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In the United States (US), approximately 38% of adults use CAM [2].

Generally, adults use CAM to relieve negative symptoms of illnesses and to improve overall health [3]; CAM is also used because individuals experience side effects and do not get relief from conventional therapy [4].

The list of chronic conditions included asthma, arthritis, cancer, chronic obstructive pulmonary disease (COPD), diabetes, heart diseases (angina pectoris, coronary heart disease, heart attack, stroke, and other heart conditions), hyperlipidemia, and hypertension, bipolar disorder, depression, or other mental health disorders.

The CAM supplement file was used to obtain information on whether the respondent ever used CAM (see Tables 4 and 5) and, if so, whether they used CAM in the past 12 months.

This study was a retrospective cross-sectional study using the National Health Interview Survey (NHIS) for the year 2012 among adults with multiple chronic conditions.The NHIS contains both core (household composition, family, sample child, and sample adults) and supplemental files.A randomly selected adult member (≥18 years old) of a household was invited to complete the Adult CAM use questions, which resulted in the creation of adult CAM supplement file.The study sample was further restricted to adults who reported having MCCs (i.e., two or more chronic physical conditions or having a combination of chronic physical and mental health conditions).MCCs were defined from the following list of chronic physical and mental health conditions: asthma, arthritis, cancer, chronic obstructive pulmonary disease (COPD), diabetes, heart diseases, hyperlipidemia, hypertension, bipolar disorder, depression, or other mental health disorders.