Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway.
PLoS One. 2011;6(10):e25719. doi: 10.1371/journal.pone.0025719. Epub 2011 Oct 7.
To investigate the factors predicting adolescent visits to practitioners of complementary and alternative medicine (CAM).
A longitudinal cohort study conducted in an adolescent total population in Central Norway (The Nord-Trøndelag Health Studies (HUNT)). In Young-HUNT 1, all inhabitants aged 13 to 19 years (N = 8944, 89% response rate) were invited to participate, and the youngest group (13 to 15 year olds) was surveyed again 4 years later (Young-HUNT 2, N = 2429, 82% response rate). The participants completed a comprehensive questionnaire on health and life style which included a question regarding visits to a CAM practitioner in the last 12 months.
One in eleven (8.7%, 95%CI 7.6-9.8%) had visited a CAM practitioner, an increase of 26% in 4 years (1.8% points). The final multivariable analysis predicted increased odds of an adolescent becoming a CAM visitor four years later (p<0.05) if she or he had previously visited a CAM practitioner (adjOR 3.4), had musculoskeletal pain (adjOR 1.5), had migraine (adjOR 2.3), used asthma medicines (adjOR 1.8) or suffered from another disease lasting more than three months (adjOR 2.1). Being male predicted reduced odds of visiting a CAM practitioner in the future (adjOR 0.6).
We can conclude from this study that future visits to a CAM practitioner are predicted by both predisposing factors (being female, having visited a CAM practitioner previously) and medical need factors (having had musculoskeletal pain, migraine, used asthma medicines or experienced another disease lasting more than three months). None of the specific variables associated with CAM visits were predictive for CAM visits four years later.
调查预测青少年接受补充和替代医学（CAM）从业者治疗的因素。
这是一项在挪威中部青少年全人群中进行的纵向队列研究（特隆赫姆健康研究（HUNT））。在青年 HUNT1 中，邀请所有 13 至 19 岁的居民（N=8944，89%的应答率）参加，年龄最小的组（13 至 15 岁）在 4 年后再次进行调查（青年 HUNT2，N=2429，82%的应答率）。参与者完成了一份关于健康和生活方式的综合问卷，其中包括在过去 12 个月内是否接受过 CAM 从业者治疗的问题。
每 11 个青少年中就有 1 个（8.7%，95%CI 7.6-9.8%）曾接受过 CAM 从业者的治疗，4 年内增加了 26%（1.8 个百分点）。最终的多变量分析预测，如果青少年之前曾接受过 CAM 从业者的治疗（调整后的优势比 3.4）、有肌肉骨骼疼痛（调整后的优势比 1.5）、偏头痛（调整后的优势比 2.3）、使用哮喘药物（调整后的优势比 1.8）或患有持续超过三个月的其他疾病（调整后的优势比 2.1），那么他们在未来四年内成为 CAM 访问者的可能性更大。男性则预测未来接受 CAM 治疗的可能性降低（调整后的优势比 0.6）。
从这项研究中我们可以得出结论，未来接受 CAM 从业者的治疗可以由倾向因素（女性、之前曾接受过 CAM 从业者的治疗）和医疗需求因素（有肌肉骨骼疼痛、偏头痛、使用哮喘药物或患有持续超过三个月的其他疾病）来预测。与 CAM 就诊相关的特定变量均不能预测四年后是否会接受 CAM 治疗。
