Research Article
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Published Online: 27 January 2010

The Use of Homeopathic Products in Childhood: Data Generated over 8.5 Years from the Avon Longitudinal Study of Parents and Children (ALSPAC)

Publication: The Journal of Alternative and Complementary Medicine
Volume 16, Issue Number 1

Abstract

Background: Very little is known about the use of homeopathic products (HP) in children. The Avon Longitudinal Study of Parents and Children (ALSPAC), a population-based cohort in the South-West of England, has collected homeopathic data through self-completion questionnaires posted to the mother at regular time points throughout childhood. The aim of this article is to describe the use of these products in a large cohort of children from birth to 8.5 years of age.
Methods: Questions asked about the use of HP within a preceding time period at seven time points from birth to 8.5 years of age. Additional questions at 18 and 81 months asked about the conditions treated and at 81 months who had prescribed the HP.
Results: Eleven and eight-tenths percent (11.8%) of this cohort used a HP at least once up to 8.5 years of age. Chamomilla for teething and Arnica for soft-tissue bruising were the most commonly used products. The most frequently prescribed products were for common self-limiting infantile conditions such as colic, cuts and bruises, and teething. Parents were most likely at 81 months to prescribe HP for their children (46.3% of all prescription sources) and 10% of products were prescribed by general practitioners. Confusion about what constituted a HP was present in nearly 10% of answers.
Conclusions: No other study, to our knowledge, has been able to map the use of HP over such a long time period in such a large cohort of children. The amount of HP use reflects a significant minority of the population who use complementary and alternative medicine treatments to manage the health of their family. Health care professionals should be aware of the confusion surrounding HP and have knowledge around some of the more commonly used HP. Parents and carers are using homeopathy wisely with appropriate remedies consistently used for acute problems. Research could focus on greater information delivery to the community and monitoring of potential health and cost benefits, or side-effects of the use of HP for acute and chronic conditions in children.

