Peltzer Karl
Social Aspects of HIV/AIDS and Health, Human Sciences Research Council, Pretoria, South Africa.
Afr J Tradit Complement Altern Med. 2009 Mar 7;6(2):175-85.
The aim of this study was to conduct a systematic review of published and unpublished research investigating the prevalence of traditional, complementary and alternative medicine (TMCAM) use in the general population. Results found that use of a traditional and/or faith healer seemed to have decreased over the past 13 years (from a range of 3.6-12.7% to 0.1%). The prevalence of traditional male circumcision was found to be 24.8% generally and 31.9% among the African Black racial group. The range of use of alternative and complementary medicine was from 0% to 2.2%. Local utilization surveys of TMCAM for the last illness episode or in the past year showed a variation in use of 6.1% to 38.5%. The prevalence of conditions treated at different TMCAM out-patients settings ranged from chronic conditions, complex of supernatural or psychosocial problems, mental illness, chronic conditions, acute conditions, generalized pain, HIV and other sexually transmitted infections. TM and probably CAM is used by substantial proportions of the general population, but differences in study design and methodological limitations make it difficult to compare prevalence estimates.
本研究旨在对已发表和未发表的关于普通人群使用传统、补充和替代医学（TMCAM）情况的研究进行系统综述。结果发现，在过去13年中，使用传统治疗师和/或信仰治疗师的情况似乎有所下降（从3.6%-12.7%降至0.1%）。传统男性割礼的普遍率总体为24.8%，在非洲黑人种族群体中为31.9%。替代和补充医学的使用范围为0%至2.2%。针对上一次疾病发作或过去一年的TMCAM当地使用情况调查显示，使用率在6.1%至38.5%之间存在差异。在不同的TMCAM门诊环境中接受治疗的疾病普遍率范围包括慢性病、超自然或心理社会问题综合病症、精神疾病、慢性病、急性病、全身性疼痛、艾滋病毒及其他性传播感染。相当一部分普通人群使用传统医学，可能还有补充和替代医学，但研究设计的差异和方法学局限性使得难以比较患病率估计值。
