Aljawadi Mohammad H, Khoja Abdullah T, AlOtaibi Azzam D, Alharbi Khalid Turki, Alodayni Muhannad Abdulwahed, AlMetwazi Mansour S, Arafah Azher, Al-Shammari Sulaiman A, Khoja Tawfik A
Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.
Public Health and Family Medicine Departments, College of Medicine, Al-Imam Muhammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia.
Evid Based Complement Alternat Med. 2020 Aug 7;2020:4357194. doi: 10.1155/2020/4357194. eCollection 2020.
Complementary and alternative medicine (CAM) is an integral part of patients' therapeutic experience worldwide. Among Saudi older adults, less is known about CAM utilization.
To determine the prevalence, patterns, and factors associated with CAM utilization among SOA.
In the Saudi National Survey for Elderly Health (SNSEH), subjects were asked about CAM use during the last twelve months before the interview. CAM use was defined as any use of herbal products, acupuncture, bloodletting, cauterization, medical massage, bones manual manipulation, honey, or religious rituals. Demographic characteristics included gender, age, marital status, region, educational level, and residence area. In addition, multiple comorbidities were included as possible factors that may be associated with CAM use. Multivariable logistic regression was used to explore factors associated with CAM utilization. All statistical analyses were done using STATA v.14.
Out of 2946 respondents, 50.4% were males, the mean age was 70.3 ± 8.3 years, and 70% were illiterate. CAM use was prevalent (62.5%). The most common CAM types were herbal products (25.4%), acupuncture (21.2%), bloodletting (12%), honey (9.5%), cauterization (7.4%), medical massage and bones manual manipulation (4%), and traditional bone setting (2.1%). In the multivariable regression, age, gender, and marital status did not have an impact on the odds of using CAM. Subjects from rural areas were 2.92 times more likely to use CAM compared with subjects in urban areas (OR = 2.92; 95%CI: 2.28-3.75). Subjects with metabolic disorders (OR = 0.50; 95% CI: 0.42-0.60) or kidney disease were less likely to use CAM (OR = 0.30; 95%CI: 0.14-0.64). About pain, CAM is used more in neck pain (OR = 1.69; 95%CI: 1.30-2.21) and also used in back pain (OR = 1.22; 95%CI: 1.03-1.46).
CAM use was very prevalent among SOA. Clinicians and pharmacists must ask about CAM use among older adults as many of CAM may interact with patients medications.
补充和替代医学（CAM）是全球患者治疗体验中不可或缺的一部分。在沙特老年人中，对CAM使用情况了解较少。
确定沙特老年人中CAM使用的患病率、模式及相关因素。
在沙特全国老年人健康调查（SNSEH）中，询问受试者在访谈前过去十二个月内的CAM使用情况。CAM使用定义为使用任何草药产品、针灸、放血、烧灼、医疗按摩、骨骼手法整复、蜂蜜或宗教仪式。人口统计学特征包括性别、年龄、婚姻状况、地区、教育水平和居住区域。此外，多种合并症被纳入可能与CAM使用相关的因素。采用多变量逻辑回归来探索与CAM使用相关的因素。所有统计分析均使用STATA v.14完成。
在2946名受访者中，50.4%为男性，平均年龄为70.3±8.3岁，70%为文盲。CAM使用很普遍（62.5%）。最常见的CAM类型是草药产品（25.4%）、针灸（21.2%）、放血（12%）、蜂蜜（9.5%）、烧灼（7.4%）、医疗按摩和骨骼手法整复（4%）以及传统接骨（2.1%）。在多变量回归中，年龄、性别和婚姻状况对使用CAM的几率没有影响。农村地区的受试者使用CAM的可能性是城市地区受试者的2.92倍（OR = 2.92；9�%CI：2.28 - 3.75）。患有代谢紊乱（OR = 0.50；95%CI：0.42 - 0.60）或肾脏疾病的受试者使用CAM的可能性较小（OR = 0.30；95%CI：0.14 - 0.64）。关于疼痛，CAM在颈部疼痛中使用更多（OR = 1.69；95%CI：1.30 - 2.21），在背痛中也有使用（OR = 1.22；95%CI：1.03 - 1.46）。
CAM在沙特老年人中使用非常普遍。临床医生和药剂师必须询问老年人的CAM使用情况，因为许多CAM可能与患者的药物相互作用。
