Sirois Fuschia M
Department of Psychology, University of Windsor, 401 Sunset Ave., Windsor, Ontario, N9B 3P4, Canada.
BMC Complement Altern Med. 2008 Apr 29;8:16. doi: 10.1186/1472-6882-8-16.
BACKGROUND: Use of complementary and alternative medicine (CAM), and especially CAM practitioners, has continued to rise in recent years. Although several motivators of CAM use have been identified, little is known about how and if the motivations for using CAM have changed over time. The purpose of the current study was to compare the reasons for consulting CAM practitioners in consumers in 1997-8 and eight years later in 2005. METHODS: Surveys were displayed in CAM and conventional medicine offices and clinics in Ontario, Canada in 1997-8 and again in 2005, and self-selected participants returned the surveys by mail. RESULTS: In 1997-8, 141 CAM consumers were identified from the 199 surveys returned, and 185 CAM consumers were identified from the 239 surveys returned in 2005. Five of the six CAM motivations were more likely to be endorsed by the 2005 CAM consumers compared to the 1997-8 CAM consumers (all p's < .0001). In 1997-8 the two top reasons for using CAM were that CAM allowed them to take an active role in their health (51.8%), and because conventional medicine was ineffective for their health problem (41.8%). In 2005, the treatment of the whole person (78.3%) was the top reason for using CAM followed by taking an active role in one's health (76.5%). The 2005 consumers were less educated, had slightly more chronic health complaints, had been using CAM for longer, and were more likely to consult chiropractors, reflexologists, and therapeutic touch practitioners than the 1997-8 consumers. Otherwise, the socio-demographic and health profiles of the two groups of CAM consumers were similar, as was their use of CAM. CONCLUSION: Compared to consumers in 1997-8, consumers in 2005 were more likely to endorse five of the six motivations for consulting CAM practitioners. A shift towards motivations focusing more on the positive aspects of CAM and less on the negative aspects of conventional medicine was also noted for the 2005 consumers. Findings suggest that CAM motivations may shift over time as public knowledge of and experience with CAM also changes.
背景：近年来，补充和替代医学（CAM），尤其是CAM从业者的使用持续增加。尽管已经确定了一些使用CAM的动机，但对于使用CAM的动机如何以及是否随时间变化却知之甚少。本研究的目的是比较1997 - 1998年和八年后2005年消费者咨询CAM从业者的原因。 方法：1997 - 1998年以及2005年在加拿大安大略省的CAM和传统医学办公室及诊所展示调查问卷，由自我选择的参与者通过邮件返还调查问卷。 结果：1997 - 1998年，从返还的199份调查问卷中识别出141名CAM消费者，2005年从返还的239份调查问卷中识别出185名CAM消费者。与1997 - 1998年的CAM消费者相比，2005年的CAM消费者更有可能认可六种CAM动机中的五种（所有p值均<0.0001）。1997 - 1998年使用CAM的两大主要原因是，CAM使他们能够在自身健康中发挥积极作用（51.8%），以及传统医学对他们的健康问题无效（41.8%）。2005年，从整体上治疗人（78.3%）是使用CAM的首要原因，其次是在自身健康中发挥积极作用（76.5%）。2005年的消费者受教育程度较低，有更多慢性健康问题，使用CAM的时间更长，并且比1997 - 1998年的消费者更有可能咨询脊椎按摩师、反射疗法师和治疗触摸从业者。否则，两组CAM消费者的社会人口统计学和健康状况相似，他们使用CAM的情况也相似。 结论：与1997 - 1998年的消费者相比，2005年的消费者更有可能认可咨询CAM从业者的六种动机中的五种。2005年的消费者还呈现出一种转变，即动机更多地集中在CAM的积极方面，而较少关注传统医学的消极方面。研究结果表明，随着公众对CAM的了解和经验的变化，CAM动机可能会随时间而转变。
BMC Complement Altern Med. 2008-4-29
Altern Ther Health Med. 2005
J Altern Complement Med. 2007-11
BMC Complement Altern Med. 2008-4-23
BMC Complement Altern Med. 2012-4-10
J Altern Complement Med. 2002-4
Open Access Maced J Med Sci. 2019-10-10
BMC Complement Altern Med. 2019-7-10
NPJ Prim Care Respir Med. 2019-4-2
BMC Complement Altern Med. 2018-12-20
Evid Based Complement Alternat Med. 2018-7-25
BMJ Open. 2018-4-13
J Health Psychol. 2007-11
Complement Ther Med. 2007-6
Evid Based Complement Alternat Med. 2006-5-2
Am J Public Health. 2004-6
Am J Gastroenterol. 2004-2
Zotero 插件