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美国成年人使用补充医学与接种新冠疫苗情况

Use of complementary medicine and uptake of COVID-19 vaccination among US adults.

作者信息

Cramer Holger, Bilc Mirela

机构信息

Institute of General Practice and Interprofessional Care, University Hospital Tübingen, Tübingen, Germany.

Bosch Health Campus, Stuttgart, Germany.

出版信息

Front Med (Lausanne). 2025 Jun 11;12:1474914. doi: 10.3389/fmed.2025.1474914. eCollection 2025.

Abstract

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.

摘要

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[

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d324/12187769/000c75d9f286/fmed-12-1474914-g001.jpg

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