Complementary and alternative medicine use among cancer survivors: a population-based study
Complementary and alternative medicine use among cancer survivors: a population-based study
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DOI：
10.1007/s11764-010-0153-7
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发表时间：
2011-03-01
影响因子：
3.7
通讯作者：
Amsterdam, Jay
中科院分区：
文献类型：
--
作者：
Mao, Jun James;Palmer, Christina Shearer;Amsterdam, Jay
癌症幸存者中补充和替代医学（CAM）的使用率很高，但对这种使用背后的原因或CAM与传统医疗提供者的沟通知之甚少。方法在2007年全国健康访谈调查中，开发了横断面多变量logistic回归模型来评估癌症幸存者和非癌症对照之间的相似性和差异，结果在癌症幸存者中，66.5%的人报告曾经使用过CAM，43.3%的人在过去一年中使用过CAM。与一般人群相比，癌症幸存者更常使用CAM进行一般疾病预防、免疫增强和疼痛治疗（分别为校正比值比[AOR] 1.27，95%置信区间[CI] 1.10-1.48; AOR 1.32，95% CI 1.05-1.62; AOR 1.42，95% CI 1.05-1.92）。癌症幸存者更有可能使用CAM，因为他们的供应商的建议（AOR 1.54，95% CI 1.26-1.88），更有可能向其提供者披露其CAM使用情况（AOR 1.45，95%CI 1.22-1.72）.讨论/结论与一般人群相比，癌症幸存者更有可能使用CAM，并与提供者沟通这种使用，这表明CAM在传统医疗护理中的整合越来越多。对癌症幸存者的影响癌症幸存者比一般人群更有可能与供应商沟通CAM的使用，这表明CAM的使用在传统护理中有更大的整合。然而，大多数CAM的使用仍然没有被传达给提供者，这表明在以患者为中心的护理中需要改进的一个重要领域。
Introduction The use of complementary and alternative medicine (CAM) among cancer survivors is high, yet less is known about reasons behind such use or the communication of CAM with conventional medical providers.Methods Cross-sectional, multivariate logistic regression models were developed to evaluate the similarities and differences between cancer survivors and non-cancer controls in the 2007 National Health Interview Survey with 23,393 participants, including 1,471 cancer survivors.Results Among cancer survivors, 66.5% reported ever using CAM and 43.3% having used CAM in the past year. When compared with the general population, cancer survivors used CAM more often for general disease prevention, immune enhancement, and for pain (Adjusted Odds Ratio [AOR] 1.27, 95% Confidence Interval [CI] 1.10-1.48; AOR 1.32, 95% CI 1.05-1.62; AOR 1.42, 95% CI 1.05-1.92, respectively). Cancer survivors were more likely to use CAM because of recommendations from their provider (AOR 1.54, 95% CI 1.26-1.88) and were more likely to disclose their CAM use to their provider (AOR 1.45, 95% CI 1.22-1.72).Discussions/Conclusions When compared to the general population, cancer survivors were more likely to use CAM and communicate this use with providers, indicating a growing integration of CAM in conventional medical care. Implications for Cancer Survivors Cancer survivors are more likely than the general population to communicate CAM use with providers, suggesting greater integration of CAM use in conventional care. However, the majority of CAM use is still not being communicated to providers, indicating an important area for improvement in patient-centered care.