Trends in use of complementary and alternative medicine by US adults: 1997-2002.
Trends in use of complementary and alternative medicine by US adults: 1997-2002.
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发表时间：
2005
影响因子：
1.5
通讯作者：
H. Tindle;Roger B. Davis;R. Phillips;D. Eisenberg
中科院分区：
文献类型：
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作者：
H. Tindle;Roger B. Davis;R. Phillips;D. Eisenberg
背景补充和替代医学（CAM）的美国成年人使用大幅增加1990年和1997年之间，但鲜为人知的是，最近的趋势。目的比较2002年和1997年美国成人CAM治疗的使用情况。设计比较美国成年人使用CAM的两项全国性调查：（1）2002年全国健康访谈调查（NHIS，N = 31，044）的替代健康/补充和替代医学补充（2）1997年全国调查（N = 2055），每个调查包含15种常见CAM疗法的问题。主要观察指标：CAM使用的患病率、社会人口学相关性和保险覆盖率。结果2002年最常用的CAM方式是草药疗法（18.6%，代表超过3800万美国成年人），其次是放松技术（14.2%，代表2900万美国成年人）和脊椎按摩疗法（7.4%，代表1500万美国成年人）。在CAM使用者中，41%的人在前一年使用了两种或更多种CAM治疗。与CAM使用率最高相关的因素是年龄40-64岁，女性，非黑人/非西班牙裔种族，年收入65，000美元或更高。1997年至2002年，两项调查共有的15种治疗的CAM总体使用率相似（分别为36.5%和35.0%，分别代表约7200万美国成年人）。1997年至2002年期间，CAM使用的最大相对增长是草药（分别为12.1%和18.6%）和瑜伽（分别为3.7%和5.1%），而最大的相对下降发生在脊椎指压治疗（分别为9.9%和7.4%）。结论1997年至2002年，CAM的使用率保持稳定。在过去的一年里，超过三分之一的受访者使用CAM，代表了大约7200万美国成年人。
CONTEXT Complementary and alternative medicine (CAM) use by US adults increased substantially between 1990 and 1997, yet little is known about more recent trends. OBJECTIVE Compare CAM therapy use by US adults in 2002 and 1997. DESIGN Comparison of two national surveys of CAM use by US adults: (1) the Alternative Health/Complementary and Alternative Medicine supplement to the 2002 National Health Interview Survey (NHIS, N = 31,044) and (2) a 1997 national survey (N = 2055), each containing questions about 15 common CAM therapies. MAIN OUTCOME MEASURES Prevalence, sociodemographic correlates, and insurance coverage of CAM use. RESULTS The most commonly used CAM modalities in 2002 were herbal therapy (18.6%, representing over 38 million US adults) followed by relaxation techniques (14.2%, representing 29 million US adults) and chiropractic (7.4%, representing 15 million US adults). Among CAM users, 41% used two or more CAM therapies during the prior year. Factors associated with highest rates of CAM use were ages 40-64, female gender, non-black/non-Hispanic race, and annual income of dollar 65,000 or higher. Overall CAM use for the 15 therapies common to both surveys was similar between 1997 and 2002 (36.5%, vs. 35.0%, respectively, each representing about 72 million US adults). The greatest relative increase in CAM use between 1997 and 2002 was seen for herbal medicine (12.1% vs.18.6%, respectively), and yoga (3.7% vs. 5.1%, respectively),while the largest relative decrease occurred for chiropractic (9.9% to 7.4%, respectively). CONCLUSIONS The prevalence of CAM use has remained stable from 1997 to 2002. Over one in three respondents used CAM in the past year, representing about 72 million US adults.