Centers for Disease Control and Prevention (CDC), Office of Surveillance, Epidemiology, and Laboratory Services, Public Health Surveillance Program Office, Division of Behavioral Surveillance, Atlanta, Georgia 30333, USA.
Disabil Rehabil. 2012;34(2):128-35. doi: 10.3109/09638288.2011.591887. Epub 2011 Sep 30.
This study characterizes the use of complementary and alternative medicine (CAM) among adults with and without functional limitations. We also examine the reasons for using CAM and for disclosing its use to conventional medical professionals.
Data were obtained from the 2007 adult CAM supplement and components of the National Health Interview Survey (n = 20,710).
Adults with functional limitations used CAM more frequently than those without (48.7% vs. 35.4%; p < 0.001). Adults with functional limitations used mind-body therapies the most (27.4%) and alternative medical systems the least (4.8%). Relaxation techniques were the most common therapy used by adults with functional limitations, and they used it more often than those without limitations (24.6% vs. 13.7%; P < 0.001). More than half of the adults with functional limitations (51.3%) discussed CAM use with conventional medical professionals, compared with 37.9% of adults without limitations (p < 0.001). The main reason for CAM use was general wellness/disease prevention among adults with and without functional limitations (59.8% vs. 63.1%; P = 0.051).
CAM use among adults with functional limitations is high. Health practitioners should screen for and discuss the safety and efficacy of CAM when providing health care.
本研究描述了有和无功能限制的成年人对补充性和替代性医学(CAM)的使用情况。我们还检查了使用 CAM 的原因,以及向常规医疗专业人员披露使用 CAM 的原因。
数据来自 2007 年成人 CAM 补充调查和国家健康访谈调查(NHIS)的组成部分(n=20710)。
有功能限制的成年人比没有功能限制的成年人更频繁地使用 CAM(48.7%比 35.4%;p<0.001)。有功能限制的成年人最常使用身心疗法(27.4%),而最不常使用替代医疗系统(4.8%)。放松技术是有功能限制的成年人最常使用的疗法,他们比没有限制的成年人更常使用(24.6%比 13.7%;p<0.001)。超过一半(51.3%)有功能限制的成年人与常规医疗专业人员讨论过 CAM 的使用情况,而没有限制的成年人则为 37.9%(p<0.001)。CAM 使用的主要原因是一般健康/疾病预防,有和无功能限制的成年人都如此(59.8%比 63.1%;P=0.051)。
有功能限制的成年人中 CAM 的使用频率很高。医疗保健提供者在提供医疗保健时,应筛查并讨论 CAM 的安全性和疗效。