Institute of Complementary and Integrative Medicine, University of Bern, Bern, Switzerland.
Institute of Family Medicine, Faculty of Science and Medicine, University of Fribourg, Fribourg, Switzerland.
PLoS One. 2022 Sep 14;17(9):e0274334. doi: 10.1371/journal.pone.0274334. eCollection 2022.
To determine the prevalence of use of complementary medicine (CM) in Switzerland in 2017, its development since the 2012 Swiss Health Survey, and to examine specific and non-specific sociodemographic, lifestyle and health-related determinants of CM use as compared to determinants of conventional health care use.
We used data of 18,832 participants from the cross-sectional Swiss Health Survey conducted by the Swiss Federal Statistical Office in 2017 and compared these data with those from 2012. We defined four CM categories: (1) traditional Chinese medicine, including acupuncture; (2) homeopathy; (3) herbal medicine; (4) other CM therapies (shiatsu, reflexology, osteopathy, Ayurveda, naturopathy, kinesiology, Feldenkrais, autogenic training, neural therapy, bioresonance therapy, anthroposophic medicine). Independent determinants of CM use and of conventional health care use were assessed using multivariate weighted logistic regression models.
Prevalence of CM use significantly increased between 2012 and 2017 from 24.7% (95% CI: 23.9-25.4%) to 28.9% (95% CI: 28.1-29.7%), respectively, p<0.001). We identified the following independent specific determinants of CM use: gender, nationality, age, lifestyle and BMI. Female gender and nationality were the most specific determinants of CM use. Current smoking, being overweight and obesity were determinants of non-use of CM, while regular consumption of fruits and/or vegetables and regular physical activity were determinants of CM use.
Prevalence of CM use significantly increased in Switzerland from 2012 to 2017. Gender, nationality, age, lifestyle and BMI were independent specific determinants of CM use as compared to conventional health care use. Healthier lifestyle was associated with CM use, which may have potentially significant implications for public health and preventive medicine initiatives. The nationality of CM users underlines the role of culture in driving the choice to use CM but also raises the question of whether all populations have equal access to CM within a same country.
确定 2017 年瑞士补充医学（CM）的使用情况，自 2012 年瑞士健康调查以来的发展情况，并研究 CM 使用的特定和非特定社会人口统计学、生活方式和健康相关决定因素与常规医疗保健使用的决定因素相比。
我们使用了瑞士联邦统计局在 2017 年进行的横断面瑞士健康调查中 18832 名参与者的数据，并将这些数据与 2012 年的数据进行了比较。我们定义了四种 CM 类别：（1）传统中医，包括针灸；（2）顺势疗法；（3）草药；（4）其他 CM 疗法（指压疗法、反射疗法、整骨疗法、阿育吠陀、顺势疗法、运动机能学、费登奎斯、自生训练、神经疗法、生物共振疗法、人智学医学）。使用多变量加权逻辑回归模型评估 CM 使用和常规医疗保健使用的独立决定因素。
CM 使用的患病率在 2012 年至 2017 年间从 24.7%（95%CI：23.9-25.4%）显著增加到 28.9%（95%CI：28.1-29.7%），p<0.001）。我们确定了 CM 使用的以下独立特定决定因素：性别、国籍、年龄、生活方式和 BMI。女性性别和国籍是 CM 使用的最特定决定因素。目前吸烟、超重和肥胖是 CM 不使用的决定因素，而经常食用水果和/或蔬菜和经常进行体育活动是 CM 使用的决定因素。
2012 年至 2017 年，瑞士 CM 使用的患病率显著增加。性别、国籍、年龄、生活方式和 BMI 是 CM 使用的独立特定决定因素，而不是常规医疗保健使用的决定因素。更健康的生活方式与 CM 使用相关，这可能对公共卫生和预防医学计划具有潜在的重要意义。CM 用户的国籍突出了文化在推动使用 CM 方面的作用，但也提出了一个问题，即在一个国家内，所有人群是否都能平等获得 CM。
