Predictors for Adolescent Visits to Practitioners of Complementary and Alternative Medicine in a Total Population (the Young-HUNT Studies) 英文参考文献.docVIP
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Predictors for Adolescent Visits to Practitioners of Complementary and Alternative Medicine in a Total Population (the Young-HUNT Studies) 英文参考文献
PredictorsforAdolescentVisitstoPractitionersof
ComplementaryandAlternativeMedicineinaTotal
Population(theYoung-HUNTStudies)
AslakSteinsbekk1*,MaritByRise1,FelicityBishop2,GeorgeLewith2
1DepartmentofPublicHealthandGeneralPractice,NorwegianUniversityofScienceandTechnology,Trondheim,Norway,2ComplementaryandIntegratedMedicine
ResearchUnit,PrimaryMedicalCare,UniversityofSouthampton,Southampton,UnitedKingdom
Abstract
Aim:Toinvestigatethefactorspredictingadolescentvisitstopractitionersofcomplementaryandalternativemedicine(CAM).
Methods:AlongitudinalcohortstudyconductedinanadolescenttotalpopulationinCentralNorway(TheNord-Tr?ndelag
HealthStudies(HUNT)).InYoung-HUNT1,allinhabitantsaged13to19years(N=8944,89%responserate)wereinvitedto
participate,andtheyoungestgroup(13to15yearolds)wassurveyedagain4yearslater(Young-HUNT2,N=2429,82%
response rate). The participants completed a comprehensive questionnaire on health and life style which included a
questionregardingvisitstoaCAMpractitionerinthelast12months.
Results:Oneineleven(8.7%,95%CI7.6-9.8%)hadvisitedaCAMpractitioner,anincreaseof26%in4years(1.8%points).
ThefinalmultivariableanalysispredictedincreasedoddsofanadolescentbecomingaCAMvisitorfouryearslater(p,0.05)
ifsheorhehadpreviouslyvisitedaCAMpractitioner(adjOR3.4),hadmusculoskeletalpain(adjOR1.5),hadmigraine(adjOR
2.3),usedasthmamedicines(adjOR1.8)orsufferedfromanotherdiseaselastingmorethanthreemonths(adjOR2.1).Being
malepredictedreducedoddsofvisitingaCAMpractitionerinthefuture(adjOR0.6).
Conclusion:WecanconcludefromthisstudythatfuturevisitstoaCAMpractitionerarepredictedbybothpredisposing
factors(beingfemale,havingvisitedaCAMpractitionerpreviously)andmedicalneedfactors(havinghadmusculoskeletal
pain, migraine, used asthma medicines or experienced another disease lasting more than three months). None of the
specificvariablesassociatedwithCAMvisitswerepredictiveforCAMvisitsfouryearslater.
Citation:SteinsbekkA,RiseMB,BishopF,LewithG(2011)PredictorsforAdolescentVisitstoPractitioner
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