The Utilization of Complementary and Alternative Medicine among Saudi Older Adults: A Population-Based Study.

Autor: Aljawadi MH; Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia., Khoja AT; Public Health and Family Medicine Departments, College of Medicine, Al-Imam Muhammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia., AlOtaibi AD; Department of Medicine, College of Medicine, Al-Imam Muhammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia., Alharbi KT; Pharmacy Services, Prince Sultan Military Medical City, Riyadh, Saudi Arabia., Alodayni MA; College of Medicine, Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia., AlMetwazi MS; Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia., Arafah A; Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia., Al-Shammari SA; Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Khoja TA; Health Ministers' Council for the Cooperation Council States, Riyadh, Saudi Arabia.
Jazyk: angličtina
Zdroj: Evidence-based complementary and alternative medicine : eCAM [Evid Based Complement Alternat Med] 2020 Aug 07; Vol. 2020, pp. 4357194. Date of Electronic Publication: 2020 Aug 07 (Print Publication: 2020).
DOI: 10.1155/2020/4357194
Abstrakt: Background: Complementary and alternative medicine (CAM) is an integral part of patients' therapeutic experience worldwide. Among Saudi older adults, less is known about CAM utilization.
Objectives: To determine the prevalence, patterns, and factors associated with CAM utilization among SOA.
Methods: In the Saudi National Survey for Elderly Health (SNSEH), subjects were asked about CAM use during the last twelve months before the interview. CAM use was defined as any use of herbal products, acupuncture, bloodletting, cauterization, medical massage, bones manual manipulation, honey, or religious rituals. Demographic characteristics included gender, age, marital status, region, educational level, and residence area. In addition, multiple comorbidities were included as possible factors that may be associated with CAM use. Multivariable logistic regression was used to explore factors associated with CAM utilization. All statistical analyses were done using STATA v.14.
Results: Out of 2946 respondents, 50.4% were males, the mean age was 70.3 ± 8.3 years, and 70% were illiterate. CAM use was prevalent (62.5%). The most common CAM types were herbal products (25.4%), acupuncture (21.2%), bloodletting (12%), honey (9.5%), cauterization (7.4%), medical massage and bones manual manipulation (4%), and traditional bone setting (2.1%). In the multivariable regression, age, gender, and marital status did not have an impact on the odds of using CAM. Subjects from rural areas were 2.92 times more likely to use CAM compared with subjects in urban areas (OR = 2.92; 95%CI: 2.28-3.75). Subjects with metabolic disorders (OR = 0.50; 95% CI: 0.42-0.60) or kidney disease were less likely to use CAM (OR = 0.30; 95%CI: 0.14-0.64). About pain, CAM is used more in neck pain (OR = 1.69; 95%CI: 1.30-2.21) and also used in back pain (OR =  1.22; 95%CI: 1.03-1.46).
Conclusions: CAM use was very prevalent among SOA. Clinicians and pharmacists must ask about CAM use among older adults as many of CAM may interact with patients medications.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2020 Mohammad H. Aljawadi et al.)
Databáze: MEDLINE
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