Multiple Chronic Conditions and Use of Complementary and Alternative Medicine Among US Adults: Results From the 2012 National Health Interview Survey.
Multiple Chronic Conditions and Use of Complementary and Alternative Medicine Among US Adults: Results From the 2012 National Health Interview Survey.
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DOI：
10.5888/pcd13.150501
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发表时间：
2016-05-05
影响因子：
5.5
通讯作者：
Greenlee H
中科院分区：
文献类型：
--
作者：
Falci L;Shi Z;Greenlee H
超过25%的美国成年人报告患有2种或更多种慢性疾病。慢性病患者经常使用补充和替代医学（CAM）进行自我护理和疾病管理，尽管证据基础有限。分析了2012年国家健康访谈调查（NHIS）（n = 33，557）的数据，以评估多种慢性疾病（n = 13）的存在与CAM使用之间的关联，使用多变量相对风险和线性回归加权复杂NHIS采样。CAM使用定义为在过去12个月内自我报告使用16种治疗中的一种或多种。慢性病很常见。美国成年人报告了1种（22.3%）或2种或2种以上（33.8%）疾病。许多人使用至少一种形式的CAM。多种维生素、多种矿物质或两者（52.7%）;维生素（34.8%）;和矿物质（28.4%）是最常见的。与没有条件的成年人相比，患有2种或2种以上条件的成年人更可能使用多种维生素或多种矿物质或两者兼而有之，维生素，矿物质，非维生素或草药，身心疗法，脊椎按摩或整骨疗法，按摩，运动疗法，特殊饮食，针灸，自然疗法，或这些疗法的组合（P <.003）。患有多种慢性疾病的人有很高的CAM使用率。需要进行纵向研究以了解CAM使用与慢性病预防和治疗之间的关联。
More than 25% of American adults report having 2 or more chronic conditions. People with chronic conditions often use complementary and alternative medicine (CAM) for self-care and disease management, despite a limited evidence base. Data from the 2012 National Health Interview Survey (NHIS) (n = 33,557) were analyzed to assess associations between presence of multiple chronic conditions (n = 13) and CAM use, using multivariable relative risk and linear regressions weighted for complex NHIS sampling. CAM use was defined as self-reported use of one or more of 16 therapies in the previous 12 months. Chronic conditions were common. US adults reported one (22.3%) or 2 or more (33.8%) conditions. Many used at least one form of CAM. Multivitamins, multiminerals, or both (52.7%); vitamins (34.8%); and minerals (28.4%) were the most common. Compared with adults with no conditions, adults with 2 or more conditions were more likely to use multivitamins or multiminerals or both, vitamins, minerals, nonvitamins or herbs, mind–body therapies, chiropractic or osteopathic manipulation, massage, movement therapies, special diets, acupuncture, naturopathy, or some combination of these therapies (P <.003). People with multiple chronic conditions have a high prevalence of CAM use. Longitudinal studies are needed to understand the association between CAM use and chronic disease prevention and treatment.