輔助與替代療法之使用及其相關因素之全國性調查

Prevalence, Pattern, and Predictors of Use of Complementary and Alternative Medicine in Taiwan

10.6288/TJPH2009-28-01-06

林寬佳(Kuan-Chia Lin)；陳美麗(Mei-Li Chen)；葉美玲(Mei-Ling Yeh)；許中華(Chung-Hua Hsu)；陳逸倫(Yi-Lun Chen)；周碧瑟(Pesus Chou)

輔助與替代療法 ； 全國性調查 ； Complementary and alternative medicine CAM ； National survey

台灣公共衛生雜誌

28卷1期（2009 / 02 / 01）

53 - 68

繁體中文

目標：本研究乃為建立國人對於輔助與替代療法之使用資料。方法：研究對象為全省18歲以上之民眾。研究採取以樣本大小比率為基準的機率抽樣。資料收集乃採用電腦輔助電話訪問系統進行調查研究。正式調查於2006年5月，有效樣本數2457，完訪成功率為76.5%。其中男性(n=1237,50.3%)，女性(n=1220,49.7%)，平均年齡43.1歲。結果：使用過一種以上之輔助與替代療法的一年使用率為85.65%，若扣除身心靈調和與體能活動之範疇，則使用率為76.4%。近47.9%的受訪民眾在過去一年使用至少三種樣式的輔助與替代療法。結論：對照2003年之全國性調查，國人使用輔助與替代療法比率多數是成長於身心靈調和與體能活動之範疇。相關因子方面，在社會人口特質以及地理區域上，已逐漸出現差異性與區隔性。自述看西醫卻無效果的經驗是唯一各類輔助與替代療法使用之共同影響變數，而其他相關因子則與不同類別輔助與替代療法的使用產生交互作用。

Objectives: A population survey among residents aged ≥18 in Taiwan was carried out to characterize the epidemiology of complementary and alternative medicine (CAM) use. Methods: Probability proportional to size (PPS) sampling was applied in multi-stage cluster sampling. A computer-assisted telephone interview (CATI) was then conducted to collect data in May 2006. A total of 2,457 subjects (1,234 men and 1,220 women) were surveyed, and their mean age was 43.1 y. Results: Subjects were asked to circle which CAM they used, as many as they used. The use of at least one type of CAM in the past year was 85.5%; it was 76.4% if mind-body interventions were excluded. Approximately 47.9% of the participants reported the use of 3 or more mixed CAM therapies in the past year. Conclusions: Compared with the results of a national report in 2003, the largest increase in CAM use was found in body-mind techniques and physical activities. In addition, CAM users tended to be different in regard to demographics and geographic area. Furthermore, dissatisfaction with conventional medical outcomes was the major factor associated with initiation of CAM use. Finally, there were significant interrelationships between other factors and type-specific CAM use.

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