Cramer Holger, Bilc Mirela
Institute of General Practice and Interprofessional Care, University Hospital Tübingen, Tübingen, Germany.
Bosch Health Campus, Stuttgart, Germany.
Front Med (Lausanne). 2025 Jun 11;12:1474914. doi: 10.3389/fmed.2025.1474914. eCollection 2025.
This study investigated the association between complementary medicine (CM) use and the uptake of coronavirus disease 2019 (COVID-19) and flu vaccines in a nationally representative US sample. A secondary analysis of the 2022 National Health Interview Survey data indicated that, after accounting for potential confounders, overall use of CM was not a significant predictor of COVID-19 ( = 0.745) or flu vaccination uptake ( = 0.123). However, vaccination uptake was lower for both COVID-19 and flu vaccines, respectively, in individuals who visited chiropractors (AOR = 0.78, 95% CI [0.69, 0.89], < 0.001; AOR = 0.71, 95% CI [0.63, 0.81], < 0.001) and naturopaths (AOR = 0.66, 95% CI [0.51, 0.86], = 0.002; AOR = 0.72, 95% CI [0.55, 0.94], = 0.017). Uptake rates for both COVID-19 and flu vaccines were higher among individuals who visited an acupuncturist (COVID-19: AOR = 1.46, 95% CI [1.15, 1.86], = 0.002; flu: AOR = 1.32, 95% CI [1.08, 1.63], = 0.008). The use of mind-body medicine was associated with increased likelihood of COVID-19 vaccination uptake (AOR = 1.24, 95% CI [1.08, 1.42], = 0.002), but not flu vaccination ( = 0.264). Visiting a massage therapist was not a significant predictor of either COVID-19 or flu vaccine uptake ( = 0.128 and = 0.232, respectively). Overall, the pattern of associations between CM use and COVID-19 vaccination uptake was comparable to that of flu vaccination uptake.
本研究在美国一个具有全国代表性的样本中,调查了补充医学(CM)的使用与2019冠状病毒病(COVID-19)及流感疫苗接种之间的关联。对2022年全国健康访谈调查数据的二次分析表明,在考虑潜在混杂因素后,CM的总体使用情况并非COVID-19疫苗接种(β=0.745)或流感疫苗接种(β=0.123)的显著预测因素。然而,在拜访脊椎按摩师的个体中,COVID-19疫苗和流感疫苗的接种率分别较低(调整后比值比[AOR]=0.78,95%置信区间[CI][0.69, 0.89],P<0.001;AOR=0.71,95% CI[0.63, 0.81],P<0.001),在拜访自然疗法医生的个体中也是如此(AOR=0.66,95% CI[0.51, 0.86],P=0.002;AOR=0.72,95% CI[0.55, 0.94],P=0.017)。在拜访针灸师的个体中,COVID-19疫苗和流感疫苗的接种率均较高(COVID-19:AOR=1.46,95% CI[1.15, 1.86],P=0.002;流感:AOR=1.32,95% CI[1.08, 1.63],P=0.008)。身心医学的使用与COVID-19疫苗接种可能性增加相关(AOR=1.24,95% CI[