Use of Complementary and Alternative Medicine among Older Adults: Differences between Baby Boomers and Pre-Boomers
Use of Complementary and Alternative Medicine among Older Adults: Differences between Baby Boomers and Pre-Boomers
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DOI：
10.1016/j.jagp.2017.08.001
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发表时间：
2017-12-01
影响因子：
7.2
通讯作者：
Taylor, Robert Joseph
中科院分区：
文献类型：
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作者：
Groden, Sheryl R.;Woodward, Amanda Toler;Taylor, Robert Joseph
目的：比较不同年龄组补充和替代医学（CAM）的使用情况。设计：对精神病学流行病学调查协作数据的二次分析，参与者：1964年或更早出生的成年人（N = 11,371）。超过一半（61.3%）是婴儿潮一代，53%是女性。75%的样本是白色，10.2%的非洲裔美国人，0.6%的加勒比黑人，9.35%的拉丁美洲人和4.1%的亚洲人。测量：因变量是指示使用任何CAM的二分变量。感兴趣的主要预测因素是年龄组，分为婴儿潮前一代（1945年或更早出生的人）和婴儿潮一代（1946年至1964年出生的人）。协变量包括在过去12个月内使用传统服务提供商以及12个月的情绪，焦虑和物质障碍水平。疾病评估与诊断和统计手册世界心理健康复合国际诊断访谈。Logistic回归分析用于检验CAM使用与年龄队列之间的相关性。结果：婴儿潮一代比前婴儿潮一代更有可能报告使用CAM治疗精神障碍。在确定的CAM用户中，婴儿潮一代的比例较高，报告使用大多数个人CAM模式。祈祷和精神实践是更多前婴儿潮一代使用的唯一CAM。结论：年龄队列在塑造个人医疗保健行为和服务使用方面起着重要作用，并可能影响CAM用于行为健康的未来趋势。医疗保健提供者需要了解患者使用CAM的情况，并与他们沟通替代疗法的利弊。
Objectives: To compare use of complementary and alternative medicine (CAM) across age cohorts. Design: Secondary analysis of data from the Collaborative Psychiatric Epidemiology Surveys.Participants: Adults born in 1964 or earlier (N = 11,371). Over half (61.3%) are baby boomers and 53% are female. Seventy-five percent of the sample is white, 10.2% African American, 0.6% black Caribbean, 9.35% Latino, and 4.1% Asian. Measurements: The dependent variable is a dichotomous variable indicating use of any CAM. The main predictor of interest is age cohort categorized as pre-boomers (those born in 1945 or earlier) and baby boomers (those born between 1946 and 1964). Covariates include the use of traditional service providers in the past 12 months and 12-month levels of mood, anxiety, and substance disorder. Disorders were assessed with the Diagnostic and Statistical Manual World Mental Health Composite International Diagnostic Interview. Logistic regression was used to test the association between use of CAM and age cohort. Results: Baby boomers were more likely than pre-boomers to report using CAM for a mental disorder. Among identified CAM users, a higher proportion of baby boomers reported using most individual CAM modalities. Prayer and spiritual practices was the only CAM used by more pre-boomers. Conclusions: Age cohort plays a significant role in shaping individual healthcare behaviors and service use and may influence future trends in the use of CAM for behavioral health. Healthcare providers need to be aware of patient use of CAM and communicate with them about the pros and cons of alternative therapies.