Pokladnikova Jitka, Selke-Krulichova Iva
Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Krx00E1;lovx00E9;, Charles University in Prague, Hradec Krx00E1;lovx00E9;, Czech Republic.
Forsch Komplementmed. 2016;23(1):22-8. doi: 10.1159/000443712. Epub 2016 Jan 29.
Prevalence rates of complementary and alternative medicine (CAM) use are still missing for some European countries, especially in the East. Thus, we measured patterns and determinants of CAM use among a representative sample of the general population in the Czech Republic.
A cross-sectional survey was conducted. A sex-, age- and region-stratified sample of citizens aged 15 and older were randomly selected from voter registration lists (n = 8,639,375).
Overall, 76.0% (n = 1,365) of the respondents reported use of one or more CAM modalities during the past 30 days. The top five CAM modalities used were vitamins/minerals (54.6%), herbal remedies (47.8%), massage (19.9%), relaxation techniques (9.5%), and dietary supplements excluding vitamins/minerals (9.2%). Prevention (82.0%) was the primary reason for CAM use. Only 15.9% of CAM users employed it for therapeutic purposes. The most commonly treated ailments were respiratory (35.0%) and musculoskeletal (33.6%) disorders.
The prevalence of CAM use in the Czech Republic is high, especially among people who apply CAM for self-treatment prior to seeing a doctor. Half of the study population combined CAM with conventional medical treatment, which may result in potential harm to the patient. Healthcare providers as well as the public should be educated about effective and safe use of CAM.
一些欧洲国家,尤其是东欧国家,补充和替代医学(CAM)的使用率仍然未知。因此,我们在捷克共和国普通人群的代表性样本中测量了CAM的使用模式和决定因素。
进行了一项横断面调查。从选民登记名单(n = 8,639,375)中随机抽取15岁及以上的按性别、年龄和地区分层的公民样本。
总体而言,76.0%(n = 1,365)的受访者报告在过去30天内使用了一种或多种CAM方式。使用最多的前五种CAM方式是维生素/矿物质(54.6%)、草药(47.8%)、按摩(19.9%)、放松技巧(9.5%)以及不含维生素/矿物质的膳食补充剂(9.2%)。预防(82.0%)是使用CAM的主要原因。只有15.9%的CAM使用者将其用于治疗目的。最常治疗的疾病是呼吸系统疾病(35.0%)和肌肉骨骼疾病(33.6%)。
捷克共和国CAM的使用率很高,尤其是在那些在看医生之前自行使用CAM进行自我治疗的人群中。一半的研究人群将CAM与传统医学治疗相结合,这可能会对患者造成潜在危害。医疗保健提供者以及公众都应该接受关于有效和安全使用CAM的教育。