缅甸仰光老年人膳食补充剂的使用情况

Swe Swe San, L. Anuratpanich, M. Sunantiwat, S. Pumtong
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摘要

在包括缅甸在内的世界范围内,老年人使用膳食补充剂(DS)的情况有所增加。本调查研究旨在探讨缅甸仰光市老年人使用退保服务的流行情况及相关因素。系统地从仰光南奥卡拉帕镇的四个病房抽样了200名老年人。2020年2月,采用结构化问卷进行了面对面访谈。采用描述性统计、卡方检验和二元logistic回归进行数据分析。调查结果显示,DS的使用在老年人中非常普遍(71%;95% ci 64.7-77.3)。使用频率最高的三种DS分别是复合维生素和矿物质、复合维生素B和人参与复合维生素/矿物质的组合(分别为43.6%、12.8%和11.3%)。大多数人只使用一次DS,每天一次,时间在1到5年之间。近一半的人服用DS来促进健康。他们从药房购买(45.1%)、从家人/亲戚朋友(33.2%)和医院(18.5%)获得DS。近75%的人报告说,他们在服用DS时咨询了医疗保健提供者。自变量(人口因素、健康行为、健康状况)与老年人DS使用无相关性。卫生保健组织可以采取一些干预措施,提高人们对适当使用退行性痴呆的认识,特别是对药物-饮食相互作用产生负面后果的高风险群体老年人。
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Use of dietary supplement among the elderly in Yangon, Myanmar
The use of dietary supplement (DS) among the elderly has increased worldwide including Myanmar. This survey research aimed to explore the prevalence of DS use and factors associated with DS use among the elderly in Yangon, Myanmar. Two hundred elderly were systematically sampled from four wards in South Okkalapa Township, Yangon. Face-to-face interviews with a structured questionnaire were conducted in February 2020. Descriptive statistics, chi square test and a binary logistic regression were used for data analysis. Findings showed that DS use was highly prevalent among the elderly (71%; 95% CI 64.7-77.3).  The top three DS frequently used were multivitamins and minerals, vitamin B complex, and a combination of ginseng and multivitamins/minerals (43.6%, 12.8%, 11.3% respectively). The majority used only one DS, once daily, and between one and five years. Nearly half of them took DS to promote their health. They received DS from purchasing at pharmacies (45.1%), obtaining from family/relatives and friends (33.2%), and hospitals (18.5%). Nearly 75% reported that they consulted with their healthcare providers when taking DS. There were no any associations among independent variables (demographic factors, health behaviors, as well as health status) and DS use of the elderly. Some interventions by health care organizations might be created to raise awareness of appropriate use of DS, especially for the elderly who are at high risk group of negative consequences from drug-dietary interaction.
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