Schiele Julia K, Jeitler Michael, Michalsen Andreas, Stapelfeldt Elmar, Ortiz Miriam, Sigl Mike, Brinkhaus Benno, Wischnewsky Manfred, Kessler Christian S
Institute of Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Department of Pediatrics, Division of Oncology and Hematology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Front Med (Lausanne). 2024 May 22;11:1408609. doi: 10.3389/fmed.2024.1408609. eCollection 2024.
Ayurveda, South Asia's largest and most relevant system of Traditional Medicine, holds a legal status akin to conventional Western medicine in India and elsewhere. There is an almost complete lack of data on the use of Ayurveda in Germany. The aim of this study was to investigate Ayurveda's utilization patterns, entry points, and factors influencing its use and the perception of Ayurveda among the German population.
Basis of this manuscript was an online-representative survey which involved 4,065 participants aged 18-75 about the use and acceptance of Traditional, Complementary and Integrative Medicine (TCIM) in Germany. The survey was conducted online using Computer Assisted Web Interview (CAWI) in 2022. The dataset was analyzed descriptively and inferentially.
Altogether 9.3% ( = 377) of all survey participants ( = 4,065) had already used Ayurveda somehow, either more often (1.7%) or at least once in a lifetime (7.6%). Responders associated Ayurveda primarily with Indian Medicine (27.7%) and wellness (18%). Commonly used Ayurvedic services included non-medical treatments at wellness resorts/spas (48.3%), in outpatient practices (27.1%), and hotels (23.6%). 30.2% of the participants believe in Ayurveda's therapeutic potential. 76.7% of Ayurveda users find healthy nutrition important or very important. Nine predictors were found to classify Ayurveda users vs. non-users with spirituality and belief in Ayurveda's therapeutic efficacy as the most relevant ones. Ayurveda seems to be primarily used by well-educated and female individuals, often from higher-income groups and with a rather modern social milieu-orientation.
Study results suggest that about every tenth German citizen has used Ayurveda in the past and about one third believes in its therapeutic potential. Because Ayurvedic therapies are often not evidence-based, there is an urgent need to perform high quality randomized controlled trials to investigate potential effects and safety of Ayurveda and how evidence-based Ayurveda treatments can be integrated into the German healthcare system.
阿育吠陀医学是南亚最大且最具影响力的传统医学体系,在印度及其他地区享有与西方传统医学类似的法律地位。在德国,几乎完全缺乏关于阿育吠陀医学使用情况的数据。本研究旨在调查阿育吠陀医学在德国的使用模式、切入点、影响其使用的因素以及德国民众对阿育吠陀医学的认知。
本研究基于一项在线代表性调查,该调查涉及4065名年龄在18 - 75岁之间的参与者,内容是关于德国传统、补充和整合医学(TCIM)的使用与接受情况。该调查于2022年通过计算机辅助网络访谈(CAWI)在线进行。对数据集进行了描述性和推断性分析。
在所有参与调查的4065名参与者中,共有9.3%(即377人)曾以某种方式使用过阿育吠陀医学,其中使用频率较高的占1.7%,一生中至少使用过一次的占7.6%。受访者主要将阿育吠陀医学与印度医学(27.7%)和健康养生(18%)联系在一起。常用的阿育吠陀医学服务包括在健康度假村/温泉浴场的非医疗治疗(48.3%)、门诊治疗(27.1%)和酒店治疗(23.6%)。30.2%的参与者相信阿育吠陀医学的治疗潜力。76.7%的阿育吠陀医学使用者认为健康饮食重要或非常重要。研究发现有九个预测因素可区分阿育吠陀医学使用者和非使用者,其中灵性和对阿育吠陀医学治疗效果的信念最为相关。阿育吠陀医学的使用者似乎主要是受过良好教育的女性,她们通常来自高收入群体,且具有较为现代的社会环境导向。
研究结果表明,大约每十分之一的德国公民过去曾使用过阿育吠陀医学且约三分之一的人相信其治疗潜力。由于阿育吠陀医学疗法往往缺乏循证依据,迫切需要开展高质量的随机对照试验,以研究阿育吠陀医学的潜在疗效和安全性,以及循证阿育吠陀医学治疗如何融入德国医疗体系。