在一个大型自闭症谱系障碍儿童参保样本中补充和替代医学使用情况的患病率及预测因素
Prevalence and Predictors of Complementary and Alternative Medicine Use in a Large Insured Sample of Children with Autism Spectrum Disorders.
作者信息
Owen-Smith Ashli A, Bent Stephen, Lynch Frances L, Coleman Karen J, Yau Vincent M, Pearson Kathryn A, Massolo Maria L, Quinn Virginia, Croen Lisa A
机构信息
Georgia State University, Division of Health Management and Policy, Atlanta, Georgia, USA; Kaiser Permanente Georgia, Center for Clinical and Outcomes Research, Atlanta, Georgia, USA.
Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
出版信息
Res Autism Spectr Disord. 2015 Sep 1;17:40-51. doi: 10.1016/j.rasd.2015.05.002.
PURPOSE
The purpose of the present study was to examine the prevalence and predictors of complementary and alternative medicine (CAM) use as well as parental perceptions of CAM efficacy in a large, geographically diverse sample of children with Autism Spectrum Disorders (ASD).
METHODOLOGY
Data were obtained from a web-based survey administered to parents of children with ASD at four sites participating in the Mental Health Research Network (MHRN). The web survey obtained information about services and treatments received by children with ASD as well as the caregivers' experiences with having a child with ASD.
RESULTS
Approximately 88% of the sample had either used CAM in the past or had recently used some type of CAM. The following characteristics were associated with CAM use: greater parental education, younger child age, a mix of regular and special classroom settings and prescription drug use in the past three months.
CONCLUSIONS
The use of CAM was very prevalent in this large, geographically diverse sample of children with ASD. It is critical that providers be prepared to discuss the advantages and potential side effects with families to help them make well-informed health care decisions and prevent possible CAM-drug interactions.
目的
本研究旨在调查在一个地域分布广泛的大型自闭症谱系障碍（ASD）儿童样本中，补充和替代医学（CAM）的使用情况、预测因素以及家长对CAM疗效的看法。
方法
数据来自对参与心理健康研究网络（MHRN）的四个地点的ASD儿童家长进行的一项基于网络的调查。该网络调查获取了有关ASD儿童接受的服务和治疗以及照顾者养育ASD儿童经历的信息。
结果
大约88%的样本过去曾使用过CAM或最近使用过某种类型的CAM。以下特征与CAM的使用相关：家长受教育程度较高、孩子年龄较小、常规和特殊课堂环境混合以及在过去三个月内使用过处方药。
结论
在这个地域分布广泛的大型ASD儿童样本中，CAM的使用非常普遍。提供者必须准备好与家庭讨论其优点和潜在副作用，以帮助他们做出明智的医疗保健决策，并预防可能的CAM与药物相互作用。
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