{"title":"美国老年人补充和替代医学使用方式与费用相关的不遵守医疗保健之间的关系:一项队列研究。","authors":"James X Zhang, David O Meltzer","doi":"10.1089/acm.2021.0225","DOIUrl":null,"url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Complementary and alternative medicine (CAM) use has been increasingly prevalent among Americans, whereas its relationship with medical nonadherence is unknown. <b><i>Methods:</i></b> Using the National Health Interview Survey, we evaluated the use of CAM modalities and their association with cost-related nonadherence to medical care (CRN) among older Americans by gender strata. <b><i>Results:</i></b> Men and women were, in general, in the same pattern of higher likelihood of reporting CRN if they utilized herbal supplements, meditation, and chiropractic or osteopathic manipulations (<i>p</i> < 0.05, respectively). <b><i>Conclusion:</i></b> Both men and women are more likely to report financial distress while using various CAM modalities.</p>","PeriodicalId":14944,"journal":{"name":"Journal of alternative and complementary medicine","volume":"27 12","pages":"1131-1135"},"PeriodicalIF":2.3000,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8713274/pdf/acm.2021.0225.pdf","citationCount":"1","resultStr":"{\"title\":\"Association Between the Modalities of Complementary and Alternative Medicine Use and Cost-Related Nonadherence to Medical Care Among Older Americans: A Cohort Study.\",\"authors\":\"James X Zhang, David O Meltzer\",\"doi\":\"10.1089/acm.2021.0225\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b><i>Introduction:</i></b> Complementary and alternative medicine (CAM) use has been increasingly prevalent among Americans, whereas its relationship with medical nonadherence is unknown. <b><i>Methods:</i></b> Using the National Health Interview Survey, we evaluated the use of CAM modalities and their association with cost-related nonadherence to medical care (CRN) among older Americans by gender strata. <b><i>Results:</i></b> Men and women were, in general, in the same pattern of higher likelihood of reporting CRN if they utilized herbal supplements, meditation, and chiropractic or osteopathic manipulations (<i>p</i> < 0.05, respectively). <b><i>Conclusion:</i></b> Both men and women are more likely to report financial distress while using various CAM modalities.</p>\",\"PeriodicalId\":14944,\"journal\":{\"name\":\"Journal of alternative and complementary medicine\",\"volume\":\"27 12\",\"pages\":\"1131-1135\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2021-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8713274/pdf/acm.2021.0225.pdf\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of alternative and complementary medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1089/acm.2021.0225\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/9/6 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"INTEGRATIVE & COMPLEMENTARY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of alternative and complementary medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1089/acm.2021.0225","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/9/6 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
Association Between the Modalities of Complementary and Alternative Medicine Use and Cost-Related Nonadherence to Medical Care Among Older Americans: A Cohort Study.
Introduction: Complementary and alternative medicine (CAM) use has been increasingly prevalent among Americans, whereas its relationship with medical nonadherence is unknown. Methods: Using the National Health Interview Survey, we evaluated the use of CAM modalities and their association with cost-related nonadherence to medical care (CRN) among older Americans by gender strata. Results: Men and women were, in general, in the same pattern of higher likelihood of reporting CRN if they utilized herbal supplements, meditation, and chiropractic or osteopathic manipulations (p < 0.05, respectively). Conclusion: Both men and women are more likely to report financial distress while using various CAM modalities.
期刊介绍:
The Journal of Alternative and Complementary Medicine: Paradigm, Practice, and Policy Advancing Integrative Health is the leading peer-reviewed journal providing scientific research for the evaluation and integration of complementary and alternative medicine into mainstream medical practice. The Journal delivers original research that directly impacts patient care therapies, protocols, and strategies, ultimately improving the quality of healing.
The Journal of Alternative and Complementary Medicine coverage includes:
-Botanical Medicine
-Acupuncture and Traditional Chinese Medicine
-Other Traditional Medicine Practices
-Mind-Body Medicine
-Nutrition and Dietary Supplements
-Integrative Health / Medicine
-Yoga
-Ayurveda
-Naturopathy
-Creative Arts Therapies
-Integrative Whole Systems / Whole Practices
-Homeopathy
-Tai Chi
-Qi Gong
-Massage Therapy
-Subtle Energies and Energy Medicine
-Integrative Cost Studies / Comparative Effectiveness
-Neurostimulation
-Integrative Biophysics