Undergraduate student at Dartmouth College.
Director at Auxilio Mutuo Cancer Center and Professor of Medicine at University of Puerto Rico Medical Science Campus, San Juan, Puerto Rico.
P R Health Sci J. 2020 Dec;39(4):294-299.
We conducted a study in a tertiary hospital to investigate complementary and alternative medicine (CAM) prevalence in a Puerto Rican population. The study also evaluated demographic and clinical factors in order to correlate them with CAM use.
Spanish speaking residents with a known diagnosis of cancer being followed in the outpatient facilities at Auxilio Mutuo Cancer Center were invited to participate in the study. Patients who read and signed a consent form were given a questionnaire inquiring, among various things, on their use of any CAM treatment, education level, gender, place of residence and whether they had consulted their oncologist. The questionnaire also asked about their expectations for use of CAM.
215 patients were approached to participate out of which 200 signed the consent and accepted to participate. A total of 95 of 200 patients (47.5%) mentioned that they utilized at least one CAM treatment. Six factors were then analyzed for their correlation with CAM usage and three yielded statistically significant results at p<.05: age group, education level, and area of residence. After multivariate analysis all of these three factors behaved as independent variables. Gender, tumor type and stage were not significantly associated with use of CAM.
Our data show that CAM use is significantly more common in those with higher education, younger age, and those living in non-metropolitan areas. Vitamin C and soursop (Graviola or guanábana) proved to be the two most common CAM treatments, respectively.
我们在一家三级医院进行了一项研究,调查波多黎各人群中补充和替代医学(CAM)的流行情况。该研究还评估了人口统计学和临床因素,以便将其与 CAM 的使用相关联。
邀请在 Auxilio Mutuo 癌症中心门诊就诊的已知癌症诊断的讲西班牙语的居民参加这项研究。阅读并签署同意书的患者将获得一份问卷,询问他们是否使用过任何 CAM 治疗、教育程度、性别、居住地以及是否咨询过肿瘤医生。问卷还询问了他们对使用 CAM 的期望。
共有 215 名患者被邀请参加,其中 200 名签署了同意书并同意参加。共有 200 名患者中的 95 名(47.5%)表示他们至少使用了一种 CAM 治疗方法。然后分析了六个因素与 CAM 使用的相关性,其中三个因素在 p<.05 时具有统计学意义:年龄组、教育程度和居住地。经过多变量分析,这三个因素均表现为独立变量。性别、肿瘤类型和分期与 CAM 的使用无显著相关性。
我们的数据表明,接受过高等教育、年龄较小以及居住在非大都市地区的人更常使用 CAM。维生素 C 和刺果番荔枝(Gravila 或 Guanabana)分别是最常用的两种 CAM 治疗方法。