Herbal and dietary supplement disclosure to health care providers by individuals with chronic conditions.
Herbal and dietary supplement disclosure to health care providers by individuals with chronic conditions.
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DOI：
10.1089/acm.2008.0290
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发表时间：
2008-12
期刊：
影响因子：
--
通讯作者：
McCarthy EP
中科院分区：
文献类型：
--
作者：
Mehta DH;Gardiner PM;Phillips RS;McCarthy EP
很少有人知道草药和膳食补充剂的披露在成人慢性疾病，特别是在国家一级。研究草药和膳食补充剂披露给传统的医疗保健提供者的成年人慢性医疗条件。2002年全国健康访谈调查中使用了前一年草药和膳食补充剂使用的数据（N = 5456用户）。双变量分析比较了草药和膳食补充剂服用者和非服用者的特征。多变量逻辑回归确定了草药和膳食补充剂披露的独立相关性。总体而言，只有33%的草药和膳食补充剂使用者向他们的传统医疗保健提供者披露了草药和膳食补充剂的使用情况。在患有慢性病的草药和膳食补充剂使用者中，不到51%的人向他们的传统医疗保健提供者透露了使用情况。西班牙裔（调整后的比值比和95%置信区间= 0.70 [0.52，0.94]）和亚裔美国人（调整后的比值比和95%置信区间= 0.54 [0.33，0.89]）成年人比非西班牙裔白色美国人披露草药和膳食补充剂使用的可能性要小得多。受教育程度低于高中（调整后的比值比和95%置信区间= 0.61 [0.45，0.82]）和没有保险（调整后的比值比和95%置信区间= 0.77 [0.59，1.00]）与不太可能披露草药和膳食补充剂的使用有关。草药和膳食补充剂的披露率很低，即使在患有慢性疾病的成年人中也是如此。这些发现引起了人们对草药和膳食补充剂与对抗疗法相结合的安全性的担忧。未来的研究应该集中在教育医生关于跨文化护理以及引出有关草药和膳食补充剂使用的信息。
Very little is known about herbal and dietary supplement disclosure in adults with chronic medical conditions, especially on a national level. To examine herbal and dietary supplement disclosure to conventional health care providers by adults with chronic medical conditions. Data on herbal and dietary supplement use (N = 5456 users) in the previous year were used from the 2002 National Health Interview Survey. Bi-variable analyses compared characteristics between herbal and dietary supplement disclosers and nondisclosers. Multivariable logistic regression identified independent correlates of herbal and dietary supplement disclosure. Overall, only 33% of herbal and dietary supplement users reported disclosing use of herbal and dietary supplements to their conventional health care provider. Among herbal and dietary supplement users with chronic conditions, less than 51% disclosed use to their conventional health care provider. Hispanic (adjusted odds ratio and 95% confidence interval = 0.70 [0.52, 0.94]) and Asian American (adjusted odds ratio and 95% confidence interval = 0.54 [0.33, 0.89]) adults were much less likely than non-Hispanic white Americans to disclose herbal and dietary supplement use. Having less than a high school education (adjusted odds ratio and 95% confidence interval = 0.61 [0.45, 0.82]) and not having insurance (adjusted odds ratio and 95% confidence interval = 0.77 [0.59, 1.00]) were associated with being less likely to disclose herbal and dietary supplement use. Herbal and dietary supplement disclosure rates are low, even among adults with chronic conditions. These findings raise concerns about the safety of herbal and dietary supplements in combination with allopathic care. Future studies should focus on educating physicians about crosscultural care as well as eliciting information about herbal and dietary supplement use.
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DOI：
10.1016/s0002-8223(03)00474-7
发表时间：
2003-08-01
影响因子：
--
作者：
Arab, L;Carriquiry, A;Gaudet, MM
通讯作者：
Gaudet, MM
DOI：
10.1177/0884217503251706
发表时间：
2003-03-01
影响因子：
1.8
作者：
Gingrich, PM;Fogel, CI
通讯作者：
Fogel, CI
影响因子：
5.7
作者：
Fernandez, A;Schillinger, D;Pérez-Stable, EJ
通讯作者：
Pérez-Stable, EJ
影响因子：
158.5
作者：
Clegg, DO;Reda, DJ;Williams, HJ
通讯作者：
Williams, HJ
影响因子：
5.7
作者：
Greer, Joseph A.;Park, Elyse R.;Weissman, Joel S.
通讯作者：
Weissman, Joel S.