Prevalence and Related Factors of Chinese Herbal Medicine Use in Pregnant Women of Taipei, 1985-1987

1985-1987台北地區孕婦使用中草藥之盛行率及其相關因素

莊昭華(Chao-Hua Chuang) ； 賴榮年(Jung-Nien Lai) ； 王榮德(Jung-Der Wang) ； 張蓓貞(Pei-Jen Chang) ； 陳保中(Pau-Chung Chen)

《台灣公共衛生雜誌》 24卷4期 (2005/08) Pp. 335-347

https://doi.org/10.6288/TJPH2005-24-04-07

摘要

目標：孕婦使用草藥越趨流行，本研究的目的爲探討台北地區孕婦使用中草藥之盛行率及其相關因素。方法：於1985-87年間到台北市立婦幼醫院進行產檢之懷孕26週或以上之孕婦，經由訪員使用結構式問卷進行訪談，以獲得詳細資料。利用複邏輯迴歸分析不同時期孕婦使用中草藥、西藥及鐵劑或維它命之相關因素。結果：69%的孕婦曾於孕前用過中草藥，42.3%於孕中使用過中草藥。家庭收入較低、未生產過、孕前有婦科病史、或孕前月經不現則之孕婦較易於孕前使用中草藥；較低教育、非專業性職業、曾有過流產或死產、或有B形肝炎之孕婦較易於孕中使用中草藥。結論：此1980年代的研究顯示台北地區孕婦普遍存在使用中草藥之情形，未來需繼續釐清草藥對胎兒之潛在健康影響，及孕期照護人員須詢問及注意孕婦使用中草藥之習慣。

關鍵字

中草藥 ； 孕婦 ； 盛行率 ； 相關因素

並列摘要

Objectives: The use of herbal medicines during pregnancy is becoming fashionable. The purpose of this study is to explore the prevalence and related factors of pregnant women using Chinese herbal medicines in Taipei. Methods: During 1985-87, a total of 10,756 pregnant women with 26 or more weeks of gestation who came to the Taipei Municipal Maternal and Child Hospital for prenatal care, were interviewed by trained interviewers using structured questionnaires to obtain detailed information. Multiple logistic regressions were used to estimate odds ratios of the dichotomous outcomes such as Chinese herbal medicines, medicines and supplements during different time periods. Results: The use of at least one herbal medicine was 6.9% before pregnancy and 42.3% during pregnancy. Before pregnancy, women used significantly more Chinese herbal medicines associated with lower family incomes, primipara, gynecological diseases, and irregular cycles of menstruation. During pregnancy, pregnant women with characteristics of lower education, a non-professional job, previous spontaneous or induced abortion or stillbirth, and women carried HBsAg virus tended to use Chinese herbal medicines. Conclusions: This mid-1980s survey showed that Chinese herbal medicines were frequently used before and during pregnancy in Taipei women, especially among those with low socio-economic levels. It deserves future studies to clarify their potential health effects on fetuses and enquire about such habits during prenatal care.

並列關鍵字

Chinese herbal medicine ； pregnant women ； prevalence ； related factors

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