Acupuncture use in the United States: Findings from the National Health Interview Survey
Acupuncture use in the United States: Findings from the National Health Interview Survey
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DOI：
10.1089/acm.2006.12.639
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发表时间：
2006-09-01
影响因子：
2.6
通讯作者：
Chyu, Laura
中科院分区：
文献类型：
--
作者：
Burke, Adam;Upchurch, Dawn M.;Chyu, Laura
目的：针灸已成为一种重要的基于提供者的补充和替代医学（CAM）治疗方法。为了更好地理解其在个人健康护理中的作用，对国家数据进行了分析，以检查使用者的社会人口统计学、治疗条件以及使用与传统西方医疗护理的关系。设计：一项具有全国代表性的横断面调查。设置：2002年全国健康访谈调查（NHIS），在所有50个州和哥伦比亚特区进行。参与者：31，044名成年人完成了NHIS样本成人核心。结果测量：主要结果测量是最近使用针灸，定义为在过去12个月内使用。结果：在2002年的NHIS样本中，4.1%的受访者报告终身使用，1.1%（代表213万美国人）报告最近使用针灸。近期使用（n = 327）与亚洲女性、居住在西部或东北部、自我报告的健康状况较差、教育水平较高以及既往吸烟者呈正相关。在最近的使用者中，最典型的治疗方案是两到四次治疗（34.5%），肌肉骨骼投诉是最常报告的情况，主要是背痛（34.0%）。关于预期效益的报告普遍很高。受访者表示，针灸既被用作替代疗法，也被用作补充疗法。一个合理的数字也报告说，被称为针灸由传统的医疗专业人员（25.3%）。数据的横截面性质排除了医疗保健使用（传统和CAM治疗之间）随着时间的推移的过渡分析。结论：针灸的利用率略低于预期，因为它的显着的国家和国际认可，其在媒体上的知名度。这可能部分是提供商可用性和文化因素的函数。
Objective: Acupuncture has become an important provider-based complementary and alternative medicine (CAM) treatment. To improve understanding of its role in personal health care, an analysis of national data was conducted to examine user sociodemographics, conditions treated, and the relationship of use with conventional Western medical care.Design: A nationally representative cross-sectional survey.Setting: The 2002 National Health Interview Survey (NHIS), conducted in all 50 states and the District of Columbia.Participants: Thirty-one-thousand and forty-four (31,044) adults who completed the NHIS Sample Adult Core.Outcome measures: The primary outcome measure was recent use of acupuncture, defined as use within the previous 12 months.Results: In the 2002 NHIS sample, 4.1% of the respondents reported lifetime use, and 1.1% (representing 2.13 million Americans) reported recent use of acupuncture. Recent use (n = 327) was positively associated with being an Asian female, living in the West or Northeast, having poorer self-reported health status, a higher level of education, and being an ex-smoker. Among recent users, the most typical treatment regimen was two to four treatments (34.5%), with musculoskeletal complaints being the most frequently reported conditions, led by back pain (34.0%). Reports of perceived benefit were generally high. Respondents indicated that acupuncture was used both as an alternative and as a complementary therapy. A reasonable number also reported being referred to acupuncture by a conventional medical professional (25.3%). The cross-sectional nature of the data precluded analysis of transitions in health care use (between conventional and CAM treatments) over time.Conclusions: Utilization of acupuncture was somewhat lower than expected given its significant national and international recognition and its visibility in the media. This may in part be a function of provider availability and cultural factors.