The prevalence and pattern of complementary and alternative medicine use in individuals with diabetes
The prevalence and pattern of complementary and alternative medicine use in individuals with diabetes
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DOI：
10.2337/diacare.25.2.324
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发表时间：
2002-02-01
期刊：
影响因子：
16.2
通讯作者：
Silverstein, MD
中科院分区：
文献类型：
--
作者：
Egede, LE;Ye, XB;Silverstein, MD
目的：本研究比较了糖尿病患者和非糖尿病患者补充和替代医学（CAM）的患病率和使用模式，并确定了与CAM使用相关的因素。研究设计和方法- 1996年医疗支出小组调查，美国非机构平民人口的全国代表性样本，进行了分析。确定了患有常见慢性疾病的个体的CAM使用估计值，并将糖尿病患者的CAM使用估计值与患有慢性疾病的个体进行了比较。将糖尿病患者与非糖尿病患者的CAM使用模式和成本进行比较。在控制年龄、性别、种族/民族、家庭收入、教育水平和合并症的情况下，采用多元逻辑回归确定糖尿病患者使用辅助治疗的独立预测因素。结果：糖尿病患者使用CAM的可能性是非糖尿病患者的1.6倍（8% vs. 5%, P < 0.0001）。在一般人群中，在选定的慢性疾病中，CAM使用的估计没有显着差异，但糖尿病是一个…CAM使用的独立预测因子。在糖尿病患者中，年龄较大（大于或等于65岁）和教育程度较高（高中或更高）与CAM的使用独立相关。结论：糖尿病是普通人群和糖尿病患者使用CAM的独立预测因子。CAM的使用在65岁以上或等于65岁的人群以及高中以上学历的人群中更为常见。
OBJECTIVE- This study compared the prevalence and pattern of use of complementary and alternative medicine (CAM) in individuals with and without diabetes and identified factors associated with CAM use.RESEARCH DESIGN AND METHODS- The 1996 Medical Expenditure Panel Survey, a nationally representative sample of the U.S. noninstitutionalized civilian population, was analyzed. Estimates of CAM use in individuals with common chronic conditions were determined, and estimates of CAM use in patients with diabetes were compared with that in individuals with chronic medical conditions. Patterns of use and costs of CAM use in patients with diabetes were compared with those in nondiabetic individuals. Multiple logistic regression was used to determine independent predictors of CAM use in individuals with diabetes, controlling for age, sex, race/ethnicity, household income, educational level, and comorbidity.RESULTS - Individuals with diabetes were 1.6 times more likely to use CAM than individuals without diabetes (8 vs. 5%, P < 0.0001). In the general population, estimates of CAM use were not significantly different across selected chronic medical conditions, but diabetes was an.. independent predictor of CAM use. Among individuals with diabetes, older age (greater than or equal to65 years) and higher educational attainment (high school education or higher) were independently associated with CAM use.CONCLUSIONS - Diabetes is an independent predictor of CAM use in the general population and in individuals with diabetes. CAM use is more common in individuals aged greater than or equal to65 years and those with snore than high school education.