健康自我管理中使用补充和替代医学的年龄、种族及民族因素：来自2002年国家健康访谈调查的证据
Age, race, and ethnicity in the use of complementary and alternative medicine for health self-management: evidence from the 2002 National Health Interview Survey.
作者信息
Grzywacz Joseph G, Lang Wei, Suerken Cynthia, Quandt Sara A, Bell Ronny A, Arcury Thomas A
机构信息
Department of Family and Community Medicine, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157-1084, USA.
出版信息
J Aging Health. 2005 Oct;17(5):547-72. doi: 10.1177/0898264305279821.
OBJECTIVES
Determine if complementary and alternative medicine (CAM) use for treating existing conditions and for health maintenance differs by age and ethnicity.
METHODS
Data from the 2002 National Health Interview Survey were used to operationalize distinct types of CAM in terms of (a) no use, (b) use for treatment only, (c) use for prevention only, and (d) use for both treatment and prevention. Differences in CAM use by age and ethnicity were examined using SUDAAN to adjust for design effects.
RESULTS
Associations of age with CAM use are curvilinear but differed by ethnicity. Some types of CAM are used primarily for treatment; others are used for health maintenance.
DISCUSSION
CAM use is one component of adults' overall approach to health self-management. Patterns of CAM use by age and ethnicity likely reflect differences in CAM availability and prevailing public health policies when adults began making their own health-related decisions.
目的
确定用于治疗现有疾病和维持健康的补充和替代医学（CAM）的使用情况是否因年龄和种族而异。
方法
2002年国家健康访谈调查的数据被用于将不同类型的补充和替代医学按以下方式进行操作化：（a）不使用，（b）仅用于治疗，（c）仅用于预防，以及（d）用于治疗和预防两者。使用SUDAAN来调整设计效应，以检验年龄和种族在补充和替代医学使用方面的差异。
结果
年龄与补充和替代医学使用之间的关联呈曲线关系，但因种族而异。某些类型的补充和替代医学主要用于治疗；其他的则用于维持健康。
讨论
补充和替代医学的使用是成年人整体健康自我管理方法的一个组成部分。年龄和种族的补充和替代医学使用模式可能反映了成年人开始做出自己的健康相关决策时补充和替代医学的可及性差异以及当时盛行的公共卫生政策。
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