Kummet Colleen M, Spector Michael L, Dawson Deborah V, Fischer Mark, Holmes David C, Warren John, Nisly Nicole L
Department of Epidemiology, The University of Iowa College of Public Health, Iowa City, IA, USA.
Department of Family Dentistry, The University of Iowa College of Dentistry, Iowa City, IA, USA.
J Public Health Dent. 2015 Spring;75(2):109-17. doi: 10.1111/jphd.12078. Epub 2014 Nov 20.
Complementary and alternative medicine (CAM) is a diverse collection of approaches used to prevent or treat diseases. The goal of this study was to examine relationships between dental patient characteristics and current usage of CAM therapies.
The CAM definition encompassed 24 therapies excluding prayer. Associations and trends in usage were assessed for gender, income, education, and age. Multivariable logistic and negative binomial models were used to identify factors impacting the use and number of CAM therapies used.
In dental patients (n = 402), nearly 67 percent of subjects reported at least one CAM treatment. Gender was significantly associated with recent utilization of CAM, biological, manipulative (all P < 0.01), and mind-body (P = 0.04) therapies, as well as the number (P < 0.01) of therapies used. Higher education levels were significant in usage of any CAM, biological, and mind-body therapies (P < 0.01).
A large proportion of dental patients reported use of CAM therapies. While CAM therapies and those who use them are diverse, given their widespread use, they clearly have potential impacts on the oral health of the public. Knowledge of the characteristics of dental patients who use CAM therapies is a first step in developing a broader understanding how CAM therapies and associated beliefs may affect oral health and public health programs.
补充和替代医学（CAM）是用于预防或治疗疾病的多种方法的集合。本研究的目的是探讨牙科患者特征与当前CAM疗法使用情况之间的关系。
CAM的定义涵盖24种疗法，不包括祈祷。评估了性别、收入、教育程度和年龄在CAM疗法使用方面的关联和趋势。使用多变量逻辑回归和负二项式模型来确定影响CAM疗法使用及其使用数量的因素。
在牙科患者（n = 402）中，近67%的受试者报告至少接受过一种CAM治疗。性别与近期使用CAM、生物疗法、手法治疗（所有P < 0.01）、身心疗法（P = 0.04）以及使用的疗法数量（P < 0.01）显著相关。高等教育水平在使用任何CAM、生物疗法和身心疗法方面具有显著意义（P < 0.01）。
很大一部分牙科患者报告使用CAM疗法。虽然CAM疗法及其使用者各不相同，但鉴于其广泛使用，它们显然可能对公众口腔健康产生潜在影响。了解使用CAM疗法的牙科患者的特征是更广泛地理解CAM疗法及其相关信念如何影响口腔健康和公共卫生项目的第一步。
