Barnes Patricia M, Bloom Barbara, Nahin Richard L
U.S. Department of Health and Human Services, Division of Health Interview Statistics, Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, MD 20782, USA.
Natl Health Stat Report. 2008 Dec 10(12):1-23.
This report presents selected estimates of complementary and alternative medicine (CAM) use among U.S. adults and children, using data from the 2007 National Health Interview Survey (NHIS), conducted by the Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS). Trends in adult use were assessed by comparing data from the 2007 and 2002 NHIS.
Estimates were derived from the Complementary and Alternative Medicine supplements and Core components of the 2007 and 2002 NHIS. Estimates were generated and comparisons conducted using the SUDAAN statistical package to account for the complex sample design.
In 2007, almost 4 out of 10 adults had used CAM therapy in the past 12 months, with the most commonly used therapies being nonvitamin, nonmineral, natural products (17.7%) and deep breathing exercises (12.7%). American Indian or Alaska Native adults (50.3%) and white adults (43.1%) were more likely to use CAM than Asian adults (39.9%) or black adults (25.5%). Results from the 2007 NHIS found that approximately one in nine children (11.8%) used CAM therapy in the past 12 months, with the most commonly used therapies being nonvitamin, nonmineral, natural products (3.9%) and chiropractic or osteopathic manipulation (2.8%). Children whose parent used CAM were almost five times as likely (23.9%) to use CAM as children whose parent did not use CAM (5.1%). For both adults and children in 2007, when worry about cost delayed receipt of conventional care, individuals were more likely to use CAM than when the cost of conventional care was not a worry. Between 2002 and 2007 increased use was seen among adults for acupuncture, deep breathing exercises, massage therapy, meditation, naturopathy, and yoga. CAM use for head or chest colds showed a marked decrease from 2002 to 2007 (9.5% to 2.0%).
本报告利用美国疾病控制与预防中心(CDC)下属的国家卫生统计中心(NCHS)开展的2007年全国健康访谈调查(NHIS)的数据,呈现了美国成年人及儿童使用补充与替代医学(CAM)的部分估算情况。通过比较2007年和2002年NHIS的数据,评估了成年人使用CAM的趋势。
估算数据源自2007年和2002年NHIS的补充与替代医学补充内容及核心部分。使用SUDAAN统计软件包生成估算值并进行比较,以考虑复杂的样本设计。
2007年,近十分之四的成年人在过去12个月内使用过CAM疗法,最常用的疗法是非维生素、非矿物质的天然产品(17.7%)和深呼吸练习(12.7%)。美国印第安人或阿拉斯加原住民成年人(50.3%)和白人成年人(43.1%)比亚洲成年人(39.9%)或黑人成年人(25.5%)更有可能使用CAM。2007年NHIS的结果发现,约九分之一的儿童(11.8%)在过去12个月内使用过CAM疗法,最常用的疗法是非维生素、非矿物质的天然产品(3.9%)和脊椎按摩疗法或整骨疗法(2.8%)。父母使用CAM的儿童使用CAM的可能性(23.9%)几乎是父母未使用CAM的儿童(5.1%)的五倍。对于2007年的成年人和儿童而言,当对费用的担忧导致延迟接受常规治疗时,与常规治疗费用不成问题时相比,个人更有可能使用CAM。在2002年至2007年期间,成年人对针灸、深呼吸练习、按摩疗法、冥想、自然疗法和瑜伽的使用有所增加。2002年至2007年期间,用于治疗头部或胸部感冒的CAM使用显著下降(从9.5%降至2.0%)。