Abstract
Background: Alternative and complementary medicine (CAM) attracted national attention from the media, governmental agencies, and the public. The Study aimed at assessing pattern of CAM use among health workers in mid-Delta, Egypt. Design and Methods: A cross-sectional descriptive survey with multi-stage random sample technique was used. A total sample size of 873 health workers (technicians, allied health personnel, pharmacists and physicians) was chosen randomly from two university hospitals and four general hospitals in mid-Delta. They fulfilled self-administered questionnaire regarding their socio-demographic data, knowledge on CAM and their sources, causes of CAM use, diseases for which CAM used and commonly used CAM practices in the area. Results: females constituted 77.32% of the sample, 47.42% aged 20 - 25 years, 54.64% have less than 5 years of work, 46.39% have bachelor's degree and 50.52% have diploma. Three fourths of health workers have knowledge about CAM, 4.12% usually use CAM and 38.14% sometimes use it. Media was the source of CAM knowledge for 54.79%, followed by relatives and friends for 31.51%. One fourth of participants talk on CAM with their patients and 28.87% advice patients to use CAM. Minimal side effects (43.29%) and religious believes (21.64%) are the main causes of using CAM. Patients use CAM for backache, joint pain, abdominal colic and flatulence (18.45%, 14.56%, and 12.62%) respectively. Prophetic medicine, Honey and bee products, herbal products, food supplements and Hijama were the commonly used CAM practices in the area (73.2%, 65.98%, 47.42%, 45.26% and 38.14% respectively). Conclusion: There is an increasing interest in CAM knowledge among health workers. Media, relatives and friends are the main sources of information. Religious practices as Prophetic medicine, honey and bee products, herbs and hijama are the most prevalent CAM practices in the area. There is reluctance in talking with their patients on CAM or referring patients to CAM practitioners.
Keywords: Alternative · Complementary · Medicine · Health workers · knowledge · causes · mid-Delta · Egypt
References
- 1.National Institute of Health: What is complementary and alternative medicine MAJMAAH J. HEALTH SCIENCES, 2013 – Vol. 1, No. 2 (CAM)? NCCAM. January 201 Available at nccam.nih.gov/health/whatiscam .
- 2.Goldbeck-Wood S, Dorozynski A, Lie LG, Zinn C, Josefson D, Ingram M. Complementary medicine is booming worldwide. BMJ. 1996; 313:131-133.
- 3.Rasmussen NK, Morgall JM. The use of alternative treatments in the Danish adult population. Complementary Med Res. 1990; 4:16-22.
- 4.Vaskilampi T, Merilainen P, Sinkkonen S, et al. The use of alternative treatments in the Finnish adult population. In: Lewith GT, Aldridge D, eds. Clinical Research Methodology for Complementary Therapies. London, England: Hodder and Stoughton 1993; 204-229.
- 5.MacLennan AH, Wilson DH, Taylor AW. Prevalence and cost of alternative medicine in Australia. Lancet. 1996; 347:569-573.
- 6.Millar WJ. Use of alternative health care practitioners by Canadians. Can J Public Health. 1997; 88:154-158.
- 7.Bannerman RH. Traditional Medicine and Health Care Coverage. Geneva, Switzerland: World Health Organization; 1993.
- 8.WHO Traditional Medicine Strategy 2002– 2005. May 2002. Available at: http://www.who.int/medicines/organization /trm/orgtrmmain.shtml
- 9.MacLennan AH, Wilson DH, Taylor AW. The escalating cost and prevalence of alternative medicines. Prev Med 2002; 35:166-73.
- 10.Bodeker G. Planning for cost-effective traditional health services. In: Traditional Medicine. Better Science, Policy and Services for Health Development. Proceedings of a WHO International Symposium, Awaji Island, Japan 11–13 September 2000. Kobe, Japan: WHO Kobe Centre; 2001:31–70.
- 11.Wootton JC, Sparber A. Surveys of complementary and alternative medicine, part IV: use of alternative and complementary therapies for rheumatological and other diseases. J Altern Complement Med. 2001; 7:715–721.
- 12.Ernest E. The role of complementary and alternative medicine. BMJ 2000; 321:11331135. CAM use among health workers in mid-Delta, Egypt, Ahmed T ElOlemy et al. 41 ORIGINAL ARTICLE
- 13.Ernest E. Obstacles to research in complementary and alternative medicine. MJA 2003; 179(6):279-280.
