Use of complementary medicine and dietary supplements among U.S. adolescents.
Use of complementary medicine and dietary supplements among U.S. adolescents.
复制标题
美国青少年使用补充药物和膳食补充剂的情况。
DOI：
10.1016/j.jadohealth.2005.01.010
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Gray,NicolaJ
中科院分区：
文献类型：
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作者：
Wilson,KarenM;Klein,JonathanD;Sesselberg,TracyS;Yussman,SusanM;Markow,DanaB;Green,AmyE;West,JenniferC;Gray,NicolaJ
补充和替代医学(CAM)的使用正在增加，但一些膳食补充剂有潜在的负面副作用。方法2002年，1280名14-19岁的青少年完成了一项关于所有CAM方式的终生和过去30天使用情况的在线调查，特别是关于草药和膳食补充剂的使用。我们通过电子邮件向哈里斯互动的全国青年查询小组的12,353名成员发出了邀请，并填写了年龄/性别配额样本目标。然后对数据进行加权，以反映按性别、种族/民族、都市性、地区、父母教育程度、上网倾向和无反应的可能性划分的美国青少年人口。用SPSS软件进行卡方和Logistic回归分析。结果79%的青少年一生中使用过补充剂，前一个月为48.5%；46.2%的青少年在一生中使用过膳食补充剂，前一个月为29.1%；9.3%的青少年在前一个月同时使用过补充剂和处方药。与使用CAM和补充剂相关的因素包括女性、对CAM的积极态度和年龄16-17岁(而不是在年轻或年长的年龄组)。常用的补充剂包括人参、锌、紫锥菊、银杏、减肥补充剂和肌酸。结论许多青少年使用CAM和膳食补充剂，包括相当数量的同时服用处方药。常用的补充剂(减肥补充剂和肌酸)与改变体型密切相关。卫生保健提供者应该意识到青少年使用CAM和补充剂。
PURPOSEUse of complementary and alternative medicine (CAM) is increasing, but some dietary supplements have potentially negative side effects. This study examines CAM and dietary supplement use among a national sample of adolescents.METHODSA total of 1280 adolescents 14–19 years old completed an online survey in 2002 about lifetime and past-30-day use of all CAM modalities, and specifically about use of herbal medicines and dietary supplements. We e-mailed invitations to 12,353 members of Harris Interactive’s national Youth Query panel, and filled age/gender quotas sample targets. Data were then weighted to reflect the U.S. adolescent population by gender, race/ethnicity, urbanicity, region, parents’ education, propensity to be online, and likelihood of nonresponse. Chi-square and logistic regression analyses were done using SPSS.RESULTSSeventy-nine percent of adolescents had used CAM in their lifetime, 48.5% in the previous month; 46.2% had used dietary supplements in their lifetime, 29.1% in the previous month; 9.3% reported concurrent use of supplements and prescription medication in the previous month. Factors associated with CAM and supplement use included being female, positive attitudes towards CAM, and being age 16–17 years (rather than in younger or older age groups). Commonly used supplements included ginseng, zinc, echinacea, ginkgo, weight loss supplements, and creatine.CONCLUSIONSMany adolescents use CAM and dietary supplements, including a significant number concurrent with prescription medications. Commonly used supplements (weight loss supplements and creatine) are closely linked to attempts to change body shape. Health care providers should be aware of CAM and supplement use by adolescents.