Chen Yu-Fu, Chang Jeffrey S
Department of Dermatology, Show Chwan Memorial Hospital, Changhua City, Taiwan.
Int J Dermatol. 2003 Aug;42(8):616-21. doi: 10.1046/j.1365-4362.2003.01809.x.
Recent studies have indicated that complementary and alternative medicine (CAM) has been gaining popularity around the world. Previous studies showed that CAM use was common among dermatology patients in Western nations. This study presents the prevalence and types of CAM use among a group of patients in a dermatology clinic in Taiwan.
A convenient sample of 198 patients was recruited from the dermatology clinic of Show Chwan Memorial Hospital in Changhua City, Taiwan. Each patient completed a standardized questionnaire. Chi-square tests were used to compare the demographic characteristics of those who did and did not use CAM. Logistic regression analyses were performed to determine the strength of association between correlate variables and CAM use.
Forty-one per cent of subjects had used CAM to treat their dermatological conditions. Subjects in the younger (< 30 years) and older (> 50 years) age groups were more likely to use CAM than those in the 30-50-year age group. Those that participated in religious or social groups were more likely to use CAM. CAM users felt a more negative impact of their dermatological conditions on daily living, relationships, emotional well-being and physical health.
As in Western nations, CAM use is prevalent among dermatology patients in Taiwan: not only the traditionally popular Chinese CAM, but also Western CAM. With CAM being popular in the younger age group, dermatologists will likely encounter more CAM users in the future. Because some CAM may produce serious side-effects, dermatologists need to help and guide patients to assess the benefits and dangers of using CAM to treat dermatological conditions.
近期研究表明，补充和替代医学（CAM）在全球范围内越来越受欢迎。此前的研究显示，在西方国家，皮肤科患者中使用补充和替代医学很常见。本研究呈现了台湾一家皮肤科诊所一组患者中补充和替代医学的使用 prevalence 及类型。
从台湾彰化市秀传纪念医院皮肤科诊所选取了198名患者作为便利样本。每位患者完成一份标准化问卷。采用卡方检验比较使用和未使用补充和替代医学者的人口统计学特征。进行逻辑回归分析以确定相关变量与补充和替代医学使用之间的关联强度。
41%的受试者曾使用补充和替代医学来治疗他们的皮肤病。年龄较小（<30岁）和较大（>50岁）的组比30至50岁组的受试者更有可能使用补充和替代医学。参与宗教或社会团体的人更有可能使用补充和替代医学。使用补充和替代医学者认为其皮肤病对日常生活、人际关系、情绪健康和身体健康产生了更大的负面影响。
与西方国家一样，补充和替代医学在台湾皮肤科患者中很普遍：不仅是传统上受欢迎的中医补充和替代医学，还有西方的补充和替代医学。由于补充和替代医学在较年轻年龄组中很受欢迎，皮肤科医生未来可能会遇到更多使用补充和替代医学的患者。因为一些补充和替代医学可能会产生严重的副作用，皮肤科医生需要帮助和指导患者评估使用补充和替代医学治疗皮肤病的益处和风险。
原文中“prevalence”未翻译，因为没有给出对应的中文释义，可能是“流行程度”之类的意思，这里保留英文以便准确理解原文。
