Use of herbs among adults based on evidence-based indications: Findings from the National Health Interview Survey
Use of herbs among adults based on evidence-based indications: Findings from the National Health Interview Survey
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DOI：
10.4065/82.5.561
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发表时间：
2007-05-01
影响因子：
8.9
通讯作者：
Wallace, Robert B.
中科院分区：
文献类型：
--
作者：
Bardia, Aditya;Nisly, Nicole L.;Wallace, Robert B.
目的：检查在何种程度上，美国成年人使用草药（草药补充剂）按照循证indications.Participants和方法：替代健康补充的2002年全国健康访谈调查（NHIS）是一个年度的一部分，美国成年人的全国代表性调查。它载有过去一年（二○ ○二年一月一日至十二月三十一日）成年人使用最常用的十种草药治疗某种健康状况的数据。自然标准数据库被用来制定草药使用的循证标准。这些标准适用于NHIS的数据，以确定谁使用草药适当和不适当的人群，使用多变量logistic回归model.Results：在30,617成人调查，5787（18.9%）消耗草药在过去的12个月，其中，3315（57.3%）使用草药治疗特定的健康状况。在仅使用草药（紫锥菊和人参除外）的人群中，大约三分之一的人使用它符合循证适应症。女性和受过大学教育的人更有可能使用与科学证据一致的草药（紫锥菊除外）。60岁以下的成年人和黑人成年人使用草药（紫锥花除外）的可能性明显低于他们的同行。然而，紫锥菊用户，没有显着差异detected.CONCLUSION：大约三分之二的成年人使用常用草药（除紫锥菊）没有这样做，根据循证医学的适应症。卫生保健专业人员应发挥积极作用，公共卫生政策应传播有关草药产品消费的循证信息。
OBJECTIVE: To examine the extent to which US adults use herbs (herbal supplements) in accordance with evidence-based indications.PARTICIPANTS AND METHODS: The Alternative Health supplement of the 2002 National Health Interview Survey (NHIS) is part of an annual, nationally representative survey of US adults. It contains data on adults' use of the 10 herbs most commonly taken to treat a specific health condition in the past year (January I to December 31, 2002). The Natural Standard database was used to formulate evidence-based standards for herb use. These standards were applied to the NHIS data to identify groups of people who used herbs appropriately and inappropriately, using a multivarlable logistic regression model.RESULTS: Of the 30,617 adults surveyed, 5787 (18.9%) consumed herbs in the past 12 months; of those, 3315 (57.3%) used herbs to treat a specific health condition. Among people who used only I herb (except echinacea and ginseng), approximately one third used it consonant with evidence-based indications. Women and people with a college education were more likely to use herbs (with the exception of echinacea) concordant with scientific evidence. Adults younger than 60 years and black adults were significantly less likely to use herbs (with the exception of echlnacea) based on evidentiary referents than their counterparts. However, for echinacea users, no significant differences were detected.CONCLUSION: Roughly two thirds of adults using commonly consumed herbs (except echinacea) did not do so in accordance with evidence-based indications. Health care professionals should take a proactive role, and public health policies should disseminate evidence-based information regarding consumption of herbal products.