頁籤選單縮合
題 名 | 中老年人使用輔助療法之相關因子=Factors Associated with the Use of Complementaryand Alternative Medicine in Middle-Aged Adultsand Elderly |
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作 者 | 辜美安; 張怡雅; 李明和; 黃志芳3,53,4, Chih-Fang Huang 3,5 陳尚志; 葉月嬌; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷 期 | 6:1 2011.02[民100.02] |
頁 次 | 頁29-42 |
分類號 | 417.7 |
關鍵詞 | 中老年人; 慢性疾病; 輔助療法; 替代醫療; Middle aged adults and elderly; Chronic disease; Complementary medicine; Alternative medicine; |
語 文 | 中文(Chinese) |
中文摘要 | 背景及目的:過去針對中老年人所使用的輔助療法種類及其相關因子的文獻較為欠缺,尤其是在探討是否罹患慢性疾病與輔助療法使用之間的關係。因此,本研究的目的在於探究中老年人使用不同種類的輔助療法之相關因子,並且探討罹患慢性疾病與輔助療法使用的關係。 方法:本研究採橫斷式研究,於2010年2月至4月間對設籍在嘉義縣18鄉鎮市40歲以上之中老年人進行面對面問卷訪談,完成有效樣本1,163位。 結果:在1,163個受訪者中, 71.9% 在過去一年期間至少使用過一種輔助療法。使用輔助療法的獨立因子有性別、年齡、腰圍、教育程度及罹患慢性疾病。此外,八種最常被使用的輔助療法依序為體能活動 (27.0%)、健康食品 (24.8%)、中藥 (24.6%)、維他命 (14.8%)、草藥 (10.3%)、其他輔助療法 (6.4%)、針灸 (5.7%) 及推拿 (5.2%)。進一步以羅吉斯複迴歸分析探究以上八種輔助療法的獨立因子,結果顯示性別、年齡、教育程度、經濟來源、罹患慢性疾病、吸菸習慣、喝酒以及嚼檳榔與使用不同種類的輔助療法呈顯著相關性。 結論:參與研究的中老年人對輔助療法的使用相當普遍,尤其是在罹患慢性疾病者更為明顯。顯示罹患多種慢性疾病的中老年人使用輔助療法的安全性與適當性議題應納入政策考量。 |
英文摘要 | Objective: Little is known about the type of CAM used by middle-aged adults and elderly, particularly in those individuals with chronic illness, and the factors associated with the use of different CAM modalities. The objective of this study is to investigate factors associated with the use of different CAM modalities in middle-aged adults and elderly and to evaluate the association between the number of chronic conditions and the use of CAM. Methods: Face-to-face interviews were conducted using a cross-sectional study design on residents of Chiayi County aged 40 and above during February to April, 2010. A total of 1,163 individuals were successfully interviewed. Results: Of the 1,163 study participants, 71.9% used at least one form of CAM modality during the past year. Sex, age, waist circumference, education levels, and chronic affliction were independent factors associated with the use of CAM. The eight most commonly used CAM modalities were, in descending order: physical activity (27.0%), health foods (24.8%), Chinese medicine (24.6%), vitamins (14.8%), herbal remedy (10.3%), miscellaneous remedies (6.4%), acupuncture (5.7%), and tuina (5.2%). Multivariate logistic regression analyses were further performed to examine the independent factors associated with each of the above eight CAM modalities. Sex, age, education level, source of income, chronic affliction, and habits of smoking, drinking, and betel nut chewing were associated with the use of different CAM modalities. Conclusion: CAM was commonly used by the middle-aged and elderly participants in the present study, particularly by those individuals afflicted with chronic diseases. The safety and suitability of CAM use among middle-aged adults and elderly with multiple chronic illnesses should be considered during policy decision-making process. |
本系統中英文摘要資訊取自各篇刊載內容。