Complementary Therapies in Medicine (2014) 22, 894—902
Available online at www.sciencedirect.com
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j ourna l ho me pa g e: www.elsevierhealth.com/journals/ctim
The use of conventional and
complementary therapies for insomnia
among Hong Kong Chinese: A telephone
survey
Wing-Fai Yeung
a
, Ka-Fai Chung
b,*
, Kam-Ping Yung
b
,
Fiona Yan-Yee Ho
b
, Lai-Ming Ho
c
, Yee-Man Yu
b
, Chi-Wa Kwok
b
a
School of Chinese Medicine, The University of Hong Kong, Hong Kong, China
b
Department of Psychiatry, The University of Hong Kong, Hong Kong, China
c
School of Public Health, The University of Hong Kong, Hong Kong, China
Available online 8 August 2014
KEYWORDS
Insomnia;
CAM;
Conventional
medicine;
Complementary;
Alternative;
Prevalence;
Chinese;
Sleep
Summary
Objective: To examine the prevalence and utilization pattern of complementary and alternative
medicine (CAM) for insomnia in Hong Kong.
Methods: Respondents were selected from the general population and interviewed by telephone
Their sleep was assessed by a Chinese version of the Brief Insomnia Questionnaire (BIQ) and CAM
use by a checklist. Prevalence findings were weighted by the BIQ insomnia diagnosis, age, and
sex.
Results: 402 respondents completed the survey. The population-weighted prevalence of any
treatment in the past 12 months was 21.3%, any CAM use at 12.3%, any conventional treatment
at 6.5%, and alcohol use at 1.6%; however, 46.6% of the BIQ insomnia cases did not seek treat-
ment. The most commonly used CAM modalities was Chinese herbal medicine (7.9%), followed
by acupuncture (1.7%) and Western herbal products (1.7%). Most CAM therapies were used infre-
quently and without consultation of healthcare professionals. Only BIQ insomnia diagnosis and
being female were found predictive of CAM use.
Conclusions: Apart from Chinese herbal medicine and acupuncture, the use of conventional
treatments, CAM, and alcohol for trouble sleeping was all less common in Hong Kong. Public
education on the consequences of insomnia and various treatment modalities is needed.
© 2014 Elsevier Ltd. All rights reserved.
*
Corresponding author at: Department of Psychiatry, The Univer-
sity of Hong Kong, Pokfulam Road, Hong Kong, China.
Tel.: +852 22554487; fax: +852 28551345.
E-mail address: kfchung@hkucc.hku.hk (K.-F. Chung).
Introduction
Insomnia is a prevalent disorder. Nearly one-third of
the adult population experience insomnia symptoms
and approximately 9—15% have insomnia symptoms
accompanied by daytime consequences.
1
Insomnia has
http://dx.doi.org/10.1016/j.ctim.2014.08.001
0965-2299/© 2014 Elsevier Ltd. All rights reserved.