UCLA School of Public Health, Los Angeles, California 90095-1772, USA.
J Womens Health (Larchmt). 2010 Jan;19(1):23-30. doi: 10.1089/jwh.2008.1096.
This study investigated the demographic, behavioral, and health correlates of the most frequently used types of complementary and alternative medicine (CAM) therapy and the use of prayer for health among midlife women. We also examined the extent to which women used CAM for treatment of health conditions, including menopausal symptoms, and for general health and well-being.
Data from the 2002 National Health Interview Survey (NHIS), a cross-sectional, household survey representative of the U.S. civilian adult population, were used. Midlife women aged 40-59 years (n = 5849) were analyzed. Bivariate prevalence estimates were obtained, and binomial logistic regression models were estimated; all analyses were weighted.
Overall, 46% of midlife women used any type of CAM in the past 12 months, and 54% reported using prayer for health reasons. The top five specific CAM therapies used were herbs and natural products; relaxation techniques; chiropractic care; yoga, tai chi, or qi gong; and massage. Multivariate results demonstrated different patterns of association between demographic, health, and behavioral characteristics and specific CAM therapies. A higher percentage of women used chiropractic care for an existing health condition than those using relaxation techniques, and few women used CAM specifically for menopausal symptoms.
CAM and prayer are frequently used by midlife women, and herbs and natural supplements are the mostly frequently used. The findings underscore the importance, particularly in the clinical setting, of asking women about their use of individual CAM therapies. Such clinical assessment is also important because of the potential for interactions of CAM therapies with prescribed therapies.
本研究调查了中年女性最常使用的补充和替代医学(CAM)治疗类型的人口统计学、行为和健康相关因素,以及为健康祈祷的使用情况。我们还研究了女性使用 CAM 治疗健康状况(包括更年期症状)以及一般健康和福祉的程度。
使用 2002 年全国健康访谈调查(NHIS)的数据,这是一项具有代表性的美国成年人口横断面家庭调查。分析了 40-59 岁的中年女性(n=5849)。获得了双变量流行率估计值,并估计了二项逻辑回归模型;所有分析均进行了加权。
总体而言,46%的中年女性在过去 12 个月中使用过任何类型的 CAM,54%的女性报告出于健康原因使用过祈祷。使用最多的五种特定 CAM 疗法是草药和天然产品;放松技术;脊椎按摩疗法;瑜伽、太极或气功;以及按摩。多变量结果表明,人口统计学、健康和行为特征与特定 CAM 疗法之间存在不同的关联模式。更多的女性出于现有健康状况而使用脊椎按摩疗法,而较少的女性使用 CAM 专门治疗更年期症状。
CAM 和祈祷是中年女性经常使用的,草药和天然补充剂是最常使用的。这些发现强调了在临床环境中询问女性关于其使用特定 CAM 疗法的重要性。这种临床评估也很重要,因为 CAM 疗法与规定疗法之间可能存在相互作用。