Upchurch Dawn M, Rainisch Bethany K Wexler
1 University of California Los Angeles, Los Angeles, CA, USA.
2 California State University, Northridge, Northridge, CA, USA.
J Evid Based Complementary Altern Med. 2013 Apr;18(2):100-107. doi: 10.1177/2156587212463071.
This study tested a modification of the Andersen behavioral model of health services use to assess the effects of predisposing factors, enabling resources, need, and personal health practices on the use of complementary and alternative medicine providers, products, and practices in the past 12 months. Data were from the 2007 National Health Interview Survey (n = 23 149 adults). Prevalence estimates and logistic regression results were weighted and adjusted for complex sample design. Overall, 16.6% used providers, 18.8% products, and 22.2% practices. There were significant associations in the expected directions between variables in each domain of the model and each type of complementary and alternative medicine use. There were also notable differences in patterns across types: for example, income was more strongly associated with use of providers. The findings support the potential usefulness of a modified health services approach to better understand differences in types of complementary and alternative medicine use.
本研究对健康服务利用的安德森行为模型进行了修正，以评估在过去12个月中，易患因素、促成资源、需求和个人健康行为对补充和替代医学服务提供者、产品及行为利用情况的影响。数据来自2007年全国健康访谈调查（n = 23149名成年人）。患病率估计值和逻辑回归结果针对复杂样本设计进行了加权和调整。总体而言，16.6%的人使用了服务提供者，18.8%的人使用了产品，22.2%的人采用了相关行为。模型各领域中的变量与每种补充和替代医学利用类型之间均存在预期方向上的显著关联。不同类型之间在模式上也存在显著差异：例如，收入与服务提供者的利用关联更强。研究结果支持了一种修正后的健康服务方法在更好理解补充和替代医学利用类型差异方面的潜在效用。
