Ben-Arye Eran, Karkabi Sonia, Shapira Chen, Schiff Elad, Lavie Ofer, Keshet Yael
Complementary and Traditional Medicine Unit, Department of Family Medicine, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Gend Med. 2009 Jul;6(2):384-97. doi: 10.1016/j.genm.2009.07.002.
The purpose of this study was to examine the use of complementary and alternative medicine (CAM) in a primary care practice in Israel to determine prevalence and patterns of use.
Trained research assistants invited all patients attending the administrative, medical, pharmaceutical, or nursing services of 7 clinics in urban and rural areas of northern Israel over a 16-month period, from April 1, 2005, through August 1, 2006, to complete a 13-item written questionnaire about CAM use and beliefs about CAM safety and efficacy. CAM was defined as therapies often referred to as alternative, complementary, natural, or folk/traditional medicine, and which are not usually offered as part of the medical treatment in the clinic, including herbal medicine, Chinese medicine (including acupuncture), homeopathy, folk and traditional remedies, dietary/nutritional therapy (including nutritional supplements), chiropractic, movement/manual healing therapies (including massage, reflexology, yoga, and Alexander and Feldenkrais techniques), mind-body techniques (including meditation, guided imagery, and relaxation), energy and healing therapies, and other naturopathic therapies. The Pearson chi(2) test and multivariate logistic regression were used to assess univariate associations with the odds ratios of CAM use among Arab and Jewish women. A t test was performed to determine whether there were any differences in the continuous variables between the 2 groups.
Of 3972 consecutive patients who received the questionnaire, 3447 responded; 2139 respondents (62%) were women. Of the female respondents, 2121 reported their religion (1238 respondents [58%] self-identified as being Arab, and 883 [41.6%] as being Jewish). Compared with men, more women used CAM during the previous year (46.4% vs 39.4%; P < 0.001). Women were more likely to use CAM and to be interested in receiving CAM at primary care clinics. Arab women reported less CAM use than Jewish women but were more interested in experiencing CAM, had a higher degree of confidence in CAM efficacy and safety, and more frequently supported the integration of CAM practitioners in primary care clinics.
In this study, women visiting primary care clinics in northern Israel used CAM more often than men did. Arab women reported less use of CAM than did Jewish women but also reported greater confidence in CAM efficacy and safety.
本研究旨在调查以色列一家初级保健机构中补充和替代医学（CAM）的使用情况，以确定其使用率和使用模式。
经过培训的研究助理邀请了2005年4月1日至2006年8月1日这16个月期间在以色列北部城乡地区7家诊所接受行政、医疗、药学或护理服务的所有患者，完成一份关于CAM使用情况以及对CAM安全性和有效性看法的13项书面问卷。CAM被定义为通常被称为替代、补充、天然或民间/传统医学的疗法，且通常不作为诊所医疗治疗的一部分提供，包括草药医学、中医（包括针灸）、顺势疗法、民间和传统疗法、饮食/营养疗法（包括营养补充剂）、脊椎按摩疗法、运动/手法治疗（包括按摩、反射疗法、瑜伽以及亚历山大和费登奎斯技术）身心疗法（包括冥想、引导意象和放松）、能量和治疗疗法以及其他自然疗法。采用Pearson卡方检验和多因素逻辑回归来评估阿拉伯和犹太女性中与CAM使用比值比的单变量关联。进行t检验以确定两组之间连续变量是否存在差异。
在3972名连续收到问卷的患者中，3447人做出了回应；2139名受访者（62%）为女性。在女性受访者中，2121人报告了她们的宗教信仰（1238名受访者[58%]自称是阿拉伯人，883人[41.6%]自称是犹太人）。与男性相比，更多女性在前一年使用了CAM（46.4%对39.4%；P<0.001）。女性更有可能在初级保健诊所使用CAM并对接受CAM感兴趣。阿拉伯女性报告的CAM使用比犹太女性少，但对体验CAM更感兴趣，对CAM的疗效和安全性有更高的信心，并且更经常支持在初级保健诊所整合CAM从业者。
在本研究中，前往以色列北部初级保健诊所就诊的女性比男性更频繁地使用CAM。阿拉伯女性报告的CAM使用比犹太女性少，但也报告了对CAM疗效和安全性更高的信心。
