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Alternative medicine use in HIV-positive men and women: demographics, utilization patterns and health status.

机译:艾滋病毒呈阳性的男女使用替代药物:人口统计,利用方式和健康状况。

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Between 1995 and 1997, 1,675 HIV-positive men and women using complementary and alternative medicine (CAM) were enrolled into the Bastyr University AIDS Research Center's Alternative Medicine Care Outcomes in AIDS (AMCOA) study. Funded by the National Institutes of Health (NIH) Office of Alternative Medicine (OAM) and National Institute of Allergy and Infectious Diseases (NIAID), the AMCOA study collected information on participant demographics, health status and use of conventional and CAM therapies. Participants from 46 states completed a baseline questionnaire, while additional clinical information (such as CD4 count and HIV-RNA viral load) was obtained from laboratory records. AMCOA participants reported using more than 1,600 different types of CAM therapies (1,210 CAM substances, 282 CAM therapeutic activities and 119 CAM provider types) for treating HIV/AIDS. Approximately two-thirds (63% n = 1,054) of the AMCOA cohort reported using antiretroviral drug therapy (ART) during the six-months previous to completing the baseline questionnaire, while 37% (n = 621) indicated they were not using ART. Of those not using ART, 104 subjects reported never having used any conventional medications for their HIV and 12 subjects used only non-prescription diarrhoea medications. The most frequently reported CAM substances were vitamin C (63%), multiple vitamin and mineral supplements (54%), vitamin E (53%) and garlic (53%). CAM provider types most commonly consulted by the AMCOA cohort were massage therapists (49%), acupuncturists (45%), nutritionists (37%) and psychotherapists (35%). CAM activities most commonly used were aerobic exercise (63%), prayer (58%), massage (53%) and meditation (46%). The choice of CAM therapies among the AMCOA cohort does not appear to be solely based on scientific evidence of efficacy of individual therapies. The majority of AMCOA subjects could be characterized as using integrated medicine, since an overwhelming proportion of the cohort consult with both conventional and CAM providers and use both conventional and CAM medications, yet few subjects reported that their conventional and CAM providers work as a team. These data and this cohort set the stage for conducting studies of health status changes associated with specific CAM therapies.
机译:在1995年至1997年之间,使用补充和替代药物(CAM)的1,675例HIV阳性男性和女性被纳入Bastyr大学艾滋病研究中心的AIDS替代医学护理结果(AMCOA)研究。由美国国立卫生研究院(NIH)替代医学办公室(OAM)和美国国立过敏与传染病研究所(NIAID)资助,AMCOA研究收集了参与者的人口统计信息,健康状况以及常规和CAM疗法的使用信息。来自46个州的参与者完成了基线调查问卷,而其他临床信息(例如CD4计数和HIV-RNA病毒载量)则是从实验室记录中获得的。 AMCOA参与者报告了使用1,600多种不同类型的CAM治疗方法(1,210 CAM物质,282 CAM治疗活动和119 CAM提供者类型)来治疗HIV / AIDS。在完成基线问卷之前的六个月内,约有三分之二(63%n = 1,054)的AMCOA队列使用抗逆转录病毒药物治疗(ART),而37%(n = 621)表示他们未使用ART。在没有使用抗逆转录病毒疗法的人群中,有104名受试者报告从未使用过任何常规药物治疗艾滋病毒,有12名受试者仅使用了非处方性腹泻药物。 CAM中最常报告的物质是维生素C(63%),多种维生素和矿物质补充剂(54%),维生素E(53%)和大蒜(53%)。 AMCOA团队最常咨询的CAM提供者类型为按摩治疗师(49%),针灸师(45%),营养师(37%)和心理治疗师(35%)。最常用的CAM活动是有氧运动(63%),祈祷(58%),按摩(53%)和冥想(46%)。在AMCOA队列中选择CAM疗法似乎并不仅仅基于单个疗法功效的科学证据。大多数AMCOA受试者的特征可能是使用综合医学,因为绝大多数人与传统和CAM提供者进行咨询,并同时使用常规和CAM药物,但很少有受试者报告说他们的传统和CAM提供者是团队合作的。这些数据和这一队列为进行与特定CAM疗法相关的健康状况变化的研究奠定了基础。

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