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家庭对补充和替代医学从业者的访问在总人口中(HUNT 研究)。

Families' visits to practitioners of complementary and alternative medicine in a total population (the HUNT studies).

机构信息

Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway.

出版信息

Scand J Public Health. 2010 Nov;38(5 Suppl):96-104. doi: 10.1177/1403494810382813.

Abstract

AIMS

To investigate characteristics of families with adolescent children who have visited practitioners of complementary and alternative medicine (CAM).

METHODS

The Nord-Trøndelag Health Studies (HUNT) invited all inhabitants aged 13 years and older to a population-based study. The data of parents and adolescents were merged through the Norwegian family register. A family CAM visitor was a family where either the adolescent or the mother or father had visited a CAM practitioner in the previous year. The data were analyzed using multivariable logistic regression.

RESULTS

A total of 7,888 adolescents with mother and/or fathers were included. The prevalence of families visiting CAM practitioners was 19.8%. The odds of a family visiting a CAM practitioner was significantly associated (p < 0.01) with a father with poor self-reported global health (adjusted odds ratio (adjOR) 3.0, 95% confidence interval (95% CI) 1.7-5.3), who exercised (adjOR 1.3, 1.1-1.5) or smoked daily (adjOR 0.7, 0.6-0.8). Family CAM visits were also associated with the mother having a recent health complaint (adjOR 1.4, 1.1-1.7) or having fair global health (adjOR 1.6, 1.2-2.0), or with the adolescent, mother or father having visited a general practitioner during the past year (adolescent adjOR 1.3, 1.2-1.5; mother 1.7, 1.5-2.0; father 1.4, 1.2-1.6). For family visits to a homeopath, the strongest association was the mother having visited a general practitioner (adjOR 1.9, 1.4-2.5). For visits to chiropractors the strongest association was whether the father was currently working (adjOR 2.1, 1.2-3.8).

CONCLUSIONS

The factor most strongly associated with families' visits to CAM practitioners was a father who had poor self-reported health.

摘要

目的

调查曾就诊于补充和替代医学(CAM)从业者的青少年儿童家庭的特征。

方法

北特伦德拉格健康研究(HUNT)邀请所有 13 岁及以上的居民参加一项基于人群的研究。通过挪威家庭登记处合并父母和青少年的数据。家庭 CAM 访问者是指在过去一年中,青少年或母亲或父亲曾访问过 CAM 从业者的家庭。使用多变量逻辑回归分析数据。

结果

共纳入 7888 名有母亲和/或父亲的青少年。家庭就诊于 CAM 从业者的比例为 19.8%。家庭就诊于 CAM 从业者的几率与父亲自我报告的整体健康状况不佳显著相关(调整优势比(adjOR)为 3.0,95%置信区间(95%CI)为 1.7-5.3),经常锻炼(adjOR 为 1.3,1.1-1.5)或每日吸烟(adjOR 为 0.7,0.6-0.8)。家庭 CAM 就诊也与母亲最近有健康问题(adjOR 为 1.4,1.1-1.7)或整体健康状况一般(adjOR 为 1.6,1.2-2.0),或青少年、母亲或父亲在过去一年中就诊于全科医生(青少年 adjOR 为 1.3,1.2-1.5;母亲 1.7,1.5-2.0;父亲 1.4,1.2-1.6)相关。对于家庭就诊于顺势疗法,与母亲就诊于全科医生的相关性最强(adjOR 为 1.9,1.4-2.5)。对于就诊于脊椎按摩师,与父亲当前是否工作的相关性最强(adjOR 为 2.1,1.2-3.8)。

结论

与家庭就诊于 CAM 从业者最相关的因素是父亲自我报告的健康状况不佳。

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