Frawley Jane, Adams Jon, Broom Alex, Steel Amie, Gallois Cindy, Sibbritt David
1 Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney , Ultimo, New South Wales, Australia .
J Altern Complement Med. 2014 Jul;20(7):571-7. doi: 10.1089/acm.2014.0028. Epub 2014 Jun 11.
Up to 87% of women are using some form of complementary and alternative medicine (CAM) during their pregnancy, and this study was conducted to investigate the information sources that these women find influential in relation to such use.
The study sample was obtained via the Australian Longitudinal Study on Women's Health. This article is based on a substudy of 1835 pregnant women who were surveyed in 2010. The women answered questions about CAM use, pregnancy-related health concerns, and influential information sources in relation to CAM use. Logistic regression models were used to determine the information sources that women reported as influential in their decision making regarding CAM use.
Of the respondents (n=1835, 79.2% response rate), 48.1% (n=623) of the pregnant women consulted a CAM practitioner and 91.7% (n=1485) used a CAM product during pregnancy. The results show that, of the women who used CAM, nearly half (48%, n=493) were influenced by their own personal experience of CAM and 43% (n=423) by family and friends. Other popular sources of information were general practitioners 27% (n=263), the media (television, radio, books, magazines, newspapers) 22% (n=220), obstetricians 21% (n=208) and midwives 19% (n=190). Numerous statistically significant associations between influential information sources and pregnancy-related health conditions were identified.
Women utilize a wide variety of information sources regarding their CAM use during pregnancy. Nonprofessional sources of information were found to be particularly influential, and maternity health care professionals need to have a nonjudgmental and open discussion with women about their CAM use during pregnancy in order to ensure safe and effective maternal outcomes.
高达87%的女性在孕期使用某种形式的补充和替代医学(CAM),本研究旨在调查这些女性认为在CAM使用方面具有影响力的信息来源。
研究样本通过澳大利亚女性健康纵向研究获得。本文基于2010年对1835名孕妇进行调查的一项子研究。这些女性回答了关于CAM使用、与怀孕相关的健康问题以及与CAM使用相关的有影响力的信息来源的问题。使用逻辑回归模型来确定女性报告在其关于CAM使用的决策中具有影响力的信息来源。
在受访者(n = 1835,回复率79.2%)中,48.1%(n = 623)的孕妇咨询了CAM从业者,91.7%(n = 1485)在孕期使用了CAM产品。结果显示,在使用CAM的女性中,近一半(48%,n = 493)受到她们自己使用CAM的个人经历影响,43%(n = 423)受到家人和朋友影响。其他常见信息来源包括全科医生27%(n = 263)、媒体(电视、广播、书籍、杂志、报纸)22%(n = 220)、产科医生21%(n = 208)和助产士19%(n = 190)。确定了有影响力的信息来源与怀孕相关健康状况之间的许多具有统计学意义的关联。
女性在孕期使用CAM时会利用各种各样的信息来源。发现非专业信息来源特别有影响力,产科保健专业人员需要与女性就她们在孕期使用CAM进行无偏见且开放的讨论,以确保安全有效的孕产结局。