Zisman Corina R, Patti Marisa A, Kalb Luther G, Stapp Emma K, Van Eck Kathryn, Volk Heather, Holingue Calliope
Section on the Neurobiology of Fear and Anxiety, National Institute of Mental Health, 9000 Rockville Pike, Bethesda, MD, 20892, United States.
Department of Epidemiology, Brown University School of Public Health, 121 S Main St, Providence, RI 02903, United States.
Complement Ther Med. 2020 Sep;53:102527. doi: 10.1016/j.ctim.2020.102527. Epub 2020 Jul 30.
The primary aim of this study was to evaluate differences in the prevalence of complementary and alternative medicine (CAM) usage among children with and without developmental disabilities (DD). Secondarily, the association between CAM usage and comorbid chronic medical conditions was explored among children with DD.
Data come from the 2012 Child Complementary and Alternative Medicine Supplement of the National Health Interview Survey, a nationally representative sample of children in the United States between the ages of 4 and 17 (n = 10,218).Main outcome measures Multiple logistical regression models provided insight into the relationships between parent-report CAM usage, DD, and chronic medical conditions.
Children with developmental disabilities were more likely to use CAMs compared to their typically developing peers (21% vs 16%). Children with DDs and comorbid chronic medical conditions used CAMs at even higher rates (23% vs 18%).
Results indicated that children with DD, especially those with a co-occurring chronic medical condition, use CAMs more often that typically developing children. Given scarcity of information on safety and effectiveness, clinical providers need to be alert to which children may be more likely to be exposed to CAMs. Communication between parents and providers needs to include discussion of CAM treatments.
本研究的主要目的是评估患有和未患有发育障碍（DD）的儿童在补充和替代医学（CAM）使用方面的差异。其次，探讨发育障碍儿童中CAM使用与共病慢性疾病之间的关联。
数据来自2012年全国健康访谈调查的儿童补充和替代医学补充调查，这是美国4至17岁儿童的全国代表性样本（n = 10,218）。主要结局指标多重逻辑回归模型深入分析了家长报告的CAM使用、发育障碍和慢性疾病之间的关系。
与发育正常的同龄人相比，发育障碍儿童使用CAM的可能性更高（21%对16%）。患有发育障碍和共病慢性疾病的儿童使用CAM的比例更高（23%对18%）。
结果表明，发育障碍儿童，尤其是那些同时患有慢性疾病的儿童，比发育正常的儿童更常使用CAM。鉴于关于安全性和有效性的信息匮乏，临床医生需要警惕哪些儿童更有可能接触CAM。家长和医生之间的沟通需要包括对CAM治疗的讨论。
