NICM, Health Research Institute, Western Sydney University, Penrith, NSW, Australia.
School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia.
Complement Ther Med. 2019 Feb;42:53-58. doi: 10.1016/j.ctim.2018.10.025. Epub 2018 Nov 2.
to investigate whether complementary medicine (CAM) use is associated with health literacy levels and decision self-efficacy.
a cross-sectional survey was distributed to men and women aged 65 years and older who participated in a randomised control trial (N = 153) in Sydney, Australia.
One hundred and fifty-three people completed the survey of those 66% were females and the mean age was 76 years. Most participants used or were currently using CAM in the past 12 months (75%). The most common source of CAM information were GPs. Participants with higher levels of social support were found more likely to use CAM accessed over the counter (OTC). Participants reporting lower health literacy skills with appraising health information were more likely to use CAM delivered by CAM practitioners. Participants with higher levels of health literacy relating to the domain - "ability to actively engage with health care providers" - were found to use OTC CAM. No relationship was found between participants' decision-making self-efficacy and use of CAM accessed from a CAM practitioner or OTC.
CAM is used by older Australians to maintain their health. Use of CAM was not associated with decision self-efficacy and health literacy. However, CAM users who have less skills with appraising information are possibly more likely to access their CAM from trusted sources such as a CAM practitioners.
调查补充医学（CAM）的使用是否与健康素养水平和决策自我效能相关。
对参与澳大利亚悉尼一项随机对照试验（N=153）的 65 岁及以上的男性和女性进行了横断面调查。
在完成调查的 153 人中，有 66%为女性，平均年龄为 76 岁。大多数参与者在过去 12 个月内使用或正在使用 CAM（75%）。CAM 信息的最常见来源是全科医生。报告具有更高的健康素养技能评估健康信息的参与者更有可能使用由 CAM 从业者提供的 CAM。具有更高的与“主动参与医疗保健提供者的能力”相关的健康素养领域的参与者被发现使用 OTC CAM。参与者的决策自我效能与从 CAM 从业者或 OTC 获得的 CAM 使用之间没有关系。
CAM 被澳大利亚老年人用于维持健康。CAM 的使用与决策自我效能和健康素养无关。然而，评估信息技能较差的 CAM 用户可能更有可能从值得信赖的来源（如 CAM 从业者）获取 CAM。
