Yu Stella M, Ghandour Reem M, Huang Zhihuan J
Office of Data and Information Management, Maternal and Child Health Bureau, USA.
J Am Med Womens Assoc (1972). 2004 Winter;59(1):17-24.
To examine the prevalence of herbal supplement use and its association with sociodemographic, health status, and health behavior characteristics in a nationally representative sample of US women.
We analyzed the cancer supplement file of the 2000 National Health Interview Survey, which included 11,888 non-Hispanic white, 2866 non-Hispanic black, 3035 Hispanic, and 599 non-Hispanic other women. Bivariate and multivariate analyses were conducted to examine the relationship between sociodemographic, health status, and health behavior characteristics and the use of: 1) any herbal supplement; 2) Echinacea, Ginkgo biloba, ginseng, or St. John's wort; and 3) at least 3 herbal supplements concurrently.
Nearly one-sixth of US women took at least 1 herbal supplement in 2000. Logistic regression showed that women who were non-Hispanic white, aged 35 to 64 years, more educated, not poor, current alcohol users, residents of the South and West, and who had functional limitations and chronic conditions were significantly more likely to take the most commonly reported herbal supplements.
Our study suggests high levels of herbal supplement use among US women. Supplement use is generally associated with higher education, higher income, residence in the South and West, and health needs. The growing practice of herbal supplement use suggests a need for public health guidance on the safe and efficacious use of these products.
在美国具有全国代表性的女性样本中，研究草药补充剂的使用 prevalence 及其与社会人口统计学、健康状况和健康行为特征之间的关联。
我们分析了2000年全国健康访谈调查的癌症补充剂文件，其中包括11888名非西班牙裔白人女性、2866名非西班牙裔黑人女性、3035名西班牙裔女性和599名其他非西班牙裔女性。进行了双变量和多变量分析，以研究社会人口统计学、健康状况和健康行为特征与以下方面的使用之间的关系：1）任何草药补充剂；2）紫锥菊、银杏、人参或圣约翰草；3）同时使用至少3种草药补充剂。
2000年，近六分之一的美国女性服用了至少1种草药补充剂。逻辑回归显示，非西班牙裔白人、年龄在35至64岁之间、受教育程度较高、非贫困、当前饮酒、居住在南部和西部且有功能限制和慢性病的女性，服用最常报告的草药补充剂的可能性显著更高。
我们的研究表明美国女性中草药补充剂的使用率很高。补充剂的使用通常与高等教育、高收入、居住在南部和西部以及健康需求有关。草药补充剂使用的日益普遍表明需要针对这些产品的安全有效使用提供公共卫生指导。
