Complementary and alternative medicine use by US adults with gastrointestinal conditions: Results from the 2012 National Health Interview Survey.

Complementary and alternative medicine use by US adults with gastrointestinal conditions: Results from the 2012 National Health Interview Survey.
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DOI:
10.1038/ajg.2014.108
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发表时间:
2014-11
影响因子:
9.8
通讯作者:
Yeh, Gloria Y.
Yeh, Gloria Y.
中科院分区:
医学1区
文献类型:
--
作者:
Dossett, Michelle L.;Davis, Roger B.;Lembo, Anthony J.;Yeh, Gloria Y.

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在过去的二十年中,补充和替代医学(CAM)的使用有所增加,越来越多的证据表明,一些CAM模式可能有助于解决胃肠道(GI)疾病。然而,CAM用于GI疾病的总体模式仍然未知。我们试图阐明CAM在美国成年GI患者中的使用率和模式。我们使用了2012年全国健康访谈调查(n= 34,525),这是一项针对平民、非机构化美国人群的全国代表性调查,以估计CAM在患有GI疾病(腹痛、胃酸反流/胃灼热、消化道过敏、肝脏疾病、恶心和/或呕吐、胃或肠道疾病、溃疡)的成年人中的使用率。我们还研究了CAM使用的原因,认为有益的,并披露使用卫生保健提供者之间的个人谁专门使用CAM来解决胃肠道疾病。患病率估计值进行加权,以反映调查的复杂抽样设计。在过去一年中患有GI疾病的13,505名受访者中,42%(n=5629)在过去一年中使用CAM,3%(n=407)使用至少一种CAM方式来解决GI疾病。使用CAM解决GI疾病的前3种方式是草药和补充剂,身心疗法和手法疗法。在使用CAM来解决胃肠道疾病的患者中,47%的人使用了3种或更多种CAM疗法,超过80%的人认为它有助于解决胃肠道疾病,对维护健康和福祉很重要。受访者告诉他们的医疗保健提供者关于使用这些疗法的70%的时间。在过去的一年中,42%的GI患者使用CAM。一小部分人专门使用CAM来解决他们的GI问题,但大多数人确实发现它很有帮助。这一组中最常用的方式是草药和补充剂,身心和操纵疗法。
Use of complementary and alternative medicine (CAM) has increased over the past two decades, and a growing body of evidence suggests that some CAM modalities may be useful in addressing gastrointestinal (GI) conditions. However, the overall patterns of CAM use for GI conditions remains unknown. We sought to elucidate the prevalence and patterns of CAM use among U.S. adults with GI conditions. We used the 2012 National Health Interview Survey (n=34,525), a nationally representative survey of the civilian, non-institutionalized U.S. population, to estimate the prevalence of CAM use among adults with GI conditions (abdominal pain, acid reflux/heartburn, digestive allergy, liver condition, nausea and/or vomiting, stomach or intestinal illness, ulcer). We also examined the reasons for CAM use, perceived helpfulness, and disclosure of use to health care providers among individuals who specifically used CAM to address a GI condition. Prevalence estimates were weighted to reflect the complex sampling design of the survey. Of 13,505 respondents with a GI condition in the past year, 42% (n=5629) used CAM in the past year and 3% (n=407) used at least one CAM modality to address a GI condition. The top 3 modalities among those using CAM to address GI conditions were herbs and supplements, mind body therapies, and manipulative therapies. Of those using CAM to address a GI condition, 47% used 3 or more CAM therapies, and over 80% felt that it was helpful in addressing a GI condition and was important in maintaining health and well-being. Respondents told their health care provider about use of these therapies 70% of the time. CAM was used by 42% of respondents with a GI condition in the past year. A small proportion use CAM specifically to address their GI condition, but the majority who do find it helpful. The most commonly used modalities in this group are herbs and supplements, mind body, and manipulative therapies.
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