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References

1.
Ernst E. Prevalence of complementary/alternative medicine for children: A systematic reviewEur J Pediatr19991587-11. 1. Ernst E. Prevalence of complementary/alternative medicine for children: A systematic review. Eur J Pediatr 1999;158:7–11.
2.
Low EMurray DMO'Mahony OO'B Hourihane J. Complementary and alternative medicine use in Irish paediatric patientsIr J Med Sci2008177147-150. 2. Low E, Murray DM, O'Mahony O, O'B Hourihane J. Complementary and alternative medicine use in Irish paediatric patients. Ir J Med Sci 2008;177:147–150.
3.
Wilson KDowson CMangin D. Prevalence of complementary and alternative medicine use in Christchurch, New Zealand: Children attending general practice versus paediatric outpatientsN Z Med J2007120U2464. 3. Wilson K, Dowson C, Mangin D. Prevalence of complementary and alternative medicine use in Christchurch, New Zealand: Children attending general practice versus paediatric outpatients. N Z Med J 2007;120:U2464.
4.
Spigelblatt LLaine-Ammara GPless IBGuyver A. The use of alternative medicine by childrenPediatrics1994946 pt 1811-814. 4. Spigelblatt L, Laine-Ammara G, Pless IB, Guyver A. The use of alternative medicine by children. Pediatrics 1994;94(6 pt 1):811–814.
5.
Simpson NRoman K. Complementary medicine use in children: Extent and reasons. A population-based studyBr J Gen Pract200151914-916. 5. Simpson N, Roman K. Complementary medicine use in children: Extent and reasons. A population-based study. Br J Gen Pract 2001;51:914–916.
6.
Thompson EADahr JBarron S. A pre-audit exploring motivation and expectation for a 100 patients attending the Bristol Homeopathic HospitalFocus Altern Complement Ther20049suppl 153-54. 6. Thompson EA, Dahr J, Barron S. A pre-audit exploring motivation and expectation for a 100 patients attending the Bristol Homeopathic Hospital. Focus Altern Complement Ther 2004;9(suppl 1):53–54.
7.
Spence DSThompson EABarron SJ. Homeopathic treatment for chronic disease: A 6-year, university-hospital outpatient observational studyJ Altern Complement Med200511793-798. 7. Spence DS, Thompson EA, Barron SJ. Homeopathic treatment for chronic disease: A 6-year, university-hospital outpatient observational study. J Altern Complement Med 2005;11:793–798.
8.
Jacobs JJonas WBJimenez-Perez MCrothers D. Homeopathy for childhood diarrhea: Combined results and metaanalysis from three randomized, controlled clinical trialsPediatr Infect Dis J200322229-234. 8. Jacobs J, Jonas WB, Jimenez-Perez M, Crothers D. Homeopathy for childhood diarrhea: Combined results and metaanalysis from three randomized, controlled clinical trials. Pediatr Infect Dis J 2003;22:229–234.
9.
Steinsbekk ABentzen NFonnebo VLewith G. Self treatment with one of three self selected, ultramolecular homeopathic medicines for the prevention of upper respiratory tract infections in children: A double-blind randomized placebo controlled trialBr J Clin Pharmacol200559447-455. 9. Steinsbekk A, Bentzen N, Fonnebo V, Lewith G. Self treatment with one of three self selected, ultramolecular homeopathic medicines for the prevention of upper respiratory tract infections in children: A double-blind randomized placebo controlled trial. Br J Clin Pharmacol 2005;59:447–455.
10.
Jacobs JSpringer DACrothers D. Homeopathic treatment of acute otitis media in children: A preliminary randomized placebo-controlled trialPediatr Infect Dis J200120177-183. 10. Jacobs J, Springer DA, Crothers D. Homeopathic treatment of acute otitis media in children: A preliminary randomized placebo-controlled trial. Pediatr Infect Dis J 2001;20:177–183.
11.
Frei HEverts Rvon Ammon K et al. Homeopathic treatment of children with attention deficit hyperactivity disorder: A randomised, double blind, placebo controlled crossover trialEur J Pediatr2005164758-767. 11. Frei H, Everts R, von Ammon K, et al. Homeopathic treatment of children with attention deficit hyperactivity disorder: A randomised, double blind, placebo controlled crossover trial. Eur J Pediatr 2005;164:758–767.
12.
Golding JPembrey MJones R. ALSPAC—the Avon Longitudinal Study of Parents and Children. I. Study methodologyPaediatr Perinat Epidemiol20011574-87. 12. Golding J, Pembrey M, Jones R. ALSPAC—the Avon Longitudinal Study of Parents and Children. I. Study methodology. Paediatr Perinat Epidemiol 2001;15:74–87.
13.
Thompson TDWeiss M. Homeopathy—what are the active ingredients? An exploratory study using the UK Medical Research Council's framework for the evaluation of complex interventionsBMC Complement Altern Med2006637. 13. Thompson TD, Weiss M. Homeopathy—what are the active ingredients? An exploratory study using the UK Medical Research Council's framework for the evaluation of complex interventions. BMC Complement Altern Med 2006;6:37.
14.
Altunc UPittler MHErnst E. Homeopathy for childhood and adolescence ailments: Systematic review of randomized clinical trialsMayo Clin Proc20078269-75. 14. Altunc U, Pittler MH, Ernst E. Homeopathy for childhood and adolescence ailments: Systematic review of randomized clinical trials. Mayo Clin Proc 2007;82:69–75.
15.
Ekins-Daukes SHelms PJTaylor MW et al. Paediatric homoeopathy in general practice: Where, when and why?Br J Clin Pharmacol200559743-749. 15. Ekins-Daukes S, Helms PJ, Taylor MW, et al. Paediatric homoeopathy in general practice: Where, when and why? Br J Clin Pharmacol 2005;59:743–749.
16.
