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美国老年人采用补充替代医学方式与与费用相关的医疗照护不依从的关系:一项队列研究。

Association Between the Modalities of Complementary and Alternative Medicine Use and Cost-Related Nonadherence to Medical Care Among Older Americans: A Cohort Study.

机构信息

Department of Medicine, The University of Chicago, Chicago, IL, USA.

Harris School of Public Policy, The University of Chicago, Chicago, IL, USA.

出版信息

J Altern Complement Med. 2021 Dec;27(12):1131-1135. doi: 10.1089/acm.2021.0225. Epub 2021 Sep 6.

Abstract

Complementary and alternative medicine (CAM) use has been increasingly prevalent among Americans, whereas its relationship with medical nonadherence is unknown. Using the National Health Interview Survey, we evaluated the use of CAM modalities and their association with cost-related nonadherence to medical care (CRN) among older Americans by gender strata. Men and women were, in general, in the same pattern of higher likelihood of reporting CRN if they utilized herbal supplements, meditation, and chiropractic or osteopathic manipulations ( < 0.05, respectively). Both men and women are more likely to report financial distress while using various CAM modalities.

摘要

补充和替代医学(CAM)的应用在美国人中越来越普遍,但其与医疗不依从的关系尚不清楚。本研究使用全国健康访谈调查,按性别分层评估了 CAM 模式的使用及其与老年美国人与费用相关的医疗保健不依从(CRN)的关系。一般来说,如果男性和女性使用草药补充剂、冥想和整脊或骨疗(分别为 < 0.05),他们报告 CRN 的可能性更高。男性和女性在使用各种 CAM 模式时都更有可能报告经济困难。

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