Blendon R J, DesRoches C M, Benson J M, Brodie M, Altman D E
Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA.
Arch Intern Med. 2001 Mar 26;161(6):805-10. doi: 10.1001/archinte.161.6.805.
This article presents the views of Americans on what the government's future role should be in regulating or overseeing the growing sales of dietary supplements for health purposes. Based on results of multiple national opinion surveys, including the views of both users and nonusers of supplements, we found that a substantial percentage of Americans surveyed reported that they regularly take dietary supplements as a part of their routine health regimen. However, they reported that they do not discuss the use of dietary supplements with their physicians because they believe that the physicians know little or nothing about these products and may be biased against them. Many users felt so strongly about the potential health benefits of some of these products that they reported that they would continue to take them even if they were shown to be ineffective in scientifically conducted clinical studies. However, there also was broad public support for increased government regulation of these products. We found that a majority of Americans surveyed supported the following: to require that the Food and Drug Administration review the safety of new dietary supplements prior to their sale; to provide increased authority to remove from sale those products shown to be unsafe; and to increase government regulation to ensure that advertising claims about the health benefits of dietary supplements are true.
本文呈现了美国人对于政府未来在监管或监督出于健康目的的膳食补充剂销量增长方面应扮演何种角色的看法。基于多项全国民意调查的结果，包括补充剂使用者和非使用者的观点，我们发现，接受调查的美国人中有很大比例报告称，他们经常服用膳食补充剂作为日常健康养生法的一部分。然而，他们表示不会与医生讨论使用膳食补充剂的情况，因为他们认为医生对这些产品了解甚少或一无所知，而且可能对其存在偏见。许多使用者对其中一些产品的潜在健康益处深信不疑，以至于他们表示，即使在科学开展的临床研究中证明这些产品无效，他们仍会继续服用。然而，公众也广泛支持加强政府对这些产品的监管。我们发现，接受调查的大多数美国人支持以下几点：要求食品药品监督管理局在新膳食补充剂销售前审查其安全性；赋予更大权力以下架被证明不安全的产品；加强政府监管以确保关于膳食补充剂健康益处的广告宣称属实。
