Tokuda Yasuharu, Takahashi Osamu, Ohde Sachiko, Ogata Hiromitsu, Yanai Haruo, Shimbo Takuro, Fukuhara Shunichi, Hinohara Shigeaki, Fukui Tsuguya
Clinical Practice Evaluation and Research Centre, St Luke's Life Science Institute, Tokyo, Japan.
Br J Gen Pract. 2007 Aug;57(541):643-9.
Health locus of control influences health-related behaviour, but its association with healthcare use is unclear.
To investigate the association between individuals' health locus of control and the use of conventional and alternative health care.
Prospective cohort study.
A nationally representative random sample of community-dwelling adult households in Japan.
Health locus of control, symptom-related visits to physicians, and the use of dietary and physical complementary and alternative medicine (CAM) was measured. Dietary CAM included supplements, such as herbs and vitamins. Physical CAM included manipulations, such as acupuncture and acupressure.
Of the 2453 adult participants studied, 2103 (86%; 95% CI [confidence interval] = 84 to 88%) developed at least one symptom during the 31-day study period. Of these symptomatic adults, 639 visited physicians (30%; 95% CI = 28 to 32%), 480 used dietary CAM (23%; 95% CI = 21 to 25%), and 156 (7%; 95% CI = 6 to 9%) used physical CAM. The likelihood of visiting a physician was not related significantly to individuals' health locus of control. Increased use of dietary CAM was weakly associated with control by spiritual powers (P = 0.028), internal control (P = 0.013), and less control by professionals (P = 0.020). Increased use of physical CAM was significantly associated with control by spiritual powers (P = 0.009) indicating a belief that supernatural forces control individuals' health status.
The likelihood of visiting a physician is not affected by individuals' health locus of control. Control by spiritual powers is involved with increased CAM use. Internal control is weakly associated with greater use of dietary CAM; professional control is weakly associated with less use of dietary CAM.
健康控制点影响与健康相关的行为,但其与医疗保健利用之间的关联尚不清楚。
研究个体的健康控制点与传统和替代医疗保健利用之间的关联。
前瞻性队列研究。
日本全国具有代表性的社区居住成年家庭随机样本。
测量健康控制点、与症状相关的就医情况以及饮食和身体方面补充和替代医学(CAM)的使用情况。饮食CAM包括补充剂,如草药和维生素。身体CAM包括手法治疗,如针灸和指压。
在2453名成年参与者中,2103人(86%;95%置信区间[CI]=84%至88%)在31天的研究期间至少出现了一种症状。在这些有症状的成年人中,639人就医(30%;95%CI=28%至32%),480人使用饮食CAM(23%;95%CI=21%至25%),156人(7%;95%CI=6%至9%)使用身体CAM。就医的可能性与个体的健康控制点无显著关联。饮食CAM使用增加与精神力量控制(P=0.028)、内部控制(P=0.013)以及专业人员控制较少(P=0.020)存在弱关联。身体CAM使用增加与精神力量控制显著相关(P=0.009),这表明相信超自然力量控制个体的健康状况。
就医的可能性不受个体健康控制点的影响。精神力量控制与CAM使用增加有关。内部控制与饮食CAM使用增加存在弱关联;专业人员控制与饮食CAM使用减少存在弱关联。