Use of complementary and alternative therapies by Asian Americans. Results from the National Health Interview Survey
Use of complementary and alternative therapies by Asian Americans. Results from the National Health Interview Survey
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DOI：
10.1007/s11606-007-0166-8
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发表时间：
2007-06-01
影响因子：
5.7
通讯作者：
McCarthy, Ellen P.
中科院分区：
文献类型：
--
作者：
Mehta, Darshan H.;Phillips, Russell S.;McCarthy, Ellen P.
亚裔美国人(AA)对补充和替代医学(CAM)的使用知之甚少，特别是在全国范围内。比较亚裔和非西班牙裔美国白人(NHW)的CAM使用情况、使用原因和泄露率，并检查AA之间的种族差异。关于过去一年CAM使用(不包括祈祷)的数据来自2002年全国健康访谈调查，调查对象为917个AA和20,442个nhw。与NHW相比，AA使用任何CAM方式的可能性相同[42vs.38%；调整后的患病率=1.09，95%可信区间(0.94，1.27)]。亚裔美国人披露草药(16%比34%，P<；0.001)和精神/身体疗法(15%比25%，P<；005)的使用情况的可能性低于NHW。亚裔印度人(31%)比中国人(21%)和菲律宾人(22%)更常使用精神/身体疗法，而中国人(32%)比菲律宾人(26%)和亚裔印度人(19%)更常使用草药。在再生障碍性贫血患者中，CAM的使用与女性、受过高等教育和患有慢性疾病有关；外国出生与CAM的使用无关。补充和替代药物的使用在再生障碍性贫血中很常见，而且在使用方面存在重要的种族差异。与NHW相比，亚裔美国人不太可能向传统的医疗保健提供者披露CAM的使用情况，这表明医生询问AA患者有关CAM的使用情况尤其重要。
Very little is known about complementary and alternative medicine (CAM) use in Asian Americans (AA), especially on a national level. To compare CAM use, reasons for use, and disclosure rates between Asian and non-Hispanic white Americans (NHW), and examine ethnic variations among AA. Data on CAM use in the past year (excluding prayer) were used from the 2002 National Health Interview Survey for 917 AA and 20,442 NHW. Compared with NHW, AA were as likely to use any CAM modality [42 vs. 38%; adjusted prevalence ratio= 1.09, 95% confidence interval (0.94, 1.27)]. Asian Americans were less likely than NHW to disclose the use of herbal medicines (16 vs. 34%, p < 0.001) and mind/ body therapies (15 vs. 25%, p < 0.05). Mind/body therapies were used more often by Asian Indians (31%) than by Chinese (21%) and Filipinos (22%), whereas herbal medicines were used more often by Chinese (32%) than by Filipinos (26%) and Asian Indians (19%). Among AA, CAM use was associated with being female, having higher education, and having a chronic medical condition; foreign- birth was not associated with CAM use. Complementary and alternative medicine use is common among AA, and there are important ethnic variations in use. Asian Americans are less likely than NHW to disclose CAM use to conventional healthcare providers, suggesting that it is particularly important that physicians query AA patients about CAM use.