Wilkinson Jenny M, Jelinek Herbert
School of Biomedical Sciences, Charles Sturt University, NSW, Australia.
Complement Ther Clin Pract. 2009 May;15(2):80-4. doi: 10.1016/j.ctcp.2008.12.005. Epub 2009 Jan 20.
The objective of this study was to investigate the use of complementary and alternative medicines (CAM) in a group of older rural Australian attending a multi-disciplinary health screening clinic. The average age of all participants (n=102) was 66+/-10 years (range 49-89) and 61% were female. Three-quarters (78%) of respondents had used at least one CAM product within the past 12 months and 66% had visited a CAM practitioner. The most frequently used CAM were vitamin/mineral supplements (54%) followed by herbal supplements (28%). Among products named by respondents that they were currently using the most frequently cited were omega-3/fish oils (28%) and glucosamine (24%). The main source of information for most respondents (53%) was doctors and pharmacists followed by family and friends (28%). Almost half (46%) had not discussed their use of CAM with their doctor and only 15% had discussed their CAM use with a pharmacist. Respondents were not found to hold strongly pro-CAM or anti-CAM health beliefs. This study demonstrates that while older, rural Australians do not have significant pro-CAM beliefs they do have high use of CAM. Based on the types of products used it is suggested that CAM use forms part of these individuals' self-management strategies.
本研究的目的是调查一组前往多学科健康筛查诊所的澳大利亚农村老年人对补充和替代医学(CAM)的使用情况。所有参与者(n = 102)的平均年龄为66±10岁(范围49 - 89岁),61%为女性。四分之三(78%)的受访者在过去12个月内至少使用过一种CAM产品,66%曾拜访过CAM从业者。最常使用的CAM是维生素/矿物质补充剂(54%),其次是草药补充剂(28%)。在受访者提及的当前最常使用的产品中,最常被提到的是ω-3/鱼油(28%)和氨基葡萄糖(24%)。大多数受访者(53%)的主要信息来源是医生和药剂师,其次是家人和朋友(28%)。几乎一半(46%)的人未与医生讨论过他们对CAM的使用情况,只有15%的人曾与药剂师讨论过他们对CAM的使用情况。未发现受访者持有强烈支持或反对CAM的健康观念。本研究表明,虽然澳大利亚农村老年人没有显著支持CAM的观念,但他们对CAM的使用率很高。基于所使用产品的类型,建议CAM的使用构成了这些个体自我管理策略的一部分。