The use of complementary and alternative fertility treatment in couples seeking fertility care: data from a prospective cohort in the United States.

The use of complementary and alternative fertility treatment in couples seeking fertility care: data from a prospective cohort in the United States.
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DOI:
10.1016/j.fertnstert.2010.02.054
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发表时间:
2010-05-01
影响因子:
6.7
通讯作者:
Infertility Outcomes Program Project Group
Infertility Outcomes Program Project Group
中科院分区:
医学2区
文献类型:
--
作者:
Smith JF;Eisenberg ML;Millstein SG;Nachtigall RD;Shindel AW;Wing H;Cedars M;Pasch L;Katz PP;Infertility Outcomes Program Project Group

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确定寻求生育保健的夫妇中补充和替代医学(CAM)的使用率,并确定该人群中CAM使用的预测因素。前瞻性队列研究八个社区和学术不孕症的做法428夫妇提出的不孕症评估访谈和问卷调查的流行率的补充和替代医学治疗经过18个月的观察,29%的夫妇已利用CAM模式治疗不孕症; 22%的人尝试过针灸,17%的人尝试过草药疗法,5%的人尝试过身体锻炼,1%的人使用过冥想。家庭年收入≥ $200,000(OR 2.8,p= 0.04)相对于收入<$100,000的夫妇,未怀孕(OR 2.3,p= 0.01),以及基线时对CAM使用的积极态度(p<0.001)与CAM使用独立相关。相当少的不孕夫妇使用CAM治疗。CAM最常被富裕的夫妇,那些没有怀孕的夫妇,以及那些对CAM治疗有效性有基线信念的夫妇选择。
To determine the prevalence of Complementary and Alternative Medicine (CAM) use among couples seeking fertility care and to identify the predictors of CAM use in this population. Prospective cohort study Eight community and academic infertility practices 428 couples presenting for an infertility evaluation Interviews and questionnaires Prevalence of complementary and alternative medicine therapy After 18 months of observation, 29% of the couples had utilized a CAM modality for treatment of infertility; 22% had tried acupuncture, 17% herbal therapy, 5% a form of body work, and 1% had utilized meditation. An annual household income ≥ $200,000 (OR 2.8, p=.04) relative to couples earning < $100,000, not achieving a pregnancy (OR 2.3, p=.01), and a positive attitude toward CAM use at baseline (p<.001) were independently associated with CAM use. A substantial minority of infertile couples utilize CAM treatments. CAM was chosen most commonly by wealthier couples, those not achieving a pregnancy, and those with a baseline belief in the effectiveness of CAM treatments.
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