PubMedSearch in Google Scholar
  • 21 Hunt K.J., Coelho H.F., Wider B. et al Complementary and alternative medicine use in England: results from a national survey. Int J Clin Pract 2010; 64 (11) 1496-1502.
    CrossrefPubMedSearch in Google Scholar
  • 22 Thomas K., Coleman P. Use of complementary or alternative medicine in a general population in Great Britain. Results from the National Omnibus survey. J Public Health 2004; 26 (02) 152-157.
    CrossrefPubMedSearch in Google Scholar
  • 23 Ernst E., White A. The BBC survey of complementary medicine use in the UK. Complement Ther Med 2000; 8 (01) 32-36.
    CrossrefPubMedSearch in Google Scholar
  • 24 Thomas K.J., Nicholl J.P., Coleman P. Use and expenditure on complementary medicine in England: a population based survey. Complement Ther Med 2001; 9 (01) 2-11.
    CrossrefPubMedSearch in Google Scholar
  • 25 Thomas K.J., Fall M., Nicholl J., Williams B. Methodological study to investigate the feasibility of conducting a population-based survey of the use of complementary health care. University of Sheffield; ScHARR: 1993.
    Search in Google Scholar
  • 26 Yung B., Lewis P., Charny M., Farrow S. Complementary medicine: some population-based data. Complement Med Res 1988; 3 (01) 23-28.
    PubMedSearch in Google Scholar
  • 27 Xue C.C., Zhang A.L., Lin V., Da C.C., Story D.F. Complementary and alternative medicine use in Australia: a national population-based survey. J Altern Complement Med 2007; 13 (06) 643-650.
    CrossrefPubMedSearch in Google Scholar
  • 28 MacLennan A.H., Myers S.P., Taylor A.W. The continuing use of complementary and alternative medicine in South Australia: costs and beliefs in 2004. Med J Aust 2006; 184 (01) 27-31.
    PubMedSearch in Google Scholar
  • 29 MacLennan A.H., Wilson D.H., Taylor A.W. The escalating cost and prevalence of alternative medicine. Prev Med 2002; 35 (02) 166-173.
    CrossrefPubMedSearch in Google Scholar
  • 30 MacLennan A.H., Wilson D.H., Taylor A.W. Prevalence and cost of alternative medicine in Australia. Lancet 1996; 347 ((9001) 569-573.
    PubMedSearch in Google Scholar
  • 31 Thomson P., Jones J., Browne M., Leslie S.J. Psychosocial factors that predict why people use complementary and alternative medicine and continue with its use: a population based study. Complement Ther Clin Pract 2014; 20 (04) 302-310.
    CrossrefPubMedSearch in Google Scholar
  • 32 Niskar A.S., Peled-Leviatan T., Garty-Sandalon N. Who uses complementary and alternative medicine in Israel?. J Altern Complement Med 2007; 13 (09) 989-995.
    CrossrefPubMedSearch in Google Scholar
  • 33 Shmueli A., Shuval J. Use of complementary and alternative medicine in Israel: 2000 vs. 1993. Isr Med Assoc J 2004; 6 (01) 3-8.
    PubMedSearch in Google Scholar
  • 34 Metcalfe A., Williams J., McChesney J., Patten S.B., Jette N. Use of complementary and alternative medicine by those with a chronic disease and the general population–results of a national population based survey. BMC Complement Altern Med 2010; 10: 58.
    CrossrefPubMedSearch in Google Scholar
  • 35 Millar W.J. Use of alternative health care practitioners by Canadians. Can J Public Health 1997; 88 (03) 154-158.
    PubMedSearch in Google Scholar
  • 36 Klein S.D., Torchetti L., Frei-Erb M., Wolf U. Usage of complementary medicine in Switzerland: results of the Swiss Health Survey 2012 and development since 2007. PLoS One 2015; 10 (10) e0141985.
    CrossrefPubMedSearch in Google Scholar
  • 37 Klein S.D., Frei-Erb M., Wolf U. Usage of complementary medicine across Switzerland: results of the Swiss Health Survey 2007. Swiss Med Wkly 2012; 142: w13666.
    PubMedSearch in Google Scholar
  • 38 Lohre A., Rise M.B., Steinsbekk A. Characteristics of visitors to practitioners of homeopathy in a large adult Norwegian population (the HUNT 3 study). Homeopathy 2012; 101 (03) 175-181.
