Singer Lilach, Karakis Isabella, Ivri Lital, Gross Michal, Bolotin Arkady, Gazala Eli
Department of Epidemiology and Health Services Evaluation, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Acta Paediatr. 2007 Nov;96(11):1693-7. doi: 10.1111/j.1651-2227.2007.00513.x. Epub 2007 Sep 19.
The aim of this study was to estimate the rate and describe the characteristics of complementary and alternative medicine (CAM) use by children with asthma in a paediatric primary care clinic in southern Israel.
A cross-sectional study including 252 asthmatic children aged 2-12-years was conducted. Socio-demographic data and asthma history were collected using a telephone questionnaire. Computerized medical records were used to complete the data.
Sixteen percent (95% CI 11.5-20.5) of the asthmatic children participating in this study used CAM; most popular were homeopathy (36.6%) and reflexology (14.6%). According to multivariate model, CAM use was more prevalent in families in which fathers had professional training (OR = 4.9, 95% CI 1.82-13.02, p = 0.002), mothers were employed (OR = 4.1, 95% CI 1.018-16.1, p = 0.047), and origin of maternal grandfathers was European (OR = 4.7, 95% CI 1.86-11.8, p = 0.001). Families who used CAM, also more frequently sought rabbinical advice (OR = 11.9, 95% CI 2.94-47.7, p = 0.001).
The prevalence of CAM use found in this study is lower than seen in other Western countries. The 'average family' using CAM to treat its asthmatic child includes an educated father, an employed mother and maternal grandfather from Europe, and would more often seek rabbi's advice.
本研究旨在估算以色列南部一家儿科初级保健诊所中哮喘患儿使用补充和替代医学(CAM)的比例,并描述其特征。
开展了一项横断面研究,纳入252名2至12岁的哮喘患儿。通过电话问卷收集社会人口学数据和哮喘病史。利用计算机化医疗记录完善数据。
参与本研究的哮喘患儿中有16%(95%置信区间11.5 - 20.5)使用CAM;最常用的是顺势疗法(36.6%)和反射疗法(14.6%)。根据多变量模型,在父亲接受过专业培训(比值比=4.9,95%置信区间1.82 - 13.02,p = 0.002)、母亲有工作(比值比=4.1,95%置信区间1.018 - 16.1,p = 0.047)以及外祖父来自欧洲的家庭中,CAM的使用更为普遍(比值比=4.7,95%置信区间1.86 - 11.8,p = 0.001)。使用CAM的家庭也更频繁地寻求拉比的建议(比值比=11.9,95%置信区间2.94 - 47.7,p = 0.001)。
本研究中发现的CAM使用 prevalence低于其他西方国家。使用CAM治疗哮喘患儿的“普通家庭”包括一位受过教育的父亲、一位有工作的母亲和来自欧洲的外祖父,并且更常寻求拉比的建议。