A global perspective on complementary and alternative medicine use among people living with HIV/AIDS in the era of antiretroviral treatment.
A global perspective on complementary and alternative medicine use among people living with HIV/AIDS in the era of antiretroviral treatment.
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DOI：
10.1007/s11904-011-0090-8
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发表时间：
2011-12-01
影响因子：
4.6
通讯作者：
Vanable, Peter A
中科院分区：
文献类型：
--
作者：
Littlewood, Rae A;Vanable, Peter A
补充和替代医学（CAM）是医学人群中传统医学的一种流行辅助手段，在全球艾滋病毒流行中尤其重要。使用抗逆转录病毒疗法（ART）治疗艾滋病毒在高资源地区无处不在，正在努力提高低资源地区的覆盖率。为了更好地了解CAM在HIV治疗中的作用以及CAM使用对ART吸收和依从性的影响，我们回顾了2007年至2011年期间发表的国际研究。研究结果证实，CAM通常被用作辅助ART;然而，在ART不太容易获得的国家，许多艾滋病毒抗体阳性者采取多元化的医疗保健方法，将传统医学和常规医学（如有）结合起来。回顾的研究没有就CAM的使用是否会干扰ART的吸收或依从性达成共识;相反，研究表明，疾病相关的行为是由多种因素驱动的，至少部分由ART的可用性和可及性决定。
Complementary and alternative medicine (CAM) is a popular adjunct to conventional medicine across medical populations, and is particularly relevant in the global HIV epidemic. Use of antiretroviral therapy (ART) to treat HIV is ubiquitous in high-resource areas and efforts to increase coverage in low-resource areas are underway. To better understand the role of CAM in HIV treatment and the implications of CAM use for ART uptake and adherence, we review international research published between 2007 and 2011. Findings confirm that CAM is commonly used as an adjunct to ART; however, in countries where ART is less accessible, many HIV-positive individuals take a pluralistic approach to health care, incorporating both traditional and, when available, conventional medicine. The reviewed studies provide no consensus on whether the use of CAM interferes with ART uptake or adherence; instead, research suggests that illness-related behaviors are driven by multiple factors and determined, at least in part, by the availability and accessibility of ART.