Do Complementary and Alternative Medicine Users Also Use Conventional Medicine? A Repeated Cross-Sectional Study in Japan from 1995 to 2013
Do Complementary and Alternative Medicine Users Also Use Conventional Medicine? A Repeated Cross-Sectional Study in Japan from 1995 to 2013
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补充和替代医学使用者也使用传统医学吗？
DOI：
10.1089/jicm.2022.0631
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Yorifuji Takashi
中科院分区：
文献类型：
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作者：
Matsuki Nobuyoshi;Suzuki Etsuji;Mitsuhashi Toshiharu;Takao Soshi;Yorifuji Takashi
导言：建议补充和替代医学（CAM）的使用者也寻求常规医疗护理，以防止失去获得适当医疗护理的机会。然而，这种使用的状况尚不清楚。本研究的目的是检查CAM用户的比例谁也接受传统的医疗保健相同symptoms.Methods：这是一个重复的横断面研究的时间趋势。在1995年至2013年进行的7次生活状况综合调查的753，978名受访者的数据中，分析了17，707名使用针灸，艾灸，指压按摩或柔道疗法的人的数据。采用交叉分类的多水平logistic回归模型，以个人为1级，调查年和队列为2级，计算CAM和常规医疗联合使用的优势比（OR）和95%可信区间（CI）。年龄作为个体水平变量输入。由于自2003年以来，有资格提供CAM治疗的人数有所增加，因此将2003年之后的期间效应作为调查年度变量输入。当年龄作为解释变量输入时，结果显示，老年男性和女性都倾向于接受传统医疗护理（女性，OR：1.04，95% CI：1.03-1.04;男性，OR：1.03，95% CI：1.02-1.04）。对2003年后可能的周期效应的额外检查显示了正相关（尽管不显著）（女性，OR：1.36，95%CI：0.89-1.99;男性，OR：1.37，95%CI：0.94-1.91）。研究结果还表明，自2003年以来，CAM和传统药物的联合使用有所增加。
Introduction:It is recommended that users of complementary and alternative medicine (CAM) also seek conventional medical care to prevent the loss of access to appropriate medical care. However, the status of such use is unknown. The aim of this study was to examine the time trends in the proportion of CAM users who also receive conventional medical care for the same symptoms.Methods:This is a repeated cross-sectional study. Of data for 753,978 respondents to the Comprehensive Survey of Living Conditions, which was conducted seven times between 1995 and 2013, data from 17,707 individuals who used acupuncture, moxibustion, anma-massage-shiatsu, or judo therapy were analyzed. Cross-classified multilevel logistic regression models with individuals as level 1 and survey year and cohort as level 2 were used to calculate odds ratios (ORs) and 95% credible intervals (CIs) for combined use of CAM and conventional medical care. Age was entered as an individual-level variable. The period effect after 2003 was entered as a survey year-level variable because the number of eligible persons providing CAM treatments has increased since 2003.Results:Among the 17,707 CAM users, 11,567 (65.3%) were women. When age was entered as an explanatory variable, the results showed that both older men and women tended to receive conventional medical care (women, OR: 1.04, 95% CI: 1.03–1.04; men, OR: 1.03, 95% CI: 1.02–1.04). Additional examination of the possible period effect after 2003 showed a positive (although nonsignificant) association (women, OR: 1.36, 95% CI: 0.89–1.99; men, OR: 1.37, 95% CI: 0.94–1.91).Conclusions:As patient age increased, patients combined CAM use with conventional medicine. The findings also suggested that the combined use of CAM and conventional medicine has increased since 2003.