Ferro Mark Anthony, Leis Anne, Doll Richard, Chiu Lyren, Chung Michael, Barroetavena Maria-Cristina
Department of Epidemiology and Biostatistics, University of Western Ontario, Kresge Building, Room K201, London, Ontario N6A 5C1, Canada.
Support Care Cancer. 2007 Aug;15(8):985-92. doi: 10.1007/s00520-007-0285-0. Epub 2007 Jul 17.
This study assessed the impact of acculturation on the prevalence of traditional Chinese medicine and other complementary and alternative medicine (TCM/CAM) use in newly diagnosed Chinese cancer patients. The individual determinants of TCM/CAM use among patients were also investigated.
A consecutive sample of Chinese cancer patients treated at the British Columbia Cancer Agency was surveyed at admission using a 15-item questionnaire. Items included TCM/CAM use, sociodemographics, as well as medical and cultural factors. Data were analyzed using bivariate methods including Pearson's X (2) test and Student's t test. As well, multiple logistic regression was used to obtain the final causal model.
Of the 230 respondents, 57% completed the survey in Chinese and 94% were immigrants. The average age was 59. Participants had a mean disease duration of approximately 2 months and 79% had already received at least one conventional treatment. Overall, TCM/CAM was used by 47% of respondents. Herbal remedies, vitamins/minerals, and prayer were the most commonly used therapies. Multivariable analysis showed that prior TCM/CAM use (p < 0.001), having received conventional treatment(s) (p = 0.029), and being less acculturated (p = 0.028) were associated with TCM/CAM use.
Prevalence and type of use were found to vary as a function of the degree of acculturation. Health care practitioners would be well advised to discuss TCM/CAM use with their patients, especially those who are less acculturated to Western society, since they are the most likely users of TCM/CAM.
本研究评估了文化适应对新诊断的中国癌症患者使用中医及其他补充和替代医学（TCM/CAM）的影响。同时还调查了患者中使用TCM/CAM的个体决定因素。
对在不列颠哥伦比亚癌症机构接受治疗的中国癌症患者进行连续抽样，在入院时使用一份包含15个条目的问卷进行调查。条目包括TCM/CAM的使用情况、社会人口统计学信息以及医学和文化因素。使用双变量方法进行数据分析，包括Pearson卡方检验和学生t检验。此外，使用多元逻辑回归来获得最终的因果模型。
在230名受访者中，57%用中文完成了调查，94%是移民。平均年龄为59岁。参与者的平均病程约为2个月，79%的人已经接受了至少一种传统治疗。总体而言，47%的受访者使用了TCM/CAM。草药疗法、维生素/矿物质和祈祷是最常用的疗法。多变量分析表明，先前使用过TCM/CAM（p < 0.001）、接受过传统治疗（p = 0.029）以及文化适应程度较低（p = 0.028）与使用TCM/CAM有关。
发现使用的患病率和类型因文化适应程度而异。建议医疗保健从业者与患者讨论TCM/CAM的使用情况，尤其是那些对西方社会文化适应程度较低的患者，因为他们最有可能使用TCM/CAM。
