A population-based study of prevalence of complementary methods use by cancer survivors - A report from the American cancer society's studies of cancer survivors
A population-based study of prevalence of complementary methods use by cancer survivors - A report from the American cancer society's studies of cancer survivors
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DOI：
10.1002/cncr.23659
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发表时间：
2008-09-01
期刊：
影响因子：
6.2
通讯作者：
Smith, Tenbroeck
中科院分区：
文献类型：
--
作者：
Gansler, Ted;Kaw, Chiewkwei;Smith, Tenbroeck
背景。补充方法 (CM) 的使用在美国广泛且不断增加。大多数关于癌症幸存者中 CM 使用的文献都集中于治疗期，而只有少数研究进一步探讨了癌症连续过程中的使用。方法。本研究分析了诊断后 10 至 24 个月内调查的癌症幸存者中 CM 使用的患病率以及医学和人口统计学相关性。该研究的样本——10 种成人癌症中的 1 种的 4139 名幸存者——是从全州癌症登记处提供的分层随机样本中选出的，并通过邮件和电话进行调查。三个逻辑回归模型检查了医学和人口因素与性别特异性和非性别特异性癌症幸存者中 CM 使用之间的关联。 结果。在调查的 19 个 CM 中，最常报告的 CM 是祈祷/灵性修行（61.4%）、放松（44.3%）、信仰/灵性疗愈（42.4%）、营养补充剂/维生素（40.1%）、冥想（15%）、宗教咨询（11.3%）、按摩（11.2%）和支持小组（9.7%）。在这 19 种 CM 中，最不常见的是催眠（0.4%）、生物反馈疗法（1.0%）和针灸/穴位按摩（1.2%）。更有可能使用 CM 的幸存者是女性、年轻的白人、收入较高且受教育程度较高的人。结论。这项研究提供了有关 CM 使用的患病率和医学人口决定因素的信息，这些信息是通过在诊断后 10 至 24 个月内对 10 种癌症幸存者进行的大规模人群样本调查得出的。临床医生和研究人员可以利用这些发现来决定在实践和研究中解决哪些 CM。
BACKGROUND. The use of complementary methods (CMs) is widespread and increasing in the United States. Most literature on CM use among cancer survivors focuses on the treatment period, whereas only a few Studies address use further along the cancer continuum.METHODS. This Study analyzed the prevalence and the medical and demographic associations of CM use among cancer Survivors surveyed 10 to 24 months after diagnosis. The study's sample-4139 survivors of 1 of 10 adult cancers-was selected from stratified random samples provided by statewide cancer registries and surveyed by mail and telephone. Three logistic regression models examined associations between medical and demographic factors and CM use among survivors of sex-specific and non-sex-specific cancers.RESULTS. Of the 19 CMs included in the survey, the CMs most frequently reported were prayer/spiritual practice (61.4%), relaxation (44.3%), faith/spiritual healing (42.4%), nutritional supplements/vitamins (40.1%), meditation (15%), religious counseling (11.3%), massage (11.2%), and support groups (9.7%). Among these 19 CMs, the least prevalent were hypnosis (0.4%), biofeedback therapy (1.0%), and acupuncture/acupressure (1.2%). Survivors more likely to use CMs were female, younger, white, higher income, and more educated.CONCLUSIONS. This study provides information regarding prevalence and medical-demographic determinants of CM use reported by a large, population-based sample of survivors of 10 cancers surveyed 10 to 24 months after diagnosis. These findings may be used by clinicians and researchers to inform their decisions regarding which CMs to address in practice and research.