Yang Lu, Adams Jon, Sibbritt David
Faculty of Health, Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, City Campus, Ultimo, New South Wales, Australia.
Acupunct Med. 2017 Jun;35(3):189-199. doi: 10.1136/acupmed-2016-011179. Epub 2017 Mar 9.
Traditional Chinese Medicine has considerable public support in Australia and elsewhere around the world; the literature suggests Chinese medicine (CM) and acupuncture are particularly popular.
To examine factors associated with CM/acupuncture use among young/middle-aged Australian women.
This research formed part of the Australian Longitudinal Study on Women's Health (ALSWH), a population-based cohort study. Data were obtained from the 'young' (34-39 years; n=8010) and 'middle-aged' (62-67 years; n=9151) ALSWH cohorts, who completed survey 6 (in 2012) and survey 7 (in 2013), respectively. Outcome measures included use of CM and visits to an acupuncturist in the previous 12 months. Predictive factors included demographic characteristics, and measures of health status (diagnosed chronic medical conditions) and health service utilisation. Statistical analyses included bivariate χ tests, two proportions Z-tests and backward stepwise multiple logistic regression modelling.
In total, 9.5% and 6.2% of women in the young and middle-aged cohorts, respectively, had consulted an acupuncturist, and 5.7% and 4.0%, respectively, had used CM. Young women with low iron levels and/or endometriosis were more likely to use CM and/or acupuncture. Middle-aged women with low iron levels and/or chronic fatigue syndrome (CFS) were more likely to use CM, while middle-aged women with arthritis and/or CFS were more likely to use acupuncture.
Women with chronic conditions (including arthritis, low iron, CFS and endometriosis) were associated with higher odds of CM/acupuncture use. There is a need for further research to examine the potential benefits of CM/acupuncture for these chronic illnesses.
传统中医在澳大利亚及世界其他地方获得了相当多公众的支持;文献表明中医和针灸尤其受欢迎。
探讨澳大利亚年轻/中年女性使用中医/针灸的相关因素。
本研究是澳大利亚妇女健康纵向研究(ALSWH)的一部分,这是一项基于人群的队列研究。数据来自ALSWH队列中的“年轻”组(34 - 39岁;n = 8010)和“中年”组(62 - 67岁;n = 9151),她们分别完成了第6次调查(2012年)和第7次调查(2013年)。结局指标包括过去12个月内使用中医的情况和看针灸师的次数。预测因素包括人口统计学特征、健康状况指标(确诊的慢性疾病)和卫生服务利用情况。统计分析包括双变量χ检验、双比例Z检验和向后逐步多元逻辑回归建模。
年轻组和中年组中分别有9.5%和6.2%的女性咨询过针灸师,分别有5.7%和4.0%的女性使用过中医。铁水平低和/或患有子宫内膜异位症的年轻女性更有可能使用中医和/或针灸。铁水平低和/或患有慢性疲劳综合征(CFS)的中年女性更有可能使用中医,而患有关节炎和/或CFS的中年女性更有可能使用针灸。
患有慢性疾病(包括关节炎、铁水平低、CFS和子宫内膜异位症)的女性使用中医/针灸的几率更高。需要进一步研究来探讨中医/针灸对这些慢性疾病的潜在益处。