Kristoffersen Agnete E, Stub Trine, Salamonsen Anita, Musial Frauke, Hamberg Katarina
The National Research Center in Complementary and Alternative Medicine (NAFKAM), Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
BMC Complement Altern Med. 2014 Dec 3;14:463. doi: 10.1186/1472-6882-14-463.
Self-reported use of Complementary and Alternative Medicine (CAM) varies widely from 10% to 75% in the general populations worldwide. When limited to use of a CAM provider 2% to 49% reported use is found. CAM use is believed to be closely associated with socio demographic variables such as gender, age, education, income and health complaints. However, studies have only occasionally differentiated CAM use according to gender. Therefore, the aim of the study presented here is to describe the prevalence of CAM use on the background of gender and to describe the specific characteristics of male and female users in the total Tromsø 6 population.
A total of 12,982 men and women aged 30-87 in the municipality of Tromsø, Norway went through a health screening program and completed two self-administered questionnaires in 2007/2008. The questionnaires were developed specifically for the Tromsø study and included questions about life style and health issues in addition to socio demographic variables.
A total of 33% of the participants reported use of any CAM within the last 12 months, women more often than men (42% and 24%, respectively). When limited to visits to a CAM provider, we found 17% use among women and 8% among men. The relationship between the demographic variables and being a CAM user differed significantly between men and women with regard to age, household income, and marital status. We did not find significant differences between men and women concerning education and self-reported health.
Findings from this study suggest that the prevalence and associations for use of CAM differ between men and women concerning several socio demographic variables (age, education and household income). Neglect of women's health care needs in public health care may contribute to the fact that women to a higher degree than men turn to CAM and CAM products.
在全球普通人群中,自我报告使用补充和替代医学(CAM)的比例差异很大,从10%到75%不等。若仅限于使用CAM从业者,报告的使用率为2%至49%。人们认为CAM的使用与社会人口统计学变量密切相关,如性别、年龄、教育程度、收入和健康问题。然而,研究只是偶尔按性别区分CAM的使用情况。因此,本文所述研究的目的是描述在性别背景下CAM的使用情况,并描述特罗姆瑟6总人口中男性和女性使用者的具体特征。
2007/2008年,挪威特罗姆瑟市共有12982名年龄在30 - 87岁的男性和女性接受了健康筛查项目,并完成了两份自我管理的问卷。这些问卷是专门为特罗姆瑟研究设计的,除社会人口统计学变量外,还包括有关生活方式和健康问题的问题。
共有33%的参与者报告在过去12个月内使用过任何CAM,女性比男性更频繁(分别为42%和24%)。若仅限于拜访CAM从业者,我们发现女性的使用率为17%,男性为8%。在年龄、家庭收入和婚姻状况方面,男性和女性在人口统计学变量与成为CAM使用者之间的关系存在显著差异。在教育程度和自我报告的健康状况方面,我们未发现男性和女性之间存在显著差异。
本研究结果表明,在几个社会人口统计学变量(年龄、教育程度和家庭收入)方面,男性和女性在CAM使用的患病率及相关性上存在差异。公共卫生保健中对女性医疗保健需求的忽视可能导致女性比男性更倾向于使用CAM及CAM产品。