Logan College of Chiropractic, 1851 Schoettler Rd, Chesterfield, MO 63017, USA.
Prev Med. 2012 Jan;54(1):18-22. doi: 10.1016/j.ypmed.2011.07.002. Epub 2011 Jul 13.
To make a preliminary assessment of the potential role of the most frequently used licensed or certified United States complementary and alternative medicine (CAM) providers in chronic disease prevention and health promotion.
This was a secondary analysis of the 2007 United States National Health Interview Survey (NHIS), the most recent to include CAM use. The Adult Core Sample, Person and Adult Complementary and Alternative Medicine data files were included. NHIS's complete survey design structure (strata, cluster and survey weights) was applied in generating national population estimates for CAM usage.
Chiropractic or osteopathic manipulation (8.4%) and massage (8.1%) were most commonly used; acupuncture was used by 1.4% and naturopathy by 0.3% of respondents. Substantial proportions of respondents reported using CAM for wellness and disease prevention, and informed their medical physician of use. Fifty-four percent were overweight or obese, 22.0% physically inactive, and 17.4% smokers; 18.0% reported hypertension, 19.6% high cholesterol, and 9.1% prediabetes or diabetes.
CAM users present with risk factors which are priority public health issues. This implies a need to train CAM providers in evidence-based health promotion counseling. CAM encounters may provide opportunities to coordinate health promotion and prevention messages with patients' primary care providers.
初步评估美国最常用的许可或认证的补充和替代医学（CAM）提供者在慢性病预防和健康促进方面的潜在作用。
这是对 2007 年美国国家健康访谈调查（NHIS）的二次分析，这是最近一次包括 CAM 使用情况的调查。纳入了成人核心样本、个人和成人补充和替代医学数据文件。NHIS 的完整调查设计结构（层、群和调查权重）用于生成 CAM 使用的全国人口估计值。
整脊或整骨疗法（8.4%）和按摩（8.1%）最常用；针灸的使用率为 1.4%，顺势疗法为 0.3%。相当比例的受访者报告使用 CAM 进行健康和疾病预防，并告知他们的医生使用情况。54%的受访者超重或肥胖，22.0%不运动，17.4%吸烟；18.0%报告患有高血压，19.6%胆固醇高，9.1%患有前驱糖尿病或糖尿病。
CAM 用户存在的风险因素是优先的公共卫生问题。这意味着需要培训 CAM 提供者进行基于证据的健康促进咨询。CAM 治疗可能为与患者的初级保健提供者协调健康促进和预防信息提供机会。
