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The use of complementary and alternative medicine in a multi-ethnic Asian population: results from the 2016 Singapore Mental Health Study.
BMC Complementary and Alternative Medicine ( IF 4.782 ) Pub Date : 2020-02-13 , DOI: 10.1186/s12906-020-2843-7
Vanessa Seet 1 , Edimansyah Abdin 1 , Janhavi A Vaingankar 1 , Shazana Shahwan 1 , Sherilyn Chang 1 , Bernard Lee 2 , Siow Ann Chong 1 , Mythily Subramaniam 1, 3
Affiliation  

BACKGROUND This study seeks to investigate factors associated with using complementary and alternative medicine (CAM) for a mental illness among the three major ethnic groups (Chinese, Indians and Malays) in the general population of Singapore. METHODS Data from the 2016 Singapore Mental Health Study was used; responses from the "Services" section of the Composite International Diagnostic Interview version 3.0 (CIDI 3.0) administered during face-to-face household interviews with participants were analyzed to establish prevalence of CAM use among Singaporeans. Additionally, sociodemographic variables of interest were selected for sub-group regression analyses to yield correlates of CAM use among the three ethnic groups. RESULTS 6.4% of Singaporeans used at least one form of CAM in the past 12 months for their mental illness. Malays reported using CAM the most, followed by Indians and Chinese. Sociodemographic variables such as education and employment were differently associated with CAM use among the ethnicities. Across all three ethnic groups, CAM users were more likely to report poorer mental health-related quality of life. CONCLUSION Despite the significant differences in CAM use among Chinese, Malays and Indians, those who had a mental illness were significantly more likely to use CAM regardless of ethnicity. This highlights the need for communication between CAM practitioners and conventional mental healthcare providers for early referral when appropriate which would lead to improved healthcare delivery and better clinical outcomes.

中文翻译:

在亚洲多族裔人口中使用补充和替代医学:2016年新加坡心理健康研究的结果。

背景技术本研究旨在调查与新加坡普通人群中的三个主要种族群体(华人,印度人和马来人)在精神疾病中使用补充和替代药物(CAM)相关的因素。方法使用2016年新加坡心理健康研究的数据;分析了综合国际诊断访谈3.0版(CIDI 3.0)的“服务”部分中与参与者进行的面对面家庭访谈中的回答,以确定新加坡人中CAM的使用率。此外,选择感兴趣的社会人口统计学变量进行亚组回归分析,以得出三个族裔之间CAM使用的相关性。结果在过去的12个月中,有6.4%的新加坡人至少使用一种形式的CAM来治疗精神疾病。马来人报告使用CAM最多,其次是印度人和华人。社会人口统计学变量(如教育和就业)在不同种族之间与CAM的使用不同。在所有三个族裔中,CAM用户更有可能报告与心理健康相关的生活质量较差的情况。结论尽管华人,马来人和印度人在使用CAM方面存在显着差异,但患有精神疾病的人无论种族如何,使用CAM的可能性均明显更高。这突出显示了CAM从业者与常规精神保健提供者之间的沟通,以便在适当时及早转诊,这将改善医疗保健的提供和更好的临床效果。在人口中,诸如教育和就业等社会人口统计学变量与CAM的使用不同。在所有三个族裔中,CAM用户更有可能报告与心理健康相关的生活质量较差的情况。结论尽管华人,马来人和印度人在使用CAM方面存在显着差异,但患有精神疾病的人无论种族如何,使用CAM的可能性均明显更高。这突出显示了CAM从业者与常规精神保健提供者之间的沟通,以便在适当时及早转诊,这将改善医疗保健的提供和更好的临床效果。在人口中,诸如教育和就业等社会人口统计学变量与CAM的使用不同。在所有三个族裔中,CAM用户更有可能报告与心理健康相关的生活质量较差的情况。结论尽管华人,马来人和印度人在使用CAM方面存在显着差异,但患有精神疾病的人无论种族如何,使用CAM的可能性均明显更高。这突出显示了CAM从业者与常规精神保健提供者之间的沟通,以便在适当时及早转诊,这将改善医疗保健的提供和更好的临床效果。结论尽管华人,马来人和印度人在使用CAM方面存在显着差异,但患有精神疾病的人无论种族如何,使用CAM的可能性均明显更高。这突出显示了CAM从业者与常规精神保健提供者之间的沟通需求,以便在适当时及早转诊,这将改善医疗保健的提供和更好的临床效果。结论尽管华人,马来人和印度人在使用CAM方面存在显着差异,但患有精神疾病的人无论种族如何,使用CAM的可能性均明显更高。这突出显示了CAM从业者与常规精神保健提供者之间的沟通需求,以便在适当时及早转诊,这将改善医疗保健的提供和更好的临床效果。
更新日期:2020-03-28
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