Quan Hude, Lai Daniel, Johnson Delaine, Verhoef Marja, Musto Richard
University of Calgary, Community Health Sciences, 3330 Hospital Dr NW, Calgary, AB.
Can Fam Physician. 2008 Nov;54(11):1563-9.
ABSTRACTOBJECTIVEThis study aimed to describe the level of complementary and alternative medicine (CAM) use and the factors associated with CAM use among Chinese and white Canadians.DESIGNA cross-sectional telephone survey conducted in English, Cantonese, and Mandarin.SETTINGCalgary, Alta.PARTICIPANTSChinese and white residents of Calgary aged 18 or older.MAIN OUTCOME MEASURESRates of use of 11 CAM therapies, particularly herbal therapy, massage, chiropractic care, and acupuncture; reasons for use of CAM therapies.RESULTSSixty percent of 835 Chinese respondents (95% confidence interval [CI] 56.5% to 63.2%) and 59% of 802 white respondents (95% CI 55.1% to 62.0%) had used CAM in the past year. Chinese respondents were more likely to use herbal therapy than white respondents were (48.7% vs 33.7%, P < .001), less likely to use massage (17.1% vs 30.4%, P < .001) and chiropractic care (8.4% vs 21.2%, P < .001), but equally likely to use acupuncture (8.3% vs 7.9%, P = .173). The common factor associated with herbal therapy, acupuncture, or massage use among Chinese and white respondents was receiving a CAM recommendation from a family member or friend. Factors unique to either Chinese or white CAM users varied by therapy. For example, herbal therapy use for Chinese respondents was associated with the presence of chronic disease (adjusted odds ratio [AOR] 2.15, 95% CI 1.09 to 4.24 for having 3 diseases compared with those without chronic disease), beliefs about the effectiveness of herbal therapy (AOR 1.56, 95% CI 1.12 to 2.17), and trust in herbal therapy practitioners (AOR 1.72, 95% CI 1.24 to 2.37). Herbal therapy use for white respondents was associated with the beliefs that herbal treatment had fewer side effects than prescription drugs (AOR 1.81, 95% CI 1.31 to 2.50) and that herbalists took a holistic approach (AOR 2.07, 95% CI 1.49 to 2.87).CONCLUSIONWhile the percentage of CAM use was similar in both groups, Chinese Canadians mainly used herbal therapy and white Canadians used a range of CAM therapies. Factors associated with CAM use varied with ethnicity and type of CAM therapy. Presence of chronic disease, however, was an important factor for Chinese Canadians. That finding suggests that Chinese Canadians use CAM for the treatment of chronic disease, while white Canadians use such therapies for disease treatment and health maintenance.
摘要
目的
本研究旨在描述华裔加拿大人和白人加拿大人使用补充和替代医学（CAM）的水平以及与使用CAM相关的因素。
设计
一项采用英语、粤语和普通话进行的横断面电话调查。
地点
阿尔伯塔省卡尔加里市。
参与者
卡尔加里市18岁及以上的华裔和白人居民。
主要观察指标
11种CAM疗法的使用比例，特别是草药疗法、按摩、整脊疗法和针灸；使用CAM疗法的原因。
结果
在835名华裔受访者中，60%（95%置信区间[CI]为56.5%至63.2%）在过去一年中使用过CAM；在802名白人受访者中，这一比例为59%（95%CI为55.1%至62.0%）。华裔受访者比白人受访者更有可能使用草药疗法（48.7%对33.7%，P<.001），而使用按摩（17.1%对30.4%，P<.001）和整脊疗法（8.4%对21.2%，P<.001）的可能性较小，但使用针灸的可能性相当（8.3%对7.9%，P = 0.173）。华裔和白人受访者使用草药疗法、针灸或按摩的共同因素是从家庭成员或朋友那里获得CAM推荐。华裔或白人CAM使用者特有的因素因疗法而异。例如，华裔受访者使用草药疗法与患有慢性病有关（与无慢性病者相比，患有3种疾病的调整优势比[AOR]为2.15，95%CI为1.09至|4.24）、对草药疗法有效性的信念（AOR为1.56，95%CI为1.12至2.17）以及对草药疗法从业者的信任（AOR为1.72，95%CI为1.24至2.37）。白人受访者使用草药疗法与认为草药治疗比处方药副作用少的信念（AOR为1.81，95%CI为1.31至2.50）以及认为草药师采用整体治疗方法的信念（AOR为2.07，95%CI为1.49至2.87）有关。
结论
虽然两组中使用CAM的比例相似，但华裔加拿大人主要使用草药疗法，而白人加拿大人使用多种CAM疗法。与使用CAM相关的因素因种族和CAM疗法类型而异。然而，患有慢性病是华裔加拿大人的一个重要因素。这一发现表明，华裔加拿大人使用CAM来治疗慢性病，而白人加拿大人使用这些疗法来治疗疾病和维持健康。
