Ogbu Chukwuemeka E, Oparanma Chisa, Ogbu Stella C, Ujah Otobo I, Okoli Menkeoma L, Kirby Russell S
Chiles Center, College of Public Health, University of South Florida, Tampa, FL 33612, USA.
Department of Medicine, Kharkiv National Medical University, 61022 Kharkiv, Ukraine.
Epidemiologia (Basel). 2023 Mar 21;4(1):94-105. doi: 10.3390/epidemiologia4010010.
Complementary and Alternative Medicines/Therapies (CAM) are commonly used by US asthma adults, yet little is known about recent trends in their use. Our aim was to report trends in CAM use among US adults with current asthma. We conducted a serial cross-sectional study using nationally representative data from the BRFSS Asthma Call-Back Survey (ACBS) collected between 2008 and 2019 (sample size per cycle, 8222 to 14,227). The exposure was calendar time, as represented by ACBS cycle, while the main outcomes were use of at least one CAM and eleven alternative therapies. We analyzed CAM use overall and by population subgroups based on age, gender, race/ethnicity, income, and daytime and night-time asthma symptoms. Our findings show that there was an increase in the use of at least one CAM from 41.3% in 2008 to 47.9% in 2019 (-trend < 0.001) and an upward trend in the use of herbs, aromatherapy, yoga, breathing exercises, homeopathy, and naturopathy (-trend < 0.05). However, the use of vitamins, acupuncture, acupressure, reflexology, and other CAM therapies remained stable (-trend > 0.05). These trends varied according to population characteristics (age, sex, race, income) and asthma symptoms. In conclusion, our study suggests that CAM use among US adults with current asthma is either increasing or stable, and further studies are needed to explore the factors influencing these trends.
补充和替代医学/疗法(CAM)在美国成年哮喘患者中普遍使用,但对其使用的最新趋势知之甚少。我们的目的是报告美国成年现患哮喘患者使用CAM的趋势。我们使用2008年至2019年期间从BRFSS哮喘回访调查(ACBS)收集的具有全国代表性的数据进行了一项系列横断面研究(每个周期的样本量为8222至14227)。暴露因素是日历时间,以ACBS周期表示,而主要结局是使用至少一种CAM和十一种替代疗法。我们分析了总体以及按年龄、性别、种族/族裔、收入以及白天和夜间哮喘症状划分的人群亚组的CAM使用情况。我们的研究结果表明,使用至少一种CAM的比例从2008年的41.3%增加到2019年的47.9%(-趋势<0.001),并且草药、芳香疗法、瑜伽、呼吸练习、顺势疗法和自然疗法的使用呈上升趋势(-趋势<0.05)。然而,维生素、针灸、指压、反射疗法和其他CAM疗法的使用保持稳定(-趋势>0.05)。这些趋势因人群特征(年龄、性别、种族、收入)和哮喘症状而异。总之,我们的研究表明,美国成年现患哮喘患者中CAM的使用要么在增加,要么保持稳定,需要进一步研究以探索影响这些趋势的因素。