Complementary and Alternative Medicines and Childhood Eczema: A US Population-Based Study

The prevalence of complementary andalternativemedicine(CAM) use inUSchildren with eczema isunknown. Furthermore, it is unknown whether CAM use in the United States is associated with higher eczema prevalence. We sought to determine the eczema prevalence in association with CAM usage. We analyzed data from the 2007 National Health Interview Survey that includeda nationally representative sample of 9417 children ages 0 to 17 years. Overall, 46.9%(95% confidence interval, 45.6% +/- 48.2%) of children in theUnited States used 1 ormore CAM, of which 0.99%(0.28% +/- 1.71%) used CAMspecifically to treat their eczema, including herbal therapy (0.46%), vitamins (0.33%), Ayurveda (0.28%), naturopathy (0.24%), homeopathy (0.20%), and traditional healing (0.12%). Several CAMs used for other purposes were associated with increased eczema prevalence, including herbal therapy (survey logistic regression; adjusted odds ratio [95% confidence interval], 2.07 [1.40 +/- 3.06]), vitamins (1.45 [1.21 +/- 1.74]), homeopathic therapy (2.94 [1.43 +/- 6.00]), movement techniques (3.66 [1.62 +/- 8.30]), and diet (2.24 [1.10 +/- 4.58]), particularly vegan diet (2.53 [1.17 +/- 5.51]). In conclusion, multiple CAMs are commonly used for the treatment of eczema in US children. However, some CAMs may actually be harmful to the skin and be associated with higher eczema prevalence in the United States.