Silverberg Jonathan I, Lee-Wong Mary, Silverberg Nanette B
From the Departments of *Dermatology, †Preventive Medicine, and ‡Medical Social Sciences, Northwestern University, Chicago, IL; §Department of Allergy & Immunology, Beth Israel Medical Center; and ∥Department of Dermatology, St Luke's-Roosevelt Hospital and Beth Israel Medical Centers, New York, NY.
Dermatitis. 2014 Sep-Oct;25(5):246-54. doi: 10.1097/DER.0000000000000072.
The prevalence of complementary and alternative medicine (CAM) use in US children with eczema is unknown. Furthermore, it is unknown whether CAM use in the United States is associated with higher eczema prevalence. We sought to determine the eczema prevalence in association with CAM usage. We analyzed data from the 2007 National Health Interview Survey that included a nationally representative sample of 9417 children ages 0 to 17 years. Overall, 46.9% (95% confidence interval, 45.6%-48.2%) of children in the United States used 1 or more CAM, of which 0.99% (0.28%-1.71%) used CAM specifically to treat their eczema, including herbal therapy (0.46%), vitamins (0.33%), Ayurveda (0.28%), naturopathy (0.24%), homeopathy (0.20%), and traditional healing (0.12%). Several CAMs used for other purposes were associated with increased eczema prevalence, including herbal therapy (survey logistic regression; adjusted odds ratio [95% confidence interval], 2.07 [1.40-3.06]), vitamins (1.45 [1.21-1.74]), homeopathic therapy (2.94 [1.43-6.00]), movement techniques (3.66 [1.62-8.30]), and diet (2.24 [1.10-4.58]), particularly vegan diet (2.53 [1.17-5.51]). In conclusion, multiple CAMs are commonly used for the treatment of eczema in US children. However, some CAMs may actually be harmful to the skin and be associated with higher eczema prevalence in the United States.
美国患有湿疹的儿童使用补充和替代医学（CAM）的流行情况尚不清楚。此外，在美国，使用CAM是否与较高的湿疹患病率相关也不清楚。我们试图确定与CAM使用相关的湿疹患病率。我们分析了2007年全国健康访谈调查的数据，该调查包括一个具有全国代表性的9417名0至17岁儿童的样本。总体而言，美国46.9%（95%置信区间，45.6%-48.2%）的儿童使用了一种或多种CAM，其中0.99%（0.28%-1.71%）专门使用CAM来治疗他们的湿疹，包括草药疗法（0.46%）、维生素（0.33%）、阿育吠陀医学（0.28%）、自然疗法（0.24%）、顺势疗法（0.20%）和传统疗法（0.12%）。几种用于其他目的的CAM与湿疹患病率增加相关，包括草药疗法（调查逻辑回归；调整后的优势比[95%置信区间]，2.07[1.40-3.06]）、维生素（1.45[1.21-1.74]）、顺势疗法（2.94[1.43-6.00]）、运动技巧（3.66[1.62-8.30]）和饮食（2.24[1.10-4.58]），特别是纯素饮食（2.53[1.17-5.51]）。总之，多种CAM在美国儿童中常用于治疗湿疹。然而，一些CAM实际上可能对皮肤有害，并与美国较高的湿疹患病率相关。
