PDF(Pubmed)
Abstract：
Meditation, yoga, guided imagery, and progressive relaxation are promoted as complementary approaches for health and wellbeing in the United States, but their uptake by different sociodemographic groups is unclear. This study assessed the prevalence and 20 year trends in the use of these practices in US adults between 2002-2022. We examined practice use and associations with sociodemographic and health factors in a population-weighted analysis of n = 134,959 participants across 5 cycles of the National Health Interview Survey. The overall use of meditation (18.3%, 60.53 million), yoga (16.8%, 55.78 million) and guided imagery/progressive relaxation (6.7%, 22.22 million) increased significantly from 2002 to 2022. Growth was consistent across most sociodemographic and health strata, however users of \'Other\' race (comprising 54% Indigenous Americans, Odds Ratios; ORs = 1.28-1.70) and users with moderate (ORs = 1.19-1.29) psychological distress were overrepresented across all practices, and those with severe psychological distress were overrepresented in meditation (OR = 1.33) and guided imagery/progressive relaxation (OR = 1.42). Meditation use has accelerated over time for 65 + year olds (OR = 4.22), people not accessing mental health care (OR = 1.39), and less educated (OR = 4.02) groups, potentially reflecting unmet health needs. Health professionals should consider the extensive use of complementary practices in service and treatment planning and consider their risks and benefits.
摘要：
冥想,瑜伽,引导图像，在美国，逐步放松被推广为健康和福祉的补充方法，但是不同的社会人口统计学群体对它们的吸收尚不清楚。这项研究评估了2002年至2022年间美国成年人使用这些做法的患病率和20年趋势。在全国健康访谈调查的5个周期中，我们对n=134,959名参与者进行了人口加权分析，研究了实践使用以及与社会人口统计学和健康因素的关联。冥想的总体使用情况(18.3%，6053万），瑜伽(16.8%，5578万）和引导图像/渐进式放松（6.7%，2222万），2002年至2022年大幅增加。大多数社会人口和健康阶层的增长是一致的，然而，“其他”种族的用户(包括54%的土著美国人，赔率比；ORs=1.28-1.70）和中度（ORs=1.19-1.29）心理困扰的用户在所有实践中都被高估了，在冥想（OR=1.33）和引导意象/渐进式放松（OR=1.42）中，那些患有严重心理困扰的人占了很大比例。随着时间的推移，65岁以上人群的冥想使用加速(OR=4.22)，未获得精神卫生保健的人（OR=1.39），和受教育程度较低(OR=4.02)的组，可能反映未满足的健康需求。卫生专业人员应考虑在服务和治疗计划中广泛使用补充做法，并考虑其风险和收益。
