Demographic and Clinical Characteristics Associated With Familiarity, Interest, and Use of Integrative Therapies Among Patients With Breast Cancer.
Demographic and Clinical Characteristics Associated With Familiarity, Interest, and Use of Integrative Therapies Among Patients With Breast Cancer.
复制标题
DOI：
10.1177/15347354231185122
复制
发表时间：
2023-01
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
--
作者：
综合疗法减少了癌症治疗的副作用，但仍未得到充分利用。在乳腺癌患者中，与熟悉、感兴趣和使用这些疗法相关的因素的数据很少。在芝加哥多种族流行病学乳腺癌队列中，对患者进行了一项关于针灸、按摩、冥想、音乐疗法和瑜伽的熟悉度、兴趣和使用情况的调查。熟悉度和兴趣使用五点李克特量表进行评估，并使用比例优势回归建模。根据自我报告使用，使用逻辑回归建模。计算校正比值比（aOR）和95%置信区间（95% CI）。在1300名研究参与者中，59.6%熟悉按摩，47.2%针灸，46.9%冥想，46.5%瑜伽和34.5%音乐疗法; 63.3%对按摩感兴趣，50.2%瑜伽，47.9%冥想，44.2%针灸和41.4%音乐疗法。只有41.3%的人使用过按摩，25.8%的人使用过针灸，18.7%的人使用过瑜伽，18.5%的人使用过冥想，7.4%的人使用过音乐疗法。年龄大、受教育程度低与熟悉度和兴趣低有关。黑人患者比白色患者更可能感兴趣。当某些症状得到治疗时，患者的兴趣显著增加。在调整后的模型中，40至65岁的患者使用按摩（aOR 0.55，95% CI：0.31-0.98），瑜伽（aOR 0.52，95% CI：0.27-0.99）或冥想（aOR 0.47，95% CI：0.25-0.90）的可能性低于40岁以下的患者。高中学历的患者比研究生学历的患者更少使用针灸（aOR 0.42，95%CI：0.24-0.72）、按摩（aOR 0.39，95%CI：0.25-0.62）或冥想（aOR 0.26，95%CI：0.12-0.58）。接受化疗与对瑜伽（aOR 1.36，95% CI：1.07-1.73）、按摩（aOR 1.27，95% CI：1.01-1.59）或冥想（aOR 1.26，95% CI：1.01-1.57）的兴趣增加相关。接受激素治疗与兴趣或使用无关。在这个种族多样化的患者队列中，对综合疗法的熟悉度和兴趣很高，而使用率很低。年龄较大和教育水平较低与缺乏兴趣和使用有关。化疗与兴趣有关，但激素治疗则无关。需要制定策略，以促进乳腺癌患者中综合治疗的益处和使用。
Integrative therapies reduce side effects from cancer treatment, though remain underutilized. There is a paucity of data on factors associated with familiarity, interest, and use of these therapies among breast cancer patients. A survey on familiarity, interest, and use of acupuncture, massage, meditation, music therapy, and yoga was conducted in patients enrolled in the Chicago Multiethnic Epidemiologic Breast Cancer Cohort. Familiarity and interest were assessed using a five-point Likert scale, and modeled using proportional odds regression. Use was per self-report, modeled using logistic regression. Adjusted odds ratios (aOR) and 95% confidence intervals (95% CI) were calculated. Of 1300 study participants, 59.6% were familiar with massage, 47.2% acupuncture, 46.9% meditation, 46.5% yoga, and 34.5% music therapy; 63.3% were interested in massage, 50.2% yoga, 47.9% meditation, 44.2% acupuncture, and 41.4% music therapy. Only 41.3% had used massage, 25.8% acupuncture, 18.7% yoga, 18.5% meditation, and 7.4% music therapy. Older age and lower education level were associated with lower familiarity and interest. Black patients were more likely than White patients to be interested. Patients’ interest increased significantly when certain symptoms were treated. In the adjusted models, patients ages 40 to 65 were less likely than those ages <40 to have used massage (aOR 0.55, 95% CI: 0.31-0.98), yoga (aOR 0.52, 95% CI: 0.27-0.99), or meditation (aOR 0.47, 95% CI: 0.25-0.90). Patients with high school education were less likely than those with a graduate degree to have used acupuncture (aOR 0.42, 95% CI: 0.24-0.72), massage (aOR 0.39, 95% CI: 0.25-0.62), or meditation (aOR 0.26, 95% CI: 0.12-0.58). Having received chemotherapy was associated with increased interest in yoga (aOR 1.36, 95% CI: 1.07-1.73), massage (aOR 1.27, 95% CI: 1.01-1.59), or meditation (aOR 1.26, 95% CI: 1.01-1.57). Receipt of hormone therapy was not associated with interest or use. In this racially diverse cohort of patients, familiarity and interest of integrative therapies were high, while use was low. Older age and lower education level were associated with lack of interest and use. Chemotherapy was associated with interest, but hormone therapy was not. Strategies to promote the benefits and use of integrative therapies among breast cancer patients are needed.
登录
查看更多内容
影响因子：
7.2
作者：
DEYO, RA;CHERKIN, DC;CIOL, MA
通讯作者：
CIOL, MA
影响因子：
3.6
作者：
Paraskevi T
通讯作者：
Paraskevi T
影响因子：
2.6
作者：
Grimm D;Mathes S;Woelber L;Van Aken C;Schmalfeldt B;Mueller V;Kiechle M;Brambs C;Paepke D
通讯作者：
Paepke D
影响因子：
3.8
作者：
Zhao F;Copley B;Niu Q;Liu F;Johnson JA;Sutton T;Khramtsova G;Sveen E;Yoshimatsu TF;Zheng Y;Ibraheem A;Jaskowiak N;Nanda R;Fleming GF;Olopade OI;Huo D
通讯作者：
Huo D
影响因子：
3.7
作者：
Mao, Jun James;Palmer, Christina Shearer;Amsterdam, Jay
通讯作者：
Amsterdam, Jay