Factors Related to the Use of Complementary and Alternative Medicine among Diabetic Patients in the Phra Pathom Chedi Community Health Centre, Nakhon Pathom, Thailand
Abstract
Objective: This study was to determine the prevalence and factors related to complementary and alternative medicine (CAM) use among diabetic patients in Thailand.
Method: A cross-sectional descriptive study was conducted on diabetic patients that had registered in the Phra Pathom Chedi Community Health Centre, Nakhon Pathom Province, Thailand. Systematic random sampling was employed to enroll the participants aged 15 years and older who were able to provide personal information and willing to participate. Of total 3,250 registered diabetic patients, 369 were selected. A questionnaire was developed based on the PRECEDE (Predisposing, Reinforcing, Enabling Constructs in Educational Diagnosis, and Evaluation) model and was modified according to the patients. Descriptive statistics were used to describe the prevalence of the utilisation of CAM by the respondents and to analyse the variation. A chi-square test determined the relationship between each independent variable and the outcome variable. Multiple logistic regression was applied to identify the predictor of CAM use among the patients.
Results: The study revealed that the prevalence of CAM usage among the patients was 56.6%. The most popular type of CAM was natural products; such as, herbal products (74.1%) and dietary supplements (39.2%). The bivariate analysis identified that the variables were significantly related to the use of CAM among diabetic patients. There were nine significant associated variables: gender, age, education, employment status, income, diabetic duration, diabetic complications blood, glucose level, and attitude to CAM use. The multivariate analysis showed that there were six significant variables as predictors of CAM use among the patients: male gender (adjusted OR: 1.68; 95% CI: 1.18-2.62), primary and lower educational level (adjusted OR: 2.75; 95% CI: 1.22–6.19),private business owner occupation (adjusted OR: 8.82; 95% CI: 4.48-17.37), income >10,000 Baht per month (adjusted OR: 14.24; 95% CI: 7.81-25.97), diabetic complication (adjusted OR: 3.72; 95% CI: 2.26-6.12), and high attitude level to CAM use (adjusted OR: 1.61;95% CI: 1.03-2.52). This study revealed that most respondents had poor knowledge towards CAM use (78%) but a high attitude towards CAM utilisation (52.5%).
Conclusion: Due to considerable prevalence of CAM use despite a lack of the knowledge, the diabetic patients should strengthen the knowledge about CAM and skills to use it with awareness. Furthermore, healthcare providers, especially traditional medicine practitioners should cooperate with other healthcare providers in both intra and inter sectoral organisations in order to improve the healthcare services and healthcare system.
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