Characteristics of Complementary and Alternative Medicine (CAM) use among older adults with asthma.
Characteristics of Complementary and Alternative Medicine (CAM) use among older adults with asthma.
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DOI：
10.3109/02770903.2015.1116090
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发表时间：
2016-06
期刊：
影响因子：
--
通讯作者：
Baptist AP
中科院分区：
文献类型：
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作者：
Ward CE;Baptist AP
越来越多的哮喘患者正在使用补充和替代医学（CAM）。先前的研究尚未调查老年人群中 CAM 的使用情况。分析使用了 2011 年行为风险因素监测调查 (BRFSS)（一项全国电话调查）和哮喘回电调查 (ACBS)（一项针对报告哮喘的 BRFSS 个体进行的调查）的数据。研究对象包括 7685 名 55 岁或以上患有哮喘的个体。使用逻辑回归分析 CAM 使用与人口统计和哮喘结果的关系。 39% (3030) 的人报告使用 CAM。呼吸技术是最常报道的 CAM 疗法。与 CAM 使用相关的人口因素包括女性（OR 1.36，p<0.002）、至少受过大学教育（OR 1.76，p<0.001）、医疗保健成本障碍（OR 1.43，p<0.001）和居住在西方（OR 1.31，p<0.01）。收入和 CAM 使用之间存在反比关系。那些已接受哮喘行动计划（OR 1.29，p<0.005）、当前吸烟者（OR 1.35，p<0.02）或哮喘控制受损（定义为影响睡眠的症状、限制活动的症状和急救药物使用）的患者更有可能使用 CAM（OR 1.37，p<0.001；OR 1.38，p<0.001；OR 1.2， p<0.046，分别）。很大一部分患有哮喘的老年人使用 CAM。此外，使用 CAM 的老年哮喘患者的哮喘控制能力下降，需要进一步研究以确定其因果关系。
A growing number of asthma patients are using Complementary and Alternative Medicine (CAM). Prior studies have not examined CAM use among the older adult population. Data from the 2011 Behavioral Risk Factor Surveillance Survey (BRFSS), a national telephone survey, and the Asthma Call-Back survey (ACBS), a survey conducted among BRFSS individuals reporting asthma, was used for the analyses. The study population consisted of 7685 individuals aged 55 years or older with current asthma. The relationship of CAM use with demographic and asthma outcomes was analyzed using logistic regression. CAM use was reported by 39% (3030). Breathing techniques were the most commonly reported CAM therapy. Demographic factors associated with CAM use include female gender (OR 1.36, p<0.002), having at least a college education (OR 1.76, p<0.001), cost barrier to healthcare (OR 1.43, p<0.001), and living in the West (OR 1.31, p<0.01). An inverse relationship was noted between income and CAM use. Those who had received an asthma action plan (OR 1.29, p<0.005), current smokers (OR 1.35, p<0.02), or impaired asthma control (as defined by symptoms affecting sleep, symptoms limiting activities, and rescue medication use) were more likely to use CAM (OR 1.37, p<0.001; OR 1.38, p<0.001; and OR 1.2, p<0.046, respectively). A large proportion of asthmatic older adults use CAM. In addition, older adults with asthma who use CAM have decreased asthma control, and further studies are needed to determine a causal role.