BACKGROUND Traditional and complementary medicine (T&CM) is commonly used by cancer patients in Northern Norway, in particular spiritual forms like traditional healing. T&CM is mainly used complementary to conventional cancer treatment and is rarely discussed with conventional health care providers, increasing the risk of negative interaction with conventional cancer care. The aim of this study was to investigate the use of T&CM among cancer patients in Tromsø, and to investigate the differences in T&CM use between people living with cancer, people with cancer previously, and people without a history of cancer. METHOD Data was drawn from the seventh survey of the Tromsø study conducted in 2015-2016. All inhabitants of Tromsø aged 40 and above were invited to participate (n = 32,591) of whom n = 21,083 accepted the invitation (response rate 65%). Data was collected thorough three self-administered questionnaires and a comprehensive clinical examination. Pearson chi-square tests, Fisher exact tests and one-way ANOVA tests were used to describe differences between the groups while binary logistic regressions were used for adjusted values. RESULTS Eight percent of the participants (n = 1636) reported to have (n = 404) or have had (n = 1232) cancer. Of the participants with cancer at present 33.4% reported use of T&CM within the last year, 13.6% had consulted a T&CM provider, 17.9% had used herbal medicine/natural remedies and 6.4% had practiced self-help techniques. The participants with cancer at present were more likely to have visited a T&CM provider than participants with cancer previously (13.6% vs. 8.7%, p = 0.020). Among the participants with cancer at present, 6.4% reported to have consulted a TM provider, 5.8% had consulted an acupuncturist, while 4.7% had consulted other CM providers. Women were significantly more likely than men to have used acupuncture and self-help techniques. No significant gender differences were found regarding visits to other CM providers, TM providers nor use of herbal medicine/natural remedies. CONCLUSION The findings are in line with previous research suggesting that both men and women use TM complementary to other CM modalities outside the official health care system. As herbal medicine might interact with conventional cancer treatment, health care providers need to discuss such use with their patients.

中文翻译：

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Tromsø研究的第七次调查显示，挪威癌症患者中传统药物和补充药物的使用。

背景技术传统和补充医学（T＆CM）在挪威北部的癌症患者中普遍使用，特别是诸如传统治疗之类的精神形式。T＆CM主要用作常规癌症治疗的补充，很少与常规医疗保健提供者讨论，从而增加了与常规癌症治疗发生负面相互作用的风险。这项研究的目的是调查特罗姆瑟州癌症患者中T＆CM的使用情况，并调查癌症患者，先前患有癌症的人和没有癌症病史的人之间在T＆CM使用方面的差异。方法数据来自于2015-2016年进行的Tromsø研究的第七次调查。邀请所有40岁及以上的Tromsø居民参加（n = 32,591），其中n = 21，083接受了邀请（回复率为65％）。通过三份自我管理的问卷和全面的临床检查收集数据。皮尔逊卡方检验，Fisher精确检验和单向ANOVA检验用于描述两组之间的差异，而二元logistic回归用于调整值。结果8％的参与者（n = 1636）报告患有（n = 404）或患有（n = 1232）癌症。在目前有癌症的参与者中，有33.4％的人报告在过去一年内使用过T＆CM，有13.6％的人咨询过T＆CM的提供者，有17.9％的人使用过草药/自然疗法，有6.4％的人采用了自助技术。当前有癌症的参与者比以前有癌症的参与者更有可能去过T＆CM提供者（13.6％对8.7％，p = 0.020）。目前有癌症的参与者中，有6.4％的人曾咨询过TM医师，5.8％的人曾咨询过针灸师，而4.7％的人曾咨询过其他CM医师。女性使用针灸和自助技术的可能性明显高于男性。在拜访其他CM提供者，TM提供者或使用草药/自然疗法方面，未发现明显的性别差异。结论该发现与先前的研究相吻合，表明男性和女性都使用TM作为官方卫生保健系统以外的其他CM模式的补充。由于草药可能会与常规的癌症治疗相互作用，因此医疗保健提供者需要与患者讨论这种用法。4.7％的人曾咨询过其他CM提供商。女性使用针灸和自助技术的可能性明显高于男性。在拜访其他CM提供者，TM提供者或使用草药/自然疗法方面，未发现明显的性别差异。结论该发现与先前的研究相吻合，表明男性和女性都使用TM作为官方卫生保健系统以外的其他CM模式的补充。由于草药可能会与常规的癌症治疗相互作用，因此医疗保健提供者需要与患者讨论这种用法。4.7％的人曾咨询过其他CM提供商。女性使用针灸和自助技术的可能性明显高于男性。在拜访其他CM提供者，TM提供者或使用草药/自然疗法方面，未发现明显的性别差异。结论该发现与先前的研究相吻合，表明男性和女性都使用TM作为官方卫生保健系统以外的其他CM模式的补充。由于草药可能会与常规的癌症治疗相互作用，因此医疗保健提供者需要与患者讨论这种用法。TM提供商也不使用草药/自然疗法。结论该发现与先前的研究相吻合，表明男性和女性都使用TM作为官方卫生保健系统以外的其他CM模式的补充。由于草药可能会与常规的癌症治疗相互作用，因此医疗保健提供者需要与患者讨论这种用法。TM提供商也不使用草药/自然疗法。结论该发现与先前的研究相吻合，表明男性和女性都使用TM作为官方卫生保健系统以外的其他CM模式的补充。由于草药可能会与常规的癌症治疗相互作用，因此医疗保健提供者需要与患者讨论这种用法。