ThEMAS Team, TIMC-IMAG Laboratory, UMR CNRS-UGA, 5525 Grenoble, France; Critical Thinking Research Federation, Grenoble-Alpes University, FED, 4270 Grenoble, France.
ThEMAS Team, TIMC-IMAG Laboratory, UMR CNRS-UGA, 5525 Grenoble, France; Critical Thinking Research Federation, Grenoble-Alpes University, FED, 4270 Grenoble, France.
Complement Ther Med. 2019 Feb;42:347-354. doi: 10.1016/j.ctim.2018.12.014. Epub 2018 Dec 18.
To identify predictive factors of CAM use in the general population in Europe.
We performed a systematic review to summarize and analyse the published data on factors predictive of CAM use by the general population in Europe. The Cumulative Index to Nursing and Allied Health Literature, Google Scholar, PsycInfo, PubMed and the Web of Science databases were systematically searched up to August 2, 2018. We selected observational studies (case-control, cohort and cross-sectional) of adults conducted in Europe. Risk of bias was determined using the ROBINS-I tool recommended by the Cochrane Group.
Over six thousand articles were identified of which 49 met our inclusion criteria. Twenty three studies investigated the consultation of CAM practitioners, five looked at the use of CAM products, one concerned CAM practices and twenty studied combinations of these. Female gender and self-reported chronic disease are predictive factors of CAM practitioner use. In contrast, marital status is not a predictive factor for consulting a CAM practitioner. Female gender is also a predictive factor of CAM product use. For all other factors investigated, no clear conclusions could be drawn.
We found no clear specificity of the use of CAM practitioners versus conventional health practitioners. Other directions of public health research should be explored, rather than assuming that there is specificity.
确定欧洲普通人群中对补充和替代医学（CAM）的使用的预测因素。
我们进行了系统评价，以总结和分析欧洲普通人群对 CAM 使用的预测因素的已发表数据。系统检索了 Cumulative Index to Nursing and Allied Health Literature、Google Scholar、PsycInfo、PubMed 和 Web of Science 数据库，检索时间截至 2018 年 8 月 2 日。我们选择了在欧洲进行的针对成年人的观察性研究（病例对照、队列和横断面研究）。使用 Cochrane 小组推荐的 ROBINS-I 工具来确定偏倚风险。
共确定了六千多篇文章，其中有 49 篇符合我们的纳入标准。23 项研究调查了 CAM 从业者的咨询情况，5 项研究调查了 CAM 产品的使用情况，1 项研究涉及 CAM 实践，20 项研究研究了这些的组合。女性性别和自我报告的慢性疾病是 CAM 从业者使用的预测因素。相比之下，婚姻状况不是咨询 CAM 从业者的预测因素。女性性别也是 CAM 产品使用的预测因素。对于其他研究的所有其他因素，没有得出明确的结论。
我们没有发现 CAM 从业者与传统健康从业者的使用有明确的特异性。应该探索其他公共卫生研究方向，而不是假设存在特异性。
