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首页> 外文期刊>Psychological medicine >The use of complementary and alternative medicine in the general population: results from a longitudinal community study.
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The use of complementary and alternative medicine in the general population: results from a longitudinal community study.

机译：普通人群中补充和替代药物的使用：一项纵向社区研究的结果。

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BACKGROUND: Many patients with psychological or physical problems are interested in non-medical approaches. The reasons for the growing popularity of complementary and alternative medicine (CAM) are not well understood considering that evidence of the effectiveness of conventional therapies is greater than ever before. We have examined data from the Zurich Study to determine trends and predictors of CAM use in Switzerland. METHOD: The Zurich Study is a longitudinal community study that was started in 1979 with a sample of 591 participants born in 1958 and 1959. In 1999, the last of six interview waves with face-to-face interviews was conducted. CAM use was analyzed with data from interviews in 1993 and 1999. Polytomous logistic regression analysis focused on the personal, demographic and sociocultural background of CAM users. RESULTS: CAM use in the last 12 months was reported by 21.9% of the participants in 1993 and by 29.5% in 1999. CAM use among those exhibiting either physical or psychological problems was in the ratio of two to one. There was a trend from alternative variants of CAM (homeopathy) to complementary ones (massage, osteopathy, acupuncture). The vast majority of CAM use was in addition to conventional therapies. Predictors of CAM use were, among others, attribution of physical complaints to stress and other psychological variables, very low education level in parents, and lacking political interest. CONCLUSIONS: Besides the sociocultural background, characteristics such as the psychological attribution style play an important role in CAM use. CAM use in Switzerland is mainly of a complementary rather than an alternative nature.
机译：背景：许多有心理或生理问题的患者对非医学方法感兴趣。考虑到传统疗法有效性的证据比以往任何时候都多，人们对补充和替代医学（CAM）越来越受欢迎的原因还不甚了解。我们检查了苏黎世研究的数据，以确定瑞士CAM使用的趋势和预测指标。方法：苏黎世研究是一项纵向社区研究，始于1979年，样本是1958年和1959年出生的591名参与者。在1999年，进行了六次面谈面对面的访谈。根据1993年和1999年的访谈数据分析了CAM的使用。多因素Logistic回归分析的重点是CAM用户的个人，人口和社会文化背景。结果：在过去12个月中，CAM的使用率在1993年为21.9％，1999年为29.5％。在出现身体或心理问题的参与者中，CAM的使用率为2：1。从CAM（顺势疗法）的替代变体到补充疗法（按摩，整骨疗法，针灸疗法）的趋势已经出现。除常规疗法外，绝大多数使用CAM。 CAM使用的预测因素包括：身体不适归因于压力和其他心理变量，父母的受教育程度很低以及缺乏政治兴趣。结论：除了社会文化背景外，诸如心理归因风格等特征在CAM的使用中也起着重要作用。在瑞士，CAM的使用主要是补充而非替代。

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