Læknablaðið - 15.04.2010, Qupperneq 41

FRÆÐIGREINAR
RANNSÓKNIR
í framhaldsrannsókn væri ástæða til að
sundurgreina notkun þjónustuaðila og draga fram
það sem tengist notkun hvers aðila. Einnig væri
ástæða til að athuga hverjir nota óhefðbundna
þjónustu í viðbót við þá hefðbundnu og hverjir
nota óhefðbundna þjónustu í staðinn fyrir þá
hefðbundnu. Afdrif einstakra notendahópa væri
einnig verðugt rannsóknarefni.
Þakkir
Heilbrigðiskönnunin Heilbrigði og aðstæður
íslendinga hlaut styrk frá rannsóknasjóði Rannís
og rannsóknasjóði Háskóla Islands.
Heímildir
1. National Center for Complimentary and Altemative
Medicine (NCCAM). What is CAM? http://nccam.nih.gov
Maí 2009.
2. Eisenberg, DM, Davis RB, Ettner SL, et al. Trends in
alternative medicine use in the United States, 1990-1997:
results of a follow-up national survey. JAMA 1998; 280:1569-
75.
3. Skýrsla heilbrigðisráðherra um græðara og starfsemi þeirra
(Lögð fyrir Alþingi á 131. löggjafarþingi 2004-2005). www.
althingi.is/altext/131/s/0731.html Maí 2009.
4. Goldstein MS. The growing acceptance of complementary
and altemative medicine. í: Bird CE, Conrad P, Fremont AM,
ritstj. Handbook of Medical Sociology. 5th ed. Prentice Hall,
New Jersey 2000:284-97.
5. Xue CC, Zhang AL, Lin V, Da Costa C, Story DF.
Complementary and altemative medicine use in Australia: a
national population-based survey. J Altem Complement Med
2007; 13: 643-50.
6. Kjoller M. Hvem og hvor mange benytter sig af altemative
behandlingstilbud? 1: Alternativ Behandling. Teknologirádets
rapporter 2002/7. Teknologirádet, Kobenhavn 2002: 122-32.
www.tekno.dk/pdf/projekter/p02_alternativ-behandling-
rapport.pdf. Maí 2009.
7. Det kongelige helsedepartement. Om lov om altemativ
behandling av sykdom mv. Ot. prp. nr. 27 (2002-2003).
http://odin.dep.no/hod/norsk/publ/otprp/042001-
050013/index-dok000-b-n-a.html Maí 2009.
8. Hildreth KD, Elman C. Altemative worldviews and the
utilization of conventional and complementary medicine.
Sociol Inq 2007; 77: 76-103.
9. Kelner M, Wellman B. Health care and consumer choice:
medical and alternative therapies. Soc Sci Med 1997; 45: 203-
12.
10. Krauss HH, Godfrey C, Kirk J, Eisenberg DM. Altemative
health care: its use by individuals with physical disabilities.
Arch Phys Med Rehabil 1998; 79:1440-7.
11. Molassiotis A, Fernadez-Ortega P, Pud D, et al. Use of
complementary and altemative medicine in cancer patients:
a European survey. Ann Oncol 2005; 16: 655-63.
12. Astin JA. Why patients use altemative medicine: results of a
national study. JAMA1998; 279:1548-53.
13. Gortmaker SL, Eckenrode J, Gore S. Stress and the utilization
of health services: a time series and cross-sectional analysis. J
Health Soc Behav 1982; 23: 24-38.
14. Haraldsdóttir S. Notkun kvenna og karla á
heilbrigðisþjónustu. í: Jónsdóttir LS, ritstj. Heilsufar kvenna.
Heilbrigðis- og tryggingamálaráðuneytið, Reykjavík 1998:
109-15.
15. Vilhjálmsson R. A national study of factors related to the
use of altemative health services. Veggspjald kynnt á 15.
norrænu lýðheilsuráðstefnunni (Nordic Conference on Social
Medicine), Hótel Sögu, Reykjavík, 3.-5. júní, 1999.
16. Vilhjálmsson R, Kristjánsdóttir G, Sveinbjamardóttir E.
Factors associated with suicide ideation in adults. Soc
Psychiatry Psychiat Epidemiol 1998; 33: 97-103.
17. Dillman DA. The design and administration of mail surveys.
Ann Rev Sociol 1991; 17:225-49.
18. Derogatis LR, Lipman RS, Covi L. SCL-90: an outpatient
psy chiatric rating scale-preliminary report. Psychopharmacol
Bull 1973; 9:13-28.
19. Derogatis LR, Melisaratos N. The Brief Symptom Inventory:
an introductory report. Psychol Med 1983; 13:595-605.
20. Gunnarsdóttir ÞJ. Viðbótarmeðferðir í hjúkmn. í: Jónsdóttir
H, ritstj. Frá innsæi til inngripa: Þekkingarþróun í hjúkrunar-
og ljósmóðurfræði. Hið íslenska bókmenntafélag, Reykjavík
2006: 341-57.
21. Guðlaugsdóttir DÓ. Samþætt viðbótarmeðferð fyrir
sjúklinga með illkynja sjúkdóma á lyflækningasviði II LSH:
Könnun á áhrifum slökunar á sjúklinga á göngudeild. Óbirt
BS-ritgerð. Hjúkmnarfræðideild Háskóla íslands 2007.
22. Gunnarsdóttir ÞJ, Friðriksdóttir N, Jónasdóttir L, Smára-
dóttir A.Landspítali: Stefna um viðbótarmeðferðir á
lyflækningasviði II Landspítala. www4.landspitali.is/lsh_
ytri.nsf / pages/frettir_4542/$FILE/vidbotarmeðferdir_lyf-
II_2008.pdf - Maí 2009.
Utilization of complimentary and alternative health services in lceland
Objective: Westerners increasingly use complimentary and
alternative (CAM) methods for curing illness and promoting
health. The central ideas of CAM appear to resonate with
large segments of the general public. Little is known about
CAM use in lceland. The purpose of the study was to
assess the scope of utilization of CAM providers and the
likely explanatory factors.
Material and methods: The data come from a national
postal health survey that took place during the Fall of 2006.
A sample of lcelandic adults, age 18-75, was randomly
drawn from the National Register. 1532 individuals
responded to the survey yielding a 60% response rate.
Results: Almost 32% of the respondents had used a CAM
provider in the past 12 months, an estimated increase of
6% since 1998. Women and high income individuals were
more likely to use a CAM provider than men and lower
income individuals. Physical and mental distress was also
related to the likelihood of CAM use. Individuals having
negative or positive attitude toward physician services
were more likely to use a CAM provider than those
expressing a neutral attitude. Finally, repeated physician
visits were related to an increased likelihood of CAM use.
Conclusions: lcelanders use CAM providers to a
considerable degree, and CAM use has increased in
recent years. It appears that some clients regard the care
they receive in the general health system as insufficient.
Most CAM users appear to use CAM treatments as a
supplement to the care received in the general health
system.
Helgadottir B, Vilhjalmsson R, Gunnarsdottir TJ.
Utilization of complimentary and alternative health services in lceland. Icel Med J 2009; 96: 267-73.
Key words; complimentary and altemative health care, social groups, health, physician visits.
Correspondence: Rúnar Vilhjálmsson, runarv@hi.is
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Barst: 12. maí 2009, - samþykkt til birtingar: 7. febrúar 2010
Hagsmunatengsl: Engin
LÆKNAblaðið 2010/96 273