Fisher Pvan HRHardy K et al. Effectiveness gaps: A new concept for evaluating health service and research needs applied to complementary and alternative medicineJ Altern Complement Med200410627-632. 16. Fisher P, van HR, Hardy K, et al. Effectiveness gaps: A new concept for evaluating health service and research needs applied to complementary and alternative medicine. J Altern Complement Med 2004;10:627–632.
17.
Ross SSimpson CRMcLay JS. Homoeopathic and herbal prescribing in general practice in ScotlandBr J Clin Pharmacol200662647-652. 17. Ross S, Simpson CR, McLay JS. Homoeopathic and herbal prescribing in general practice in Scotland. Br J Clin Pharmacol 2006;62:647–652.
18.
Nichol JThompson EAShaw A. Beliefs and decision-making about complementary and alternative medicine (CAM) within families using CAMA qualitative study2010in press. 18. Nichol J, Thompson EA, Shaw A. Beliefs and decision-making about complementary and alternative medicine (CAM) within families using CAM: A qualitative study. 2010; in press.
19.
Furnham A. Ignorance about homeopathyJ Altern Complement Med19995475-478. 19. Furnham A. Ignorance about homeopathy. J Altern Complement Med 1999;5:475–478.
20.
Spence DSThompson EABarron SJ. Homeopathic treatment for chronic disease: A 6-year, university-hospital outpatient observational studyJ Altern Complement Med200511793-798. 20. Spence DS, Thompson EA, Barron SJ. Homeopathic treatment for chronic disease: A 6-year, university-hospital outpatient observational study. J Altern Complement Med 2005;11:793–798.
77
21.
Witt CMLudtke RBaur RWillich SN. Homeopathic medical practice: Long-term results of a cohort study with 3981 patientsBMC Public Health20055115. 21. Witt CM, Ludtke R, Baur R, Willich SN. Homeopathic medical practice: Long-term results of a cohort study with 3981 patients. BMC Public Health 2005;5:115.
22.
Keil TWitt CMRoll S et al. Homoeopathic versus conventional treatment of children with eczema: A comparative cohort studyComplement Ther Med20081615-21. 22. Keil T, Witt CM, Roll S, et al. Homoeopathic versus conventional treatment of children with eczema: A comparative cohort study. Complement Ther Med 2008;16:15–21.
23.
Haidvogl MRiley DSHeger M et al. Homeopathic and conventional treatment for acute respiratory and ear complaints: A comparative study on outcome in the primary care settingBMC Complement Altern Med200777. 23. Haidvogl M, Riley DS, Heger M, et al. Homeopathic and conventional treatment for acute respiratory and ear complaints: A comparative study on outcome in the primary care setting. BMC Complement Altern Med 2007;7:7.
24.
Shang AHuwiler-Muntener KNartey L et al. Are the clinical effects of homoeopathy placebo effects? Comparative study of placebo-controlled trials of homoeopathy and allopathyLancet2005366726-732. 24. Shang A, Huwiler-Muntener K, Nartey L, et al. Are the clinical effects of homoeopathy placebo effects? Comparative study of placebo-controlled trials of homoeopathy and allopathy. Lancet 2005;366:726–732.
25.
Trichard MChaufferin GNicoloyannis N. Pharmacoeconomic comparison between homeopathic and antibiotic treatment strategies in recurrent acute rhinopharyngitis in childrenHomeopathy2005943-9. 25. Trichard M, Chaufferin G, Nicoloyannis N. Pharmacoeconomic comparison between homeopathic and antibiotic treatment strategies in recurrent acute rhinopharyngitis in children. Homeopathy 2005;94:3–9.
26.
Wye LHay ADNorthstone K et al. Complementary or alternative? The use of homeopathic products and antibiotics amongst pre-school childrenBMC Fam Pract200898. 26. Wye L, Hay AD, Northstone K, et al. Complementary or alternative? The use of homeopathic products and antibiotics amongst pre-school children. BMC Fam Pract 2008;9:8.
27.
Shaw AThompson EASharp D. Complementary therapy use by patients and parents of children with asthma and the implications for NHS care: A qualitative studyBMC Health Serv Res2006676. 27. Shaw A, Thompson EA, Sharp D. Complementary therapy use by patients and parents of children with asthma and the implications for NHS care: A qualitative study. BMC Health Serv Res 2006;6:76.
28.
McCarney RWLinde KLasserson TJ. Homeopathy for chronic asthmaCochrane Database Syst Rev20041CD000353. 28. McCarney RW, Linde K, Lasserson TJ. Homeopathy for chronic asthma. Cochrane Database Syst Rev 2004;1:CD000353.
29.
Weatherley-Jones EThompson EAThomas KJ. The placebo-controlled trial as a test of complementary and alternative medicine: Observations from research experience of individualised homeopathic treatmentHomeopathy200493186-189. 29. Weatherley-Jones E, Thompson EA, Thomas KJ. The placebo-controlled trial as a test of complementary and alternative medicine: Observations from research experience of individualised homeopathic treatment. Homeopathy 2004;93:186–189.

Information & Authors

Information

Published In

cover image The Journal of Alternative and Complementary Medicine
The Journal of Alternative and Complementary Medicine
Volume 16Issue Number 1January 2010
Pages: 69 - 79
PubMed: 20105063

History

Published online: 27 January 2010
Published in print: January 2010

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Authors

Affiliations

Elizabeth A. Thompson
*
Bristol Homeopathic Hospital, Bristol, United Kingdom.
Jackie L. Bishop*
Department of Social Medicine, University of Bristol, Bristol, United Kingdom.
Kate Northstone*
Department of Social Medicine, University of Bristol, Bristol, United Kingdom.

Notes

Address correspondence to:Elizabeth A. Thompson, B.A.Oxon, M.B.B.S., M.R.C.P., F.F.Hom.Bristol Homeopathic HospitalCotham HillBristol BS6 6PDUnited Kingdom
E-mail: [email protected]

Disclosure Statement

No competing financial interests exist.

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