Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
권호 표지
DOI QR코드

DOI QR Code

Utilization Behaviour and Influencing Factors of Complementary and Alternative Medicine Therapies Among the Elderly

일부 노인의 보완대체요법 이용행태와 영향요인

  • Moon, Gi-Won (Department of Alternative Medicine Graduate School, Kyonggi University) ;
  • Kim, Jun-Ho (Department of Health Industry Promotion, Korea Health Industry Development Institute) ;
  • Kim, Chun-Bae (Department of Preventive Medicine, Yonsei University Wonju College of Medicine)
  • 문기원 (경기대학교 일반대학원 대체의학과) ;
  • 김준호 (한국보건산업진흥원 보건산업진흥단) ;
  • 김춘배 (연세대학교 원주의과대학 예방의학교실)
  • Received : 2012.12.17
  • Accepted : 2013.03.07
  • Published : 2013.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The aim of this study is to analyze the utilization behaviour and influencing factors of complementary and alternative medicine (CAM) therapies among elderly people with chronic diseases. Methods: The study population was selected among 9 welfare facilities for the aged in 2 cities among Daegu Metropolitan City & Gyeongsangnam Province by two-stage cluster sampling. 250 senior citizens participated in a face-to-face interview using a structured questionnaire. Logistic regression analysis was performed to examine the association between the utilization of CAM therapies and various characteristics of the elderly. All statistics were analyzed using the PASW (ver 18.0). Results: Among 233 elderly peoples, 70.4% (164 persons) had used various kinds of CAM therapies (including nutritional methods, pharmacologic and biologic treatments, etc.) more than once during the last year. 48.8% (64 persons) ~ 60.7% (88 persons) of the elderly used CAM therapies without health and medical experts' counsel. The elderly with perceptions of CAM therapy used it 2 times more than those without knowledge of CAM therapies. The number of chronic diseases was more likely to increase the usage of nutritional methods (OR=2.92, 95% CI: 1.07-7.97), manipulative and body-based practices (OR=5.85, 95% CI: 1.97-17.34), pharmacologic and biologic treatments (OR=2.92, 95% CI: 1.49-8.17). Elderly with diabetes used nutritional methods 3.76 (95% CI: 1.49-9.47) more than elderly without diabetes. Conclusions: CAM therapies use in the aged with chronic diseases appears common. The findings suggest that the clinical efficacy and safety of CAM therapies on medical management of chronic disease may be investigated and that patient-physician communication need to be strengthened.

이 연구목적은 일부 지역 재가 노인을 대상으로 보완대체요법 이용행태와 그 영향요인을 구명하는데 있다. 2단계 집락추출로 선정된 대구광역시와 경상남도의 2개 시 군의 노인복지시설(9개)을 이용한 60세 이상 노인 233명을 대상으로 보완대체요법 이용현황, 보완대체요법 인지 여부, 만성질환유형에 따른 이용실태 등을 파악하기 위해 교차분석 및 로지스틱 회귀분석을 실시하였다. 그 결과 조사대상 노인의 70.4%(164명)가 지난 1년간 보완대체요법 이용 경험이 있었다. CAM 종류별로 48.8%(64명)~60.7%(88명)의 노인들이 보건의료 전문가와의 상담 없이 이용하고 있었다. 보완대체요법을 인지하고 있는 경우의 이용 경험은 2 이상 높았으며, 이환된 만성질환 수가 많은 경우의 이용경험은 수기요법 5.85(95% CI 1.97-17.34), 영양요법 2.92(95% CI 1.07-7.97), 약물요법 2.92(95% CI 1.04-8.17)로 높았으며, 만성질환 중 당뇨병을 진단받은 경우의 영양요법 이용 경험은 3.76(95% CI 1.49-9.47) 높았다. 노인 만성질환관리를 위해서는 보완대체요법에 대한 명확하고 체계적인 분류, 효과 및 안전성에 대한 객관적 검증과 함께 노인들의 건강상태를 고려한 전문가 및 의료인의 보완대체요법 이용 중재가 필요하다.

