口服补充药物和替代疗法的使用因慢性疾病和风险态度而异。

Oral complementary medicine and alternative practitioner use varies across chronic conditions and attitudes to risk.

机构信息

The Health Observatory.

出版信息

Clin Epidemiol. 2010 Nov 8;2:251-60. doi: 10.2147/CLEP.S12741.

DOI:10.2147/CLEP.S12741

PMID:21152252

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2998815/

Abstract

OBJECTIVES

To determine whether chronic conditions and patient factors, such as risk perception and decision-making preferences, are associated with complementary medicine and alternative practitioner use in a representative longitudinal population cohort.

PARTICIPANTS AND SETTING

Analysis of data from Stage 2 of the North West Adelaide Health Study of 3161 adults who attended a study clinic visit in 2004-2006. The main outcome measures were the medications brought by participants to the study clinic visit, chronic health conditions, attitudes to risk, levels of satisfaction with conventional medicine, and preferred decision-making style.

RESULTS

At least one oral complementary medicine was used by 27.9% of participants, and 7.3% were visiting alternative practitioners (naturopath, osteopath). Oral complementary medicine use was significantly associated with arthritis, osteoporosis, and mental health conditions, but not with other chronic conditions. Any pattern of complementary medicine use was generally significantly associated with female gender, age at least 45 years, patient-driven decision-making preferences (odds ratio [OR] 1.38, 95% confidence interval [CI]: 1.08-1.77), and frequent general practitioner visits (>five per year; OR 3.62, 95% CI: 2.13-6.17). Alternative practitioner visitors were younger, with higher levels of education (diploma/trade [OR 1.88, 95% CI: 1.28-2.76], bachelor's degree [OR 1.77, 95% CI: 1.11-2.82], income >$80,000 (OR 2.28, 95% CI: 1.26-4.11), female gender (OR 3.15, 95% CI: 2.19-4.52), joint pain not diagnosed as arthritis (OR 1.68, 95% CI: 1.17-2.41), moderate to severe depressive symptoms (OR 2.15, 95% CI: 1.04-4.46), and risk-taking behavior (3.26, 1.80-5.92), or low-to-moderate risk aversion (OR 2.08, 95% CI: 1.26-4.11).

CONCLUSION

Although there is widespread use of complementary medicines in the Australian community, there are differing patterns of use between those using oral complementary medicines and those using alternative practitioners.

摘要

目的

确定慢性疾病和患者因素（如风险感知和决策偏好）是否与代表性纵向人群队列中补充医学和替代从业者的使用相关。

参与者和设置

对参加 2004-2006 年研究诊所就诊的 3161 名成年人的西北阿德莱德健康研究第二阶段数据进行分析。主要观察指标为参与者在研究诊所就诊时带来的药物、慢性健康状况、对风险的态度、对常规医学的满意度水平以及首选决策风格。

结果

至少有 27.9%的参与者使用了一种口服补充药物，7.3%的参与者正在接受替代从业者（自然疗法医师、整骨疗法医师）的治疗。口服补充药物的使用与关节炎、骨质疏松症和心理健康状况显著相关，但与其他慢性疾病无关。任何一种补充药物的使用模式通常与女性、年龄至少 45 岁、以患者为导向的决策偏好（比值比[OR] 1.38，95%置信区间[CI]：1.08-1.77）和经常看全科医生（>5 次/年；OR 3.62，95%CI：2.13-6.17）显著相关。替代从业者的就诊者年龄较小，教育程度较高（文凭/贸易[OR 1.88，95%CI：1.28-2.76]，学士学位[OR 1.77，95%CI：1.11-2.82]，收入>$80000（OR 2.28，95%CI：1.26-4.11），女性（OR 3.15，95%CI：2.19-4.52），关节疼痛未被诊断为关节炎（OR 1.68，95%CI：1.17-2.41），中度至重度抑郁症状（OR 2.15，95%CI：1.04-4.46），以及冒险行为（OR 3.26，1.80-5.92），或低至中度风险厌恶（OR 2.08，95%CI：1.26-4.11）。