Norwegian University of Science and Technology, Department of Public Health and General Practice, Trondheim, Norway.
BMC Complement Altern Med. 2011 Aug 11;11:61. doi: 10.1186/1472-6882-11-61.
The aim was to investigate changes in the prevalence and characteristics of male and female visitors to practitioners of complementary and alternative medicine (CAM) in a large adult population from 1997 to 2008.
Two cross sectional adult total population health surveys from Central Norwegian (the Nord-Trøndelag Health Studies (HUNT)). In 1997 42,277 and in 2008 50,713 respondents were included. Variables included demographics (age, education, working status), lifestyle (daily smoker, did hard physical activities), health status (self-rated health status, recent complaints, chronic complaints, psychiatric complaints, a range of diseases) and health care use (visit general practitioner, chiropractor). A test of difference between the results of multivariable logistic regression models for each year, including all variables, was used to analyse changes from 1997 to 2008.
In 1997 9.4% (95%CI 9.1-9.6) of the population had visited a CAM practitioner in the last 12 months and this increased to 12.6% (12.3-12.9) in 2008 (p < 0.001 for difference). Prevalence of CAM use in females was almost twice as high as that in males both years. For males, the significant changes from 1997 to 2008 (p < 0.05) were an increase in odds of visiting for those under 50 years, who had a recent complaint, were widower or did hard physical activities. There was a decrease for males who had a university degree, psychiatric complaint or hay fever. For females there was an increase in the odds for those under 50 years, who had a recent complaint or chronic complaint. It was a decrease for females with reported fair global health, psychiatric complaint, hay fever or if they had visited a chiropractor.
The increase in visits was mainly among younger people of both genders with more limited complaints. A larger proportion of the more healthy part of the population is increasing their visits to CAM practitioners.
本研究旨在调查 1997 年至 2008 年间，在一个大型成年人群中，男性和女性接受补充和替代医学（CAM）治疗的频率和特征变化。
本研究使用了来自挪威中部的两项成人总体人群健康调查（北特伦德拉格健康研究（HUNT））的数据。1997 年共纳入 42277 名受访者，2008 年共纳入 50713 名受访者。变量包括人口统计学特征（年龄、教育程度、工作状态）、生活方式（每日吸烟者、是否进行剧烈体力活动）、健康状况（自我评估的健康状况、近期投诉、慢性投诉、精神健康投诉、一系列疾病）和卫生保健使用情况（是否就诊于全科医生、按摩师）。我们使用包含所有变量的多变量逻辑回归模型，对每年的结果进行差异检验，以分析从 1997 年到 2008 年的变化。
1997 年，有 9.4%（95%CI 9.1-9.6）的人群在过去 12 个月内曾就诊于 CAM 医生，而这一比例在 2008 年增加到 12.6%（12.3-12.9）（差异有统计学意义，p < 0.001）。女性 CAM 使用率几乎是男性的两倍，且这一性别差异在两年中均存在。对于男性，1997 年至 2008 年的显著变化（p < 0.05）包括：50 岁以下、有近期投诉、丧偶或从事剧烈体力活动的男性就诊的可能性增加；具有大学学历、精神健康投诉或花粉热的男性就诊的可能性降低。对于女性，50 岁以下、有近期投诉或慢性投诉的女性就诊的可能性增加；自述健康状况一般、有精神健康投诉、花粉热或曾就诊于按摩师的女性就诊的可能性降低。
就诊人数的增加主要发生在两性中较年轻、抱怨较少的人群中。越来越多健康状况较好的人群选择就诊于 CAM 医生。