Keywords

References

  1. Park JK, Kim CB, Choi SY, Kim DR, Jeon SI, Lee SD, Lee JC, Kang MG, Cho KS. Challenge of complementary and alternative medicine - Worldwide currents and health policy implications. Korean J Health Policy Adm 2000;10(1):1-30 (Korean)
  2. Pan SY, Gao SH, Zhou SF, Tang MK, Yu ZL, Ko KM. New perspectives on complementary and alternative medicine: an overview and alternative therapy. Altern Ther Health Med 2012;18(4):20-36
  3. Jonas WB. Alternative medicine. J Fam Prac 1997;45:34-37
  4. Lee TH, Maeng WJ, Kim NI. Changing definitions of complementary and alternative medicine and related research analysis in Korea. Korean J Orient Med 2010;16(2): 43-55 (Korean)
  5. National Center for Complementary and Alternative Medicine. What Is Complementary and Alternative Medicine? Types of CAM. 2012 May [cited 2013 Jan 11]. Available from : URL:http://www.nccam.nih.gov/health/whatiscam#types.
  6. National Cancer Institute. Thinking About Complementary and Alternative Medicine: A Guide for People With Cancer. 2005 June [cited 2013 January 11]. Available from : URL:http://www.cancer.gov/cancertopics/cam/thinking-about-CAM/page5.
  7. Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Report 2008;12:1-23
  8. Suzuki N. Complementary and alternative medicine: a Japanese perspective. Evid Based Complement Alternat Med 2004;1(2): 113-118 https://doi.org/10.1093/ecam/neh029
  9. Büssing A, Ostermann T, Heusser P, Matthiessen PF. Usage of alternative medical systems, acupuncture, homeopathy and anthroposophic medicine, by older German adults. Zhong Xi Yi Jie He Xue Bao 2011;9(8):847-856 https://doi.org/10.3736/jcim20110806
  10. Kim SG, Lee SH, Seo HJ, Baek SM, Choi SM. Research trend analysis of the prevalence of complementary and alternative medicine in Korea. J Korean Med Soc 2012;33(1):24-41 (Korean)
  11. Ock SM, Choi JY, Cha YS, Lee J, Chun MS, Huh CH, Lee SY, Lee SJ. The use of complementary and alternative medicine in a general population in South Korea: results from a national survey in 2006. J Korean Med Sci 2009;24(1):1-6
  12. Lee MS. Comparison of health promoting behavior in rural elderly by complementary alternative medicine utilization. Korean J Adult Nurs 2007;19(1):98-108 (Korean)
  13. Kim HR, Son EJ, Kim MK, Lyu ES. Perception and use of complementary and alternative medicine in diabetic patients in Busan area. Korean J Community Nutr 2011;16(4):488-496 (Korean) https://doi.org/10.5720/kjcn.2011.16.4.488
  14. Mok SA, Cho MO. Utilization of alternative complementary remedies of stroke patients. Korean J Adult Nurs 2004;16(3):432-441 (Korean)
  15. Oh HS. A study on utilization of alternative therapies and factors related to use among patients with strokes. J Korean Gerontol Nurs 2008;10(1):37-47 (Korean)
  16. Kang E, Yang EJ, Kim SM, Chung IY, Han SA, Ku DH, Nam SJ, Yang JH, Kim SW. Complementary and alternative medicine use and assessment of quality of life in Korean breast cancer patients: a descriptive study. Support Care Cancer 2012;20(3): 461-473 https://doi.org/10.1007/s00520-011-1094-z
  17. Chae BJ, Song BJ, Kim SS, Kim SG, Jun KH, Song KY, Chin HM, Kim W, Park CH, Park SM, Lim KW, Kim SN, Jeon HM. Use of complementary and alternative medicine by gastric cancer patients. J Korean Surg Soc 2007;72(5):369-378 (Korean)
