当前位置： SCI文献检索 > BMC Complementary and Alternative Medicine期刊下所有文献 > Prevalence of and factors associated with utilization of herbal medicines among outpatients in primary health centers in Cambodia.

Prevalence of and factors associated with utilization of herbal medicines among outpatients in primary health centers in Cambodia.

Abstract：

BACKGROUND:Traditional, complementary and alternative medicine (TCAM) is seen as a way to provide healthcare in both developed and developing countries across the world. In Cambodia, there is a long tradition of using TCAM. However, scant studies have been conducted on the extent of Cambodian TCAM use and how it interacts with allopathic health care to date. In this study, we examined the prevalence of and factors associated with utilization of herbal medicines among patients with chronic diseases in primary health care settings in Cambodia. METHODS:A cross-sectional survey was conducted in 2015 with outpatients receiving treatment and care for chronic diseases in two urban and two rural primary health centers purposively selected from Phnom Penh, Kampong Cham and Siem Reap. Every eligible patient was randomly selected at the health centers using a systematic sampling procedure. I-CAM-Q was used to measure TCAM use. A multivariate logistic regression model was constructed to identify factors associated with herbal medicine use. RESULTS:In total, 1602 patients were included in this study, of whom 77.7% were female, and 51.2% were recruited from urban primary health centers with a mean age of 46.5 years (SD = 15.2). Of total, 27.0% reported at least one consultation with a TCAM provider in the past 12 months. The most common modality of TCAM used was herbal medicine (89%). Herbs were obtained at drug or folk stores (36.9%), from herbalists directly (28.5%) or from their own gardens (18.6%). Of herb users, 55.2% reported that herbs were somewhat helpful. After adjustment, herb users were significantly more likely to be female (AOR = 1.42, 95% CI = 1.12-2.67), have completed less schooling (AOR = 0.66, 95% CI = 0.45-0.96), were unemployed or homemakers (AOR = 0.23, 95% CI = 0.13-0.52) and have a gastrointestinal illness (AOR = 0.49, 95% CI = 0.39-0.62). CONCLUSIONS:Herbal medicines are broadly used among chronic disease patients in Cambodia. Understanding TCAM use in the general population will support health care practitioners and policy makers to make informed decisions about the use of TCAM. Integration of TCAM into the primary health system should be further explored.

journal_name

BMC Complement Altern Med

journal_title

BMC complementary and alternative medicine

authors

Pearson H,Fleming T,Chhoun P,Tuot S,Brody C,Yi S

doi

10.1186/s12906-018-2181-1

subject

Has Abstract

pub_date

2018-04-02 00:00:00

pages

114

issue

issn

1472-6882

pii

10.1186/s12906-018-2181-1

journal_volume

pub_type

杂志文章

在线工具

Prevalence of and factors associated with utilization of herbal medicines among outpatients in primary health centers in Cambodia.