Lin Shiou-Ian, Tsai Tung-Hu, Chou Yiing-Jenq, Huang Nicole
Institute of Traditional Medicine, National Yang-Ming University, No. 155, Section 2, Li-Nong Street, Taipei 112, Taiwan.
Institute of Traditional Medicine, National Yang-Ming University, No. 155, Section 2, Li-Nong Street, Taipei 112, Taiwan ; Graduate Institute of Acupuncture Science, China Medical University, No. 91 Hsueh-Shih Road, Taichung 404, Taiwan ; Department of Education and Research, Taipei City Hospital, No. 145 Zhengzhou Road, Datong District, Taipei 103, Taiwan.
Evid Based Complement Alternat Med. 2015;2015:108961. doi: 10.1155/2015/108961. Epub 2015 Apr 20.
Introduction. Previous studies have demonstrated the advantages of TCM use among asthmatic children. However, there is a paucity of epidemiologic reports on features of TCM users among asthmatic children. This cohort study aimed to investigate child's, parent's, and provider's characteristics associated with the use of asthma-related TCM services among newly diagnosed asthmatic children. Materials and Methods. A nationally representative cohort of one million National Health Insurance beneficiaries was used. The newly diagnosed asthma children who received asthma medication from western medicine providers from 2005 to 2010 were selected as our sample for analysis. Generalized estimating equation was applied to identify the child's, parents', and provider's characteristics associated with the use of asthma-related TCM among the newly diagnosed asthmatic children. Results. Of 20,080 children who were enrolled and followed up for one year, 4,034 children used TCM for asthma-related treatment. Children with prior experience of TCM, pre-school and school aged children, boys, those with more severe asthma or poorer health, with higher income parents were more likely to use asthma-related TCM. Herbal medicine was the most common modality among asthmatic children. Conclusions. There were only 20% newly diagnosed asthmatic children using TCM. The findings may shed light on possible integration of TCM with western medicine services.
引言。先前的研究已证明中医在哮喘儿童中的应用优势。然而，关于哮喘儿童中使用中医的特征的流行病学报告却很匮乏。这项队列研究旨在调查新诊断哮喘儿童中与使用哮喘相关中医服务相关的儿童、家长和医疗服务提供者的特征。材料与方法。使用了全国具有代表性的一百万国民健康保险受益人的队列。选取2005年至2010年期间从西医提供者处接受哮喘药物治疗的新诊断哮喘儿童作为我们的分析样本。应用广义估计方程来确定新诊断哮喘儿童中与使用哮喘相关中医相关的儿童、家长和医疗服务提供者的特征。结果。在20080名登记并随访一年的儿童中，有4034名儿童使用中医进行哮喘相关治疗。有中医既往史的儿童、学龄前和学龄儿童、男孩、哮喘更严重或健康状况较差的儿童、父母收入较高的儿童更有可能使用哮喘相关中医。草药是哮喘儿童中最常见的治疗方式。结论。仅有20%的新诊断哮喘儿童使用中医。这些发现可能有助于阐明中医与西医服务的可能整合。