  18. Kim MH, Kang PS, Hwang TY, Lee KS, Maxwell AE. Utilization of complementary and alternative medicine of cancer patient in Korea. J Agri Med Community Health 2007;32(3):155-167 (Korean) https://doi.org/10.5393/JAMCH.2007.32.3.155
  19. Suh DH, Kang SB, Kim JW, Park NH, Song YS, Kang SB, Lee HP. Utilization of complementary and alternative medicines (CAMs) in women with gynecologic malignancies. J Gynecol Oncol 2004;15(3): 204-212 (Korean)
  20. Kam S, Park KS. Utilization and out-ofpocket expenditure of complementary and alternative medicine in low-income patients with osteoarthritis in a city. J Agri Med Community Health 2008;33(2): 181-192 (Korean) https://doi.org/10.5393/JAMCH.2008.33.2.181
  21. Chung G, Kim JH. Comparison of conventional medicines and complementary-alternative therapy utilization on musculoskeletal pain. Health Soc Welf Rev 2011;31(4):478-493 (Korean) https://doi.org/10.15709/hswr.2011.31.4.478
  22. Cho NH, Kim SH, Woo EK, Yi JJ, Yi SW, Cho HS. Utilization level and associated factors of complementary and alternative medicine in the older population before death. Korean J Hosp Palliat Care 2004;7(1):37-48 (Korean)
  23. Lee JJ, Ohrr HC, Yi SW. A study on the cost and proportion of complementary and alternative medicine in total healthcare cost among elderly in the last 6 months of life. J Prev Med Public Health 2004;37(2): 141-149 (Korean)
  24. Shin YS, Kim EH. A study on health behaviors, health status and anxiety about aging for the elderly -Focused on the elderly in senior center-. J Korean Acad Community Health Nurs 2009;20(2):179-188 (Korean)
  25. Lee KJ, Kim OH, Chun WJ, Roe MH, Kang MJ, Ko SH, Lee KS, Lee KE. A study on the use of complementary and alternative therapies in Korean adults. Korean J Adult Nurs 2007;19(1):144-154 (Korean)
  26. Fox P, Coughlan B, Butler M, Kelleher C. Complementary alternative medicine (CAM) use in Ireland: a secondary analysis of SLAN data. Complement Ther Med 2010;18(2):95-103 https://doi.org/10.1016/j.ctim.2010.02.001
  27. Hawk C, Ndetan H, Evans MW Jr. Potential role of complementary and alternative health care providers in chronic disease prevention and health promotion: an analysis of National Health Interview Survey data. Prev Med 2012;54(1):18-22 https://doi.org/10.1016/j.ypmed.2011.07.002
  28. Saydah SH, Eberhardt MS. Use of complementary and alternative medicine among adults with chronic diseases: United States 2002. J Altern Complement Med 2006;12(8):805-812 https://doi.org/10.1089/acm.2006.12.805
  29. McLaughlin D, Adams J, Sibbritt D, Lui CW. Sex differences in the use of complementary and alternative medicine in older men and women. Australas J Ageing 2012;31(2):78-82 https://doi.org/10.1111/j.1741-6612.2011.00554.x
  30. Kang SW, Ha TG, Cho BH, Lee SC, Han DS, Lee KM, Han SK. Comparison of knowledge, attitude, and experience about complementary and alternative medicine between primary care physicians and academic physicians in Korea. J Korean Med Assoc 2011;54(2):217-229 (Korean) https://doi.org/10.5124/jkma.2011.54.2.217

Cited by

  1. Health Status and the Use of Complementary and Alternative Therapies in the Community Dwelling Pre-elderly and Elderly vol.18, pp.1, 2015, https://doi.org/10.7587/kjrehn.2015.46
  2. Factors related to the parallel use of complementary and alternative medicine with conventional medicine among patients with chronic conditions in South Korea vol.6, pp.2, 2017, https://doi.org/10.1016/j.imr.2017.04.002