Complementary and alternative medicine in US adults with diabetes: Reasons for use and perceived benefits
美国成年糖尿病患者的补充与替代医学:使用原因与感知获益
Abstract
enBackground
Although complementary and alternative medicine (CAM) is increasingly used, little is known about the reasons for CAM use (treatment, wellness, or both), or the self-reported perceived benefits among US adults with diabetes. In this study we estimated prevalence rates of overall and specific types of CAM, as well as the perceived benefits of CAM, by reason for use among US diabetic adults.
Methods
Cross-sectional data from the 2012 National Health Interview Survey, which represents non-institutionalized adults with diabetes (n = 3386 unweighted), were used to estimate prevalence rates of CAM use by reason. Multivariate logistic regression analyses were used to investigate the odds of perceived benefits of CAM by reason for use after controlling for covariates.
Results
Of US diabetic adults, 26.2% reported using some form of CAM in the past year. Of these, 56.7% used CAM for both treatment and wellness, 28.3% used CAM for wellness only, and 15.0% used CAM for treatment only. Regardless of reasons for use, most commonly used CAM were herbal therapies (56.9%), followed by chiropractic (25.3%) and massage (20.2%). Those using CAM for a combination of both treatment and wellness had a higher likelihood of self-reporting a “better sense of control over their health” (P = 0.011) and “improved overall health and feeling better” (P = 0.014) than those using CAM for treatment only.
Conclusion
Although CAM may be a promising approach to improving health-related quality of life, future research should address efficacy and patient safety.
摘要
zh背景
虽然补充与替代医学(complementary and alternative medicine,CAM)正在被越来越多的人所使用, 但是美国成年糖尿病患者使用CAM的原因(治疗, 健康, 或两者都有)或自我报告的感知获益目前却尚未十分明确。在这项研究中我们按照使用原因进行分类, 评估了美国成年糖尿病患者总体以及特定类型的CAM流行率, 除此之外还评估了患者对CAM的感知获益情况。
方法
按照原因进行分类评估了使用CAM的流行率, 所使用的横断面数据来自于2012年全国健康访问调查, 亦即非住院的成年糖尿病患者(n = 3386, 未加权)的数据。使用多元logistic回归分析调查了校正协变量后按照使用原因分类的CAM感知获益优势比。
结果
在美国成年糖尿病患者中, 有26.2%的人报告了在过去的一年里使用了某种形式的CAM。在这些患者中, 有56.7%是因为治疗与健康的综合原因而使用CAM, 有28.3%只是因为健康原因而使用CAM, 另外有15.0%只是因为治疗原因而使用CAM。不管使用原因是什么, 最常使用的CAM为草药治疗(56.9%), 其次是脊椎推拿疗法(25.3%)与按摩(20.2%)。与只是因为治疗原因而使用CAM的患者相比, 因为治疗与健康综合原因使用CAM的患者具有更高的可能性会自我报告“对他们的健康具有更好的控制感”(P = 0.011)与“整体健康得到改善并且感觉更好”(P = 0.014)。
结论
虽然CAM可能是一种很有前途的可以改善健康相关生活质量的方法, 未来的研究应该着重于疗效与患者安全。
