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首页> 外文期刊>Journal of women’s health >Preventive screening of women who use complementary and alternative medicine providers.
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Preventive screening of women who use complementary and alternative medicine providers.

机译：对使用补充和替代药物提供者的妇女进行的预防性筛查。

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BACKGROUND: Many women use complementary and alternative medicine (CAM). Although CAM use has been associated with reductions in conventionally recommended pediatric preventive care (e.g., vaccination), little is known about associations between CAM use and receipt of recommended preventive screening in women. METHODS: Using Washington State insurance data from 2000 to 2003, the authors generated clustered logistic regression models, examining associations between provider-based CAM use and receipt of screening tests for Chlamydia trachomatis, breast cancer, and cervical cancer: (1) contrasting women who used CAM providers only (alternative use) and women who used both conventional and CAM providers (complementary use) with women who used conventional care only and (2) testing associations between screening and use of four specific CAM provider types-naturopathic physicians, chiropractors, massage therapists, and acupuncturists. RESULTS: Both alternative and complementary use was associated with reduced Chlamydia screening. Cancer screening increased with complementary use but decreased with alternative use of CAM. Use of naturopathy was associated with decreased mammography, whereas all four CAM therapies were positively associated with Papanicolaou testing. CONCLUSIONS: When used in conjunction with conventional care, use of provider-based CAM may signal high interest in various types of health-promoting behavior, including cancer screening. Negative associations between CAM and Chlamydia screening and between naturopathy and mammography require additional study. Interventions with CAM providers and their patients, aimed at improving rates of conventionally recommended screening, might encourage greater focus on preventive care, an important task when CAM providers serve as women's only contact with the healthcare system.
机译：背景：许多妇女使用辅助和替代医学（CAM）。尽管使用CAM可以减少常规推荐的儿科预防性护理（例如疫苗接种），但对CAM的使用与女性接受推荐的预防性筛查之间的关联知之甚少。方法：利用2000年至2003年的华盛顿州保险数据，作者生成了聚类的logistic回归模型，研究了基于提供者的CAM使用与沙眼衣原体，乳腺癌和宫颈癌筛查测试的接受之间的关联：（1）对比仅使用CAM提供者（替代使用）以及同时使用常规和CAM提供者（补充使用）的女性与仅使用常规护理的女性，以及（2）测试四种特定CAM提供者类型的筛选和使用之间的关联-自然疗法医师，脊医，按摩治疗师和针灸师。结果：替代使用和补充使用均与衣原体筛查减少有关。癌症筛查随着补充使用而增加，但随着CAM的替代使用而减少。自然疗法的使用与乳房X线照相术的减少有关，而所有四种CAM治疗与Papanicolaou测试呈正相关。结论：当与常规护理结合使用时，基于提供者的CAM的使用可能表明人们对各种健康促进行为（包括癌症筛查）产生了浓厚的兴趣。 CAM和衣原体筛查之间以及筛查的自然病变与乳房X线检查之间的负相关性需要进一步研究。旨在提高传统推荐筛查率的对CAM提供者及其患者的干预可能会鼓励人们更加关注预防保健，这是CAM提供者作为女性与医疗保健系统的唯一联系时的一项重要任务。

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