Adolescents' knowledge of and beliefs about herbs and dietary supplements: a qualitative study.

Adolescents' knowledge of and beliefs about herbs and dietary supplements: a qualitative study.
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青少年对草药和膳食补充剂的知识和信念:定性研究。

DOI:
10.1016/j.jadohealth.2005.02.003
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发表时间:
2005
期刊:
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子:
--
通讯作者:
West,Jennifer
West,Jennifer
中科院分区:
--
文献类型:
--
作者:
Klein,JonathanD;Wilson,KarenM;Sesselberg,TracyS;Gray,NicolaJ;Yussman,Susan;West,Jennifer

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目的探讨青少年对膳食补充剂(包括草药和非处方药)的知识和信念。方法在纽约州门罗县对81名青少年进行了18个焦点小组的调查,调查了青少年对CAM,特别是膳食补充剂的熟悉和信念。我们询问了一般的健康信念和对非处方药的看法,以提供一个框架来理解膳食补充剂是如何概念化的。小组由郊区青少年、城市少数民族青少年、患有慢性病的青少年(哮喘、饮食失调和糖尿病)以及补充/替代从业者的患者(“CAM从业者”)组成。研究人员分析了与预防(“保持健康”)和疾病治疗(“变得更好”)相关的主题,直接引用了青少年的观点。结果大多数青少年熟悉“草药”、“草药疗法”或“营养补充剂”,并能说出特定产品或补充/替代医学(CAM)疗法的名称;然而,许多人不熟悉术语“替代医学”。青少年更熟悉来自他们自己文化或种族背景的人通常使用的补救措施或CAM疗法。老年郊区女性和患有慢性病的人比其他青少年更熟悉草药和补充剂。大多数补充剂的使用在概念上与治疗疾病联系在一起,而不是与预防护理联系在一起。结论大多数青少年熟悉基于文化的草药产品和营养补充剂,用于治疗疾病,而不是用于预防护理。提供者和研究人员在询问青少年有关自我护理、OTCs或CAM的问题时,应考虑慢性病状况和文化/家庭传统,并澄清术语。
OBJECTIVETo explore adolescents’ knowledge of and beliefs about dietary supplements, including herbs, and over-the-counter (OTC) medications.METHODSEighteen focus groups with 81 adolescents in Monroe County, New York, explored teens’ familiarity with and beliefs about CAM, specifically dietary supplements. We asked about general health beliefs and opinions of OTC medications to provide a framework for understanding how dietary supplements are conceptualized. Groups were conducted with suburban adolescents, urban minority adolescents, adolescents with chronic illness, (asthma, eating disorders, and diabetes), and patients of complementary/alternative practitioners (“CAM practitioners”). Transcripts were analyzed for themes relating to prevention (“staying healthy”) and treatment of illness (“getting better”); direct quotations are used to illustrate adolescents’ views.RESULTSMost adolescents are familiar with “herbal medicine,” “herbal remedies,” or “nutritional supplements,” and are able to name specific products or complementary/alternative medicine (CAM) therapies; however, many are unfamiliar with the term “alternative medicine.” Adolescents are more familiar with remedies or CAM therapies commonly used by people from their own cultural or ethnic background. Older suburban females and those with chronic illnesses are more familiar with herbs and supplements than other adolescents. Most supplement use is conceptually linked with treating illness rather than with preventive care.CONCLUSIONSMost adolescents are familiar with culturally based herbal products and nutritional supplements, used for treatment of illnesses, and not for preventive care. Providers and researchers should consider chronic illness status and culture/family tradition, and clarify terms, when asking adolescents about self-care, OTCs, or CAM.
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