T'ai chi and qigong for health: patterns of use in the United States.

T'ai chi and qigong for health: patterns of use in the United States.
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DOI:
10.1089/acm.2009.0174
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发表时间:
2009-09
期刊:
Journal of alternative and complementary medicine (New York, N.Y.)
影响因子:
--
通讯作者:
Yeh GY
Yeh GY
中科院分区:
其他
文献类型:
--
作者:
Birdee GS;Wayne PM;Davis RB;Phillips RS;Yeh GY

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在美国,人们对太极拳和气功这两种起源于亚洲的身心技巧的练习者知之甚少。本研究的目的是从社会人口统计、健康状况、医疗状况、对帮助的看法以及向医疗专业人员披露使用情况等方面来描述太极拳和气功在健康方面的应用。我们使用 2002 年全国健康访谈调查 (NHIS) 替代医学补充资料 (n = 31,044) 的横截面数据分析了太极拳和气功使用对健康的关联。 2002年NHIS估计太极拳和气功健身者的人数分别为2.5万人和50万人。我们将太极拳和气功的使用合并为一个类别 (TCQ) 进行分析,代表 280 万人。我们发现年龄和性别都与 TCQ 的使用无关。 TCQ 用户比非用户更有可能是亚洲人(比值比 [OR] 2.02,95% 置信区间 [CI] 1.30–3.15)、受过大学教育(OR 2.44,95% CI 1.97–3.03),并且不太可能生活在中西部(OR 0.64,95% CI 0.42–0.96)或美国南部(OR 0.51,95% CI 0.36-0.72)高于西方。 TCQ 的使用与肌肉骨骼疾病(OR 1.43,95% CI 1.11–1.83)、严重扭伤(OR 1.65,95% CI 1.14–2.40)和哮喘(OR 1.50,95% CI 1.08–2.10)的较高报告独立相关。一半的 TCQ 用户在过去 12 个月内也通过瑜伽来保持健康。大多数 TCQ 用户表示他们的做法对于保持健康很重要,但只有四分之一的用户向医疗专业人士透露了他们的做法。在美国,不同人群为了健康而实践 TCQ,用户报告其对保持健康的益处。需要进一步研究以确定目标人群(包括患有肌肉骨骼和肺部疾病的人群)以及预防性健康的有效性和安全性。
Little is known in the United States about those who practice t’ai chi and qigong, two mind–body techniques that originated in Asia. The objective of this study is to characterize use of t’ai chi and qigong for health with regard to sociodemographics, health status, medical conditions, perceptions of helpfulness, and disclosure of use to medical professionals. We analyzed associations of t’ai chi and qigong use for health using cross-sectional data from the 2002 National Health Interview Survey (NHIS) Alternative Medicine Supplement (n = 31,044). The 2002 NHIS estimated the number of t’ai chi and qigong users for health to be 2.5 and 0.5 million persons, respectively. We collapsed t’ai chi and qigong use into a single category (TCQ) for analysis, representing 2.8 million individuals. We found that neither age nor sex was associated with TCQ use. TCQ users were more likely than nonusers to be Asian than white (odds ratio [OR] 2.02, 95% confidence interval [CI] 1.30–3.15), college educated (OR 2.44, 95% CI 1.97–3.03), and less likely to live in the Midwest (OR 0.64, 95% CI 0.42–0.96) or the southern United States (OR 0.51, 95% CI 0.36–0.72) than the West. TCQ use was associated independently with higher reports of musculoskeletal conditions (OR 1.43, 95% CI 1.11–1.83), severe sprains (OR 1.65, 95% CI 1.14–2.40), and asthma (OR 1.50, 95% CI 1.08–2.10). Half of TCQ users also used yoga for health in the last 12 months. Most TCQ users reported their practice to be important to maintain health, but only a quarter of users disclosed their practice to a medical professional. In the United States, TCQ is practiced for health by a diverse population, and users report benefits for maintaining health. Further research is needed to establish efficacy and safety for target populations, including those with musculoskeletal and pulmonary disease, as well as for preventive health.
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