Family Medicine Department, Chelsea Family Medicine Center, University of Michigan, 14700 E, Old U,S, Hwy, 12, Chelsea, MI 48118, UK.
BMC Complement Altern Med. 2014 Sep 25;14:360. doi: 10.1186/1472-6882-14-360.
There is growing interest in the use of complementary and alternative medicine (CAM) throughout the world, however previous research done in Japan has focused primarily on CAM use in major cities. The purpose of this study was to develop and distribute a Japanese version of the International Complementary and Alternative Medicine Questionnaire (I-CAM-Q) to assess the use of CAM among people who visit rural Japanese family medicine clinics.
Using a Japanese version of the International Complementary and Alternative Medicine Questionnaire (I-CAM-Q), a cross-sectional survey was conducted in three rural family medicine clinics. All patients and those accompanying patients who met inclusion criteria were eligible to participate. Data were entered into SPSS Statistics and analyzed for use by age, gender, and location.
Of the 519 respondents who participated in the project, 415 participants reported CAM use in the past 12 months (80.0%). When prayer is excluded, the prevalence of CAM use drops to 77.3% in the past year, or 403 respondents. The most common forms of CAM used by respondents were pain relief pads (n = 170, 32.8%), herbal medicines/supplements (n = 167, 32.2%), and massage by self or family (n = 166, 32.0%). Female respondents, individuals with higher levels of education, and those with poorer overall health status were more likely to use CAM than respondents without these characteristics. Only 22.8% of CAM therapies used were reported to physicians by survey participants.
These data indicate that CAM use in rural Japan is common. The results are consistent with previous studies that show that Japanese individuals are more interested in forms of CAM such as pain relief pads and massage, than in mind-body forms of CAM like relaxation and meditation. Due to the high utilization of certain CAM practices, and given that most CAM users do not disclose their CAM use to their doctors, we conclude that physicians in rural Japan would benefit by asking about CAM use during patient interviews, and by familiarizing themselves with the potential benefits and risks of commonly used CAM modalities.
在全球范围内，人们对补充和替代医学（CAM）的兴趣日益浓厚，然而，日本之前的研究主要集中在大城市的 CAM 使用上。本研究的目的是开发和分发日本版的国际补充和替代医学问卷（I-CAM-Q），以评估在访问日本农村家庭医学诊所的人群中 CAM 的使用情况。
使用日本版的国际补充和替代医学问卷（I-CAM-Q），在三个农村家庭医学诊所进行了横断面调查。所有符合纳入标准的患者及其陪同患者都有资格参加。将数据输入 SPSS Statistics 进行分析，按年龄、性别和地点进行使用。
在 519 名参与项目的受访者中，有 415 名（80.0%）报告在过去 12 个月内使用过 CAM。当排除祈祷外，过去一年 CAM 的使用率降至 77.3%，即 403 名受访者。受访者最常使用的 CAM 形式是止痛贴（n = 170，32.8%）、草药/补品（n = 167，32.2%）和自我或家庭按摩（n = 166，32.0%）。女性受访者、教育程度较高的受访者以及整体健康状况较差的受访者比没有这些特征的受访者更有可能使用 CAM。只有 22.8%的 CAM 疗法被调查参与者报告给了医生。
这些数据表明，日本农村地区 CAM 的使用很普遍。结果与之前的研究一致，表明日本个人对止痛贴和按摩等形式的 CAM 更感兴趣，而不是对放松和冥想等身心形式的 CAM 更感兴趣。由于某些 CAM 实践的高利用率，并且由于大多数 CAM 用户不会向他们的医生透露他们的 CAM 使用情况，我们得出结论，日本农村地区的医生在患者访谈中询问 CAM 使用情况，并熟悉常用 CAM 模式的潜在益处和风险，将从中受益。
