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成年人多重慢性疾病患者中补充和替代医学的使用存在性别差异。

Sex Differences in the Use of Complementary and Alternative Medicine among Adults with Multiple Chronic Conditions.

机构信息

Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, P.O. Box 9510, Morgantown, WV 26506-9510, USA; Department of Clinical Pharmacy, School of Pharmacy, King Saud University, P.O. Box 2454, Riyadh 11451, Saudi Arabia.

Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, P.O. Box 9510, Morgantown, WV 26506-9510, USA.

出版信息

Evid Based Complement Alternat Med. 2016;2016:2067095. doi: 10.1155/2016/2067095. Epub 2016 Apr 27.

Abstract

Objective. To examine sex differences in complementary and alternative medicine (CAM) use among adults with multiple chronic conditions. Methods. This study used a cross-sectional design with data from the 2012 National Health Interview Survey. The participants were interviewed in 2012 and the reference period for the questions in the survey varied from 1 week to 12 months prior to the interview date. The study included adults (age > 21 years) with no missing data on CAM use variables and who had multiple chronic conditions. Multivariable regression analyses were used to examine the association between sex and CAM use. Results. A significantly higher percentage of women compared to men had ever used CAM (51.5% versus 44.3%); women were more likely to have ever used CAM (AOR = 1.49, 95% CI = 1.35-1.65). Among CAM users, a higher percentage of women compared to men used CAM in the past 12 months (53.5% vs. 42.7%); women were more likely to use CAM in the past 12 months (AOR = 1.71, 95% CI = 1.49-1.97). Factors associated with CAM use in the past 12 months were different for men and women; income and obesity were associated with CAM use in the past 12 months among women and not among men. Conclusion. Among adults with multiple chronic conditions, women were more likely to use CAM as compared to men.

摘要

目的。探讨患有多种慢性疾病的成年人在补充和替代医学(CAM)使用方面的性别差异。

方法。本研究采用横断面设计,数据来自 2012 年全国健康访谈调查。受访者于 2012 年接受访谈,调查中问题的参考期从访谈日期前 1 周到 12 个月不等。本研究纳入了成年人(年龄>21 岁),且不存在 CAM 使用变量缺失数据,以及患有多种慢性疾病的成年人。多变量回归分析用于检验性别与 CAM 使用之间的关联。

结果。与男性相比,女性使用 CAM 的比例显著更高(51.5%比 44.3%);女性更有可能使用 CAM(AOR=1.49,95%CI=1.35-1.65)。在 CAM 用户中,与男性相比,女性在过去 12 个月中使用 CAM 的比例更高(53.5%比 42.7%);女性更有可能在过去 12 个月中使用 CAM(AOR=1.71,95%CI=1.49-1.97)。与过去 12 个月中 CAM 使用相关的因素在男性和女性之间存在差异;收入和肥胖与女性在过去 12 个月中使用 CAM 相关,而与男性无关。

结论。在患有多种慢性疾病的成年人中,女性比男性更有可能使用 CAM。

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