Mehta Darshan H, Phillips Russell S, Davis Roger B, McCarthy Ellen P
Division for Research and Education in Complementary and Integrative Medical Therapies, Osher Institute, Harvard Medical School, 401 Park Drive, Suite 22-A West, Boston, MA 02215, USA.
J Gen Intern Med. 2007 Jun;22(6):762-7. doi: 10.1007/s11606-007-0166-8. Epub 2007 Mar 14.
Very little is known about complementary and alternative medicine (CAM) use in Asian Americans (AA), especially on a national level. To compare CAM use, reasons for use, and disclosure rates between Asian and non-Hispanic white Americans (NHW), and examine ethnic variations among AA. Data on CAM use in the past year (excluding prayer) were used from the 2002 National Health Interview Survey for 917 AA and 20,442 NHW. Compared with NHW, AA were as likely to use any CAM modality [42 vs. 38%; adjusted prevalence ratio = 1.09, 95% confidence interval (0.94, 1.27)]. Asian Americans were less likely than NHW to disclose the use of herbal medicines (16 vs. 34%, p < 0.001) and mind/body therapies (15 vs. 25%, p < 0.05). Mind/body therapies were used more often by Asian Indians (31%) than by Chinese (21%) and Filipinos (22%), whereas herbal medicines were used more often by Chinese (32%) than by Filipinos (26%) and Asian Indians (19%). Among AA, CAM use was associated with being female, having higher education, and having a chronic medical condition; foreign-birth was not associated with CAM use. Complementary and alternative medicine use is common among AA, and there are important ethnic variations in use. Asian Americans are less likely than NHW to disclose CAM use to conventional healthcare providers, suggesting that it is particularly important that physicians query AA patients about CAM use.
关于亚裔美国人使用补充和替代医学（CAM）的情况，人们了解甚少，尤其是在全国范围内。为了比较亚裔美国人和非西班牙裔白人美国人（NHW）在使用CAM、使用原因及披露率方面的差异，并研究亚裔美国人内部的种族差异。我们使用了2002年全国健康访谈调查中917名亚裔美国人和20442名非西班牙裔白人美国人过去一年（不包括祈祷）使用CAM的数据。与非西班牙裔白人相比，亚裔美国人使用任何CAM方式的可能性相同[42%对38%；调整后的患病率比=1.09，95%置信区间（0.94，1.27）]。亚裔美国人比非西班牙裔白人更不愿意披露使用草药（16%对34%，p<0.001）和身心疗法（15%对25%，p<0.05）的情况。亚洲印度人（31%）比中国人（21%）和菲律宾人（22%）更常使用身心疗法，而中国人（32%）比菲律宾人（26%）和亚洲印度人（19%）更常使用草药。在亚裔美国人中，使用CAM与女性、受教育程度较高以及患有慢性疾病有关；外国出生与使用CAM无关。补充和替代医学的使用在亚裔美国人中很常见，并且在使用方面存在重要的种族差异。亚裔美国人比非西班牙裔白人更不愿意向传统医疗服务提供者披露使用CAM的情况，这表明医生询问亚裔美国患者关于CAM使用的情况尤为重要。
