Wu Chung-Hsuen, Kennedy Jae, Sclar David A
Department of Clinical, Social, and Administrative Sciences, College of Pharmacy, The University of Michigan, 428 Church Street, Ann Arbor, Michigan 48109-1065, USA.
J Diet Suppl. 2008;5(4):341-8. doi: 10.1080/19390210802519622.
To examine the association between access to conventional health care and the use of St. John's wort among adults who report depressive symptoms.
Logistic secondary analysis of the Complementary and Alternative Medicine Supplement to the 2002 National Health Interview Survey (NHIS).
Adults who report depressive symptoms and used St. John's wort (n = 246) were compared to nonusers with depressive symptoms (n = 5,111).
After controlling for various sociodemographic and socioeconomic factors, depressed adults who could not afford needed medical care due to cost were nearly two times (AOR 1.92, 95% CI 1.38-2.67) more likely to use St. John's wort than those who could afford conventional medical care. Higher income, education, and health status were also positively associated with the use of St. John's wort.
The growing use of complementary and alternative therapies in the US is widely interpreted as evidence of changing consumer tastes and dissatisfaction with conventional medical treatment for chronic conditions like depression. However, the rising costs of conventional therapies and diminishing access to health insurance may also play a role.
探讨在报告有抑郁症状的成年人中，获得传统医疗服务与使用圣约翰草之间的关联。
对2002年美国国家健康访谈调查（NHIS）补充替代医学部分进行逻辑二次分析。
将报告有抑郁症状且使用过圣约翰草的成年人（n = 246）与有抑郁症状但未使用者（n = 5111）进行比较。
在控制了各种社会人口统计学和社会经济因素后，因费用问题而负担不起所需医疗服务的抑郁成年人使用圣约翰草的可能性几乎是能够负担传统医疗服务者的两倍（比值比1.92，95%置信区间1.38 - 2.67）。较高的收入、教育水平和健康状况也与使用圣约翰草呈正相关。
在美国，补充替代疗法使用的增加被广泛解读为消费者口味变化以及对抑郁症等慢性病传统医疗治疗不满的证据。然而，传统疗法成本的上升以及医疗保险覆盖范围的缩小也可能起到了一定作用。