    Thieme ConnectPubMedSearch in Google Scholar
  • 39 Steinsbekk A., Nilsen T.V.L., Rise M.B. Characteristics of visitors to homeopaths in a total adult population study in Norway (HUNT 2). Homeopathy 2008; 97 (04) 178-184.
    Thieme ConnectPubMedSearch in Google Scholar
  • 40 Schwarz S., Messerschmidt H., Volzke H., Hoffmann W., Lucht M., Doren M. Use of complementary medicinal therapies in West Pomerania: a population-based study. Climacteric 2008; 11 (02) 124-134.
    CrossrefPubMedSearch in Google Scholar
  • 41 Ock S.M., Choi J.Y., Cha Y.S. et al The use of complementary and alternative medicine in a general population in South Korea: results from a national survey in 2006. J Korean Med Sci 2009; 24 (01) 1-6.
    PubMedSearch in Google Scholar
  • 42 Yamashita H., Tsukayama H., Sugishita C. Popularity of complementary and alternative medicine in Japan: a telephone survey. Complement Ther Med 2002; 10 (02) 84-93.
    CrossrefPubMedSearch in Google Scholar
  • 43 Davis M.P., Darden P.M. Use of complementary and alternative medicine by children in the United States. Arch Pediatr Adolesc Med 2003; 157 (04) 393-396.
    CrossrefPubMedSearch in Google Scholar
  • 44 Yussman S.M., Ryan S.A., Auinger P., Weitzman M. Visits to complementary and alternative medicine providers by children and adolescents in the United States. Ambul Pediatr 2004; 4 (05) 429-435.
    CrossrefPubMedSearch in Google Scholar
  • 45 Steinsbekk A., Steinsbekk A. Families' visits to practitioners of complementary and alternative medicine in a total population (the HUNT studies). Scand J Public Health 2010; 38 (05) 96-104.
    CrossrefPubMedSearch in Google Scholar
  • 46 Smith C., Eckert K. Prevalence of complementary and alternative medicine and use among children in South Australia. J Paediatr Child Health 2006; 42 (09) 538-543.
    CrossrefPubMedSearch in Google Scholar
  • 47 McMahan S., Lutz R. Alternative therapy use among the young-old (ages 65–74): an evaluation of the MIDUS database. J Appl Gerontol 2004; 23 (02) 91-103.
    CrossrefPubMedSearch in Google Scholar
  • 48 Astin J.A., Pelletier K.R., Marie A., Haskell W.L. Complementary and alternative medicine use among elderly persons: one-year analysis of a Blue Shield Medicare supplement. J Gerontol Ser A Biol Sci Med Sci 2000; 55 (01) M4-M9.
    CrossrefPubMedSearch in Google Scholar
  • 49 Cheung C.K., Wyman J.F., Halcon L.L. Use of complementary and alternative therapies in community-dwelling older adults. J Altern Complement Med 2007; 13 (09) 997-1006.
    CrossrefPubMedSearch in Google Scholar
  • 50 Feng L., Chiam P.C., Kua E.H., Ng T.P. Use of complementary and alternative medicines and mental disorders in community-living Asian older adults. Arch Gerontol Geriatrics 2010; 50 (03) 243-249.
    CrossrefPubMedSearch in Google Scholar
  • 51 Zhang A.L., Xue C.C., Lin V., Story D.F. Complementary and alternative medicine use by older Australians. Ann N Y Acad Sci 2007; 1114: 204-215.
    CrossrefPubMedSearch in Google Scholar
  • 52 Harris P.E., Cooper K.L., Relton C., Thomas K.J. Prevalence of visits to massage therapists by the general population: a systematic review. Complement Ther Clin Pract 2014; 20 (01) 16-20.
    CrossrefPubMedSearch in Google Scholar
  • 53 Legal Status of Traditional Medicine and Complementary/Alternative Medicine: A Worldwide Review. Traditional Medicine World Health Organization. http://apps.who.int/medicinedocs/pdf/h2943e/h2943e.pdf.
    PubMed
  • 54 Shrivastava S.R., Shrivastava P.S., Ramasamy J. Mainstreaming of Ayurveda, Yoga, Naturopathy, Unani, Siddha, and Homeopathy with the health care delivery system in India. J Tradit Complement Med 5 (02) 2015; 116-118.
    CrossrefPubMedSearch in Google Scholar
  • 55 Piolot M., Fagot J.P., Riviere S. et al Homeopathy in France in 2011–2012 according to reimbursements in the French national health insurance database (SNIRAM). Fam Pract 2015; 32 (04) 442-448.
    PubMedSearch in Google Scholar