Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Sydney, New South Wales, Australia
Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Sydney, New South Wales, Australia.
BMJ Open. 2022 Jul 25;12(7):e056075. doi: 10.1136/bmjopen-2021-056075.
Naturopathy is a traditional medicine system informed by codified philosophies and principles, and an emphasis on non-pharmacologic therapeutic interventions. While naturopathy is practised by approximately 75 000-100 000 000 naturopathic practitioners in at least 98 countries, little is known about the international prevalence of history of consultation with a naturopathic practitioner. This study reports a systematic review and meta-analysis of studies describing the global prevalence of history of consultation with a naturopathic practitioner by the general population.
The included literature was identified through a systematic search of eight databases between September and October 2019, as well as the grey literature.
Studies were included if they reported the prevalence rate of consultations with a naturopathic practitioner by the general population.
Survey items needed to report consultations with a naturopathic practitioner as defined in the country where data was collected, and not combine naturopathic consultations with other health services or only report consulations for illness populations.
Primary measures used for the analysis was consultations in the previous 12 months. Other prevalence timeframes were reported as secondary measures.
Meta-analysis of prevalence data was conducted using random effects models based on individual countries and WHO world regions.
The literature search identified eight manuscripts summarising 14 studies reporting prevalence for inclusion in the review. All included studies had a low risk of bias. Meta-analysis of the included studies by world region found the 12-month prevalence of history of naturopathy consultations ranged from 1% in the Region of the Americas to 6% in the European and Western Pacific Regions.
There are up to sixfold differences in the prevalence of naturopathy consults over 12 months between and within world regions, which may be driven by a range of policy, legislative and social factors.
CRD42020145529.
顺势疗法是一种传统医学体系，其理论和原则均已编纂成册，并强调非药物治疗干预。目前，全球至少有 98 个国家的约 7500 万至 1 亿人在接受顺势疗法治疗，尽管如此，人们对一般人群中寻求顺势疗法治疗的国际流行率知之甚少。本研究报告了一项系统评价和荟萃分析，该分析对描述一般人群中寻求顺势疗法治疗的历史的全球流行率的研究进行了综述。
本研究通过 2019 年 9 月至 10 月期间对 8 个数据库以及灰色文献的系统检索，确定了纳入的文献。
如果研究报告了一般人群中向顺势疗法从业者咨询的流行率，则将其纳入研究。
需要报告按照数据收集国定义的顺势疗法从业者的咨询情况的调查项目，不得将顺势疗法咨询与其他卫生服务相结合，或仅报告针对疾病人群的咨询情况。
分析中使用的主要措施是过去 12 个月内的咨询情况。其他流行时间框架则作为次要措施报告。
基于个体国家和世卫组织世界区域，采用随机效应模型对流行率数据进行荟萃分析。
文献检索确定了 8 篇综合了 14 项研究的报告，这些研究报告的流行率符合纳入标准。所有纳入的研究均具有较低的偏倚风险。按世界区域对纳入的研究进行荟萃分析发现，过去 12 个月中，有历史的顺势疗法咨询的流行率从美洲区域的 1%到欧洲和西太平洋区域的 6%不等。
世界各区域之间以及区域内的 12 个月内顺势疗法咨询的流行率存在高达 6 倍的差异，这可能是由一系列政策、立法和社会因素驱动的。
PROSPERO 注册号：CRD42020145529。
