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意大利南蒂罗尔地区对传统医疗保健的信任与补充替代医学的利用:一项基于人群的横断面调查。

Trust in Conventional Healthcare and Utilization of Complementary and Alternative Medicine in South Tyrol, Italy: A Population-Based Cross-Sectional Survey.

机构信息

Institute of General Practice and Public Health, Claudiana - College of Health Professions, Bolzano (BZ), Italy.

Provincial Institute for Statistics of the Autonomous Province of Bolzano-South Tyrol (ASTAT), Bolzano (BZ), Italy.

出版信息

Ann Ig. 2024 Jul-Aug;36(4):377-391. doi: 10.7416/ai.2024.2605. Epub 2024 Feb 22.

Abstract

BACKGROUND

This study explored the link between trust in conventional healthcare and consultations with complementary and alternative medicine (CAM) providers in South Tyrol, Italy's linguistically diverse region.

METHODS

A representative cross-sectional survey of 1,388 South Tyrolean adults assessed trust in conventional healthcare, general practitioners, and complementary and alternative medicine consultation frequencies and their determinants using chi-square tests and Kendall-Tau-b correlations.

RESULTS

Seventy percent trusted the traditional healthcare system, with general practitioners as the primary trusted professionals. Trust is correlated with higher education and linguistic compatibility. A 5% subgroup, mostly women and multilinguals with lower education levels, showed uncertain trust. Over 80% had seen a general practitioner in the last year, while distrust was correlated with complementary and alternative medicine consultations. German and Ladin speakers, with higher education levels, were notably inclined towards complementary and alternative medicine consultations.

CONCLUSIONS

Trust in South Tyrolean healthcare varied according to education level and language. While general practitioners remain central, there is a marked shift towards complementary and alternative medicine among specific groups.

摘要

背景

本研究探讨了意大利多语言的南蒂罗尔地区,民众对传统医疗保健的信任与寻求补充替代医学(CAM)提供者之间的关联。

方法

采用横断面调查方法,对 1388 名南蒂罗尔成年人进行调查,使用卡方检验和 Kendall-Tau-b 相关分析评估对传统医疗保健、全科医生的信任程度以及补充替代医学咨询的频率及其决定因素。

结果

70%的人信任传统医疗保健体系,全科医生是他们主要信任的专业人员。信任与较高的教育程度和语言兼容性相关。一个 5%的亚组,主要是受教育程度较低的女性和多语言使用者,表现出不确定的信任。超过 80%的人在过去一年中看过全科医生,而不信任与补充替代医学咨询相关。德语和拉汀语使用者,受教育程度较高,明显倾向于补充替代医学咨询。

结论

南蒂罗尔地区的医疗保健信任程度因教育程度和语言而异。虽然全科医生仍然是核心,但在特定群体中,对补充替代医学的使用明显增加。

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