Centre for Global Health Inequalities Research (CHAIN), Department of Sociology and Political Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
BMC Complement Med Ther. 2020 Apr 6;20(1):108. doi: 10.1186/s12906-020-02903-w.
While the use of complementary and alternative medicine (CAM) has become increasingly popular in western societies, we do not understand why CAM use is more frequent in some countries than in others. The aim of this article is to examine the determinants of CAM use at the individual and country-level.
Logistic multilevel regressions were applied analyzing data from 33,371 respondents in 21 European countries (including Israel) from the seventh round of the European Social Survey. We examined CAM in terms of overall use and also dichotomized treatments into physical and consumable subgroups.
At the individual level, we found CAM use to be associated with a range of socioeconomic, demographic and health indicators. At the country level, we found that countries' health expenditures were positively related to the prevalence of overall and physical CAM treatments.
A common predictor for CAM use, both at the individual (in terms of education and financial strain) and country-level (in terms of health expenditures per capita), is greater resources.
虽然在西方社会中，补充和替代医学（CAM）的应用越来越受欢迎，但我们并不清楚为什么在某些国家比其他国家更频繁地使用 CAM。本文的目的是研究个人和国家层面上 CAM 使用的决定因素。
我们对来自包括以色列在内的 21 个欧洲国家的 33371 名受访者在第七轮欧洲社会调查中的数据进行了逻辑多元回归分析。我们根据整体使用情况以及将治疗方法分为物理和可消费两类来研究 CAM。
在个人层面上，我们发现 CAM 的使用与一系列社会经济、人口和健康指标有关。在国家层面上，我们发现各国的卫生支出与整体和物理 CAM 治疗的流行呈正相关。
CAM 使用的一个共同预测因素，无论是在个人层面（就教育和经济压力而言）还是在国家层面（就人均卫生支出而言），都是更多的资源。
