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Glob Public Health. 2019 Apr;14(4):515-527. doi: 10.1080/17441692.2018.1564349. Epub 2019 Jan 7.
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What affects utilization of malaria control services? A qualitative approach to understanding community perception in highly malarious Gadchiroli district, Maharashtra, India.哪些因素影响疟疾防控服务的利用情况？采用定性研究方法了解印度马哈拉施特拉邦疟疾高发的加德奇罗利地区的社区认知。
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Allopathic, AYUSH and informal medical practitioners in rural India - a prescription for change.印度农村的对抗疗法、阿育吠陀医学及非正规医疗从业者——变革的药方。
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Chin J Integr Med. 2018 Aug;24(8):584-590. doi: 10.1007/s11655-016-2748-y. Epub 2016 Dec 27.

印度中老年人群中补充医学和传统医学从业者的利用情况：2017-2018 年全国调查结果。

Utilization of complementary and traditional medicine practitioners among middle-aged and older adults in India: results of a national survey in 2017-2018.

机构信息

ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom, Thailand.

Department of Research Administration and Development, University of Limpopo, Turfloop, South Africa.

出版信息

BMC Complement Med Ther. 2021 Oct 15;21(1):262. doi: 10.1186/s12906-021-03432-w.

DOI:10.1186/s12906-021-03432-w
PMID:34654424
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8518220/
Abstract

BACKGROUND

Lack of information exists about the use of traditional and complementary medicine (TCM) use among middle-aged and older adults in India, which led to studying the estimates of past-12-month Ayurveda/Yoga/Naturopathy/Unani/Siddha/Homeopathy (AYUSH) practitioner and traditional health practitioner (THP) utilization in India.

METHODS

The study included 72,262 individuals (45 years and older) from the cross-sectional 2017-2018 Longitudinal Ageing Study in India (LASI) Wave 1.

RESULTS

The prevalence of past 12-month AYUSH practitioner utilization was 6.5%, THP use 7.0%, and AYUSH or THP use 13.0%. The rate of AYUSH practitioner utilization was determined by older age (≥60 years) (Adjusted Odds Ratio-AOR: 1.20, 95% Confidence Interval-CI: 1.07-1.34), having pain (AOR: 1.48, 95% CI: 1.29-1.69), any bone or joint diseases (AOR: 1.57, 95% CI: 1.35-1.82), current tobacco use (AOR: 1.30, 95% CI: 1.12-1.50), male sex (AOR: 0.76, 95% CI: 0.68-0.85), high subjective socioeconomic status (AOR: 0.72, 95% CI: 0.60-0.87), urban residence (AOR: 0.71, 95% CI: 0.57-0.88), diabetes (AOR: 0.66, 95% CI: 0.55-0.81), chronic heart disease (AOR: 0.52, 95% CI: 0.37-0.73), and having a health insurance cover (AOR: 0.36, 95% CI: 0.30-0.44). The rate of THP utilization was determined by depressive symptoms (AOR: 1.17, 95% CI: 1.01-1.35), sleep problems (AOR: 1.28, 95% CI: 1.08-1.51), having pain (AOR: 1.82, 95% CI: 1.55-2.15), current tobacco use (AOR: 1.35, 95% CI: 1.22-1.51), having health insurance cover (AOR: 0.41, 95% CI: 0.33-0.51), hypertension (AOR: 0.82, 95% CI: 0.71-0.95), diabetes (AOR: 0.50, 95% CI: 0.39-0.65), urban residence (AOR: 0.25, 95% CI: 0.19-0.34), and high subjective socioeconomic status (AOR: 0.70, 95% CI: 0.58-0.85).

CONCLUSION

A moderate prevalence of AYUSH practitioner and THP use among middle-aged and older adults in India was found and several factors associated with AYUSH practitioner and THP use were identified.

摘要

背景

印度中年和老年人对传统和补充医学（TCM）的使用信息不足，这导致了对印度过去 12 个月 Ayurveda/Yoga/Naturopathy/Unani/Siddha/Homeopathy（AYUSH）从业者和传统卫生从业者（THP）使用情况的研究。

方法

这项研究包括来自印度 2017-2018 年纵向老龄化研究（LASI）第 1 波的 72262 名年龄在 45 岁及以上的个体。

结果

过去 12 个月 AYUSH 从业者利用的患病率为 6.5%，THP 使用率为 7.0%，AYUSH 或 THP 使用率为 13.0%。AYUSH 从业者的利用率由年龄较大（≥60 岁）（调整后的优势比-AOR：1.20，95%置信区间-CI：1.07-1.34）、有疼痛（AOR：1.48，95%CI：1.29-1.69）、任何骨骼或关节疾病（AOR：1.57，95%CI：1.35-1.82）、当前吸烟（AOR：1.30，95%CI：1.12-1.50）、男性（AOR：0.76，95%CI：0.68-0.85）、主观社会经济地位较高（AOR：0.72，95%CI：0.60-0.87）、城市居住（AOR：0.71，95%CI：0.57-0.88）、糖尿病（AOR：0.66，95%CI：0.55-0.81）、慢性心脏病（AOR：0.52，95%CI：0.37-0.73）和有健康保险覆盖（AOR：0.36，95%CI：0.30-0.44）决定。THP 利用率由抑郁症状（AOR：1.17，95%CI：1.01-1.35）、睡眠问题（AOR：1.28，95%CI：1.08-1.51）、疼痛（AOR：1.82，95%CI：1.55-2.15）、当前吸烟（AOR：1.35，95%CI：1.22-1.51）、有健康保险覆盖（AOR：0.41，95%CI：0.33-0.51）、高血压（AOR：0.82，95%CI：0.71-0.95）、糖尿病（AOR：0.50，95%CI：0.39-0.65）、城市居住（AOR：0.25，95%CI：0.19-0.34）和较高的主观社会经济地位（AOR：0.70，95%CI：0.58-0.85）决定。

结论

在印度，中年和老年人对 AYUSH 从业者和 THP 的使用存在中等流行率，并且确定了与 AYUSH 从业者和 THP 使用相关的几个因素。