老年人使用补充和替代医学:一项探索性研究

Catherine P. Montalto, Vibha Bhargava, Gong-Soog Hong
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引用次数: 15

摘要

利用2000年健康和退休调查中848名50岁及以上成年人的样本,研究了补充和替代医学(CAM)使用的决定因素和使用者的特征。逻辑回归用于确定与使用CAM的可能性相关的因素。近70%的应答者至少使用一种辅助治疗方式,44%报告使用治疗性辅助治疗,58%报告使用预防/治疗性辅助治疗。相对于黑人,白人更倾向于使用治疗性CAM,而不太可能使用预防/治疗性CAM。丧偶的老年人更有可能使用预防性/治疗性CAM。日常生活活动受限的数量与使用两种CAM呈正相关。建议改进关于替代医疗保健利用的研究,教育辅助医疗保健使用者,并进行定性研究,以进一步了解影响使用特定辅助医疗保健方式的因素。
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Use of Complementary and Alternative Medicine by Older Adults: An Exploratory Study
Determinants of complementary and alternative medicine (CAM) use and characteristics of users are examined using a sample of 848 adults aged 50 and older from the 2000 Health and Retirement Survey. Logistic regression is used to identify the factors associated with the likelihood of using CAM. Nearly 70% of the respondents use at least one CAM modality, with 44% reporting use of curative CAM and 58% reporting use of preventive/curative CAM. Whites, relative to Blacks, were more likely to use curative and less likely to use preventive/curative CAM. Widowed older adults were more likely to use preventive/curative CAM. Number of limitations in activities of daily living was positively associated with use of both types of CAM. Recommendations are made for improving research on alternative health care utilization, for educating CAM users, and for qualitative studies to gain further insight into factors affecting the use of specific CAM modalities.
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