- 14.Frenkel MA, Borkan JM. An approach for integrating complementary-Alternative Medicine into primary care. J Fam Pract 2003; 20(3):324-332.
- 15.Huang N, Chou Y-J, Chen L-S, Lee C-H, Wang P-J and Tsay J-H. Utilization of Western Medicine and Traditional Chinese Medicine Services by Physicians and Their Relatives: The Role of Training Background. Evid Based Complement Altern Med 2009; 6(3): eCAM Advance Access 10.1093/ecam/nep094 doi:10.1093/ecam/nep094
- 16.Fujiwara K, Imanishi J, Watanabe S, Ozasa K, Sakurada K. Changes in Attitudes of Japanese Doctors toward Complementary and Alternative Medicine: Comparison of Surveys in 1999 and 2005 in Tokoyo. Evid Based Complement Altern Med 2009; May 21:e1-e7.
- 17.Münstedt K, Harren H, von Georgi R, Hackethal A, Med Wieku Rozwoj. Complementary and Alternative Medicine: Comparison of Current Knowledge, Attitudes and Interest among German Medical Students and Doctors. Evid Based Complement Altern Med 2008; Dec 20:e1e7.
- 18.Sewitch MI, Cepoiu M, Rigillo N and Sproule D. A Literature Review of Health Care Professional Attitudes Toward Complementary and Alternative Medicine Studies. Complementary Health Practice Review. 2008; 13(3):139-154
- 19.El-Olemy A, AlBedah MN. Public Knowledge, attitude and practice of complementary and alternative medicine in Riyadh region, Saudi Arabia. Oman Med J 2012; 27(1):20-26.
- 20.Al-Faris EA, Al-Rowais N, Mohamed AG, Al-Rukban MO, Al-Kurdi A, Al-Noor MA, et al. Prevalence and pattern of alternative medicine use: The results of a household survey. Ann Saudi Med 2008;1:4-10.
- 21.Hassan MY, Das M and Bahjat S. Alternative medicine and the medical profession: views of medical students and general practitioners. Eastern Mediterranean Health Journal. 2000; 6(1):25-33. MAJMAAH J. HEALTH SCIENCES, 2013 – Vol. 1, No. 2
- 22.Al Shaar AM, Ismail MFS, Yousufi AA, Salama RE: Knowledge, attitudes and practice of general practitioners towards complementary and alternative medicine in Doha, Qatar. East Mediterr Health J 2010;16:522–527.
- 23.Sikand A, Laken M. Pediatricians' Experience With and Attitudes toward Complementary/Alternative Medicine. Arch Pediatr Adolesc Med. 1998; 152:1059-1064.
- 24.Ismail A, Chan SC: Knowledge and practice of complementary medicine amongst public primary care clinic doctors in Kinta district, Perak. Med J Malaysia 2004;59:4–10.
- 25.Rooney B, Fiocco Guy, Hughes P, Halter S: Provider attitudes and use of alternative medicine in a Midwestern medical practice in 2001. WMJ 2001; 100:27–31.
- 26.Wahner-Roedler DL, Vincent A, Elkin PL, Loe¬hrer LL, Cha SS, Bauer BA: Physicians’ attitudes towards complementary and alternative medicine and their knowledge of specific therapies: a survey at an academic medical center. Evid Based Complement Alternat Med June 2006;3:495–501.
- 27.Kurtz ME, Nolan RB, Rittiger WJ: Primary care physicians’ attitudes and practices regarding com¬plementary and alternative medicine. JAOA 2003; 103:597–602.
- 28.Berman BM, Singh BB, Hartnoll SM, Singh BK, Rielly D: Primary care physicians and complementary-alternative medicine: training, attitudes, and practice patterns. J Am Board Fam Pract 1998;11: 272–228.
- 29.Busse JW, Heaton G, Wu Ping, Wilson KR, Mills EJ: Disclosure of natural product use to primary care physicians: a crosssectional survey of naturopathic clinic attendees. Mayo Clin Proc 2005;80: 616–
- 30.24 Corbin Winslow L, Shapro H: Physicians want education about complementary and alternative medicine to enhance communication with their patients. Arch Intern Med 2002;162:1176–1181.
- 31.Leach MJ: Public, nurse and medical practitioner attitude and practice of natural medicine. Complement Ther Nur Midwifery 2004;10:13–21. CAM use among health workers in mid-Delta, Egypt, Ahmed T ElOlemy et al. 42