Prevalence, determinants and outcomes of traditional, complementary and alternative medicine use for hypertension among low-income households in Malaysia and the Philippines.

Autor:	Palileo-Villanueva LM; College of Medicine, University of the Philippines Manila, Manila, Philippines., Palafox B; Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, Centre for Global Chronic Conditions, 15-17 Tavistock Place, London, WC1H 9SH, UK. benjamin.palafox@lshtm.ac.uk., Amit AML; College of Medicine, University of the Philippines Manila, Manila, Philippines.; School of Medicine and Public Health, Ateneo de Manila University, Pasig City, Philippines., Pepito VCF; College of Medicine, University of the Philippines Manila, Manila, Philippines.; School of Medicine and Public Health, Ateneo de Manila University, Pasig City, Philippines., Ab-Majid F; Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Malaysia., Ariffin F; Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Malaysia., Balabanova D; Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, Centre for Global Chronic Conditions, 15-17 Tavistock Place, London, WC1H 9SH, UK., Isa MR; Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Malaysia., Mat-Nasir N; Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Malaysia., My M; Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Malaysia., Renedo A; Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, Centre for Global Chronic Conditions, 15-17 Tavistock Place, London, WC1H 9SH, UK., Seguin ML; Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, Centre for Global Chronic Conditions, 15-17 Tavistock Place, London, WC1H 9SH, UK., Yusoff K; Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Malaysia.; Faculty of Medicine and Health Sciences, UCSI University, Kuala Lumpur, Malaysia., Dans AL; College of Medicine, University of the Philippines Manila, Manila, Philippines., Mckee M; Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, Centre for Global Chronic Conditions, 15-17 Tavistock Place, London, WC1H 9SH, UK.
Jazyk:	angličtina
Zdroj:	BMC complementary medicine and therapies [BMC Complement Med Ther] 2022 Sep 30; Vol. 22 (1), pp. 252. Date of Electronic Publication: 2022 Sep 30.
DOI:	10.1186/s12906-022-03730-x
Abstrakt:	Background: Traditional, complementary and alternative medicine (TCAM) is used to treat a broad range of conditions. In low- and middle-income countries (LMICs), TCAM use is particularly common among those with low socio-economic status. To better understand the patterns and impact of TCAM use on the management of non-communicable diseases in these populations, this study examines the prevalence and characteristics of TCAM use for hypertension, its determinants, and its association with hypertension management outcomes and wellbeing among low-income adults in two Southeast Asian countries at different levels of economic and health system development, Malaysia and the Philippines. Methods: We analysed cross-sectional data from 946 randomly selected adults diagnosed with hypertension from low-income rural and urban communities in Malaysia (n = 495) and the Philippines (n = 451). We compared the prevalence, characteristics and household expenditure on TCAM use between countries and used multi-level, mixed-effects regression to estimate associations between TCAM use and its determinants, and five hypertension management outcomes and wellbeing. Results: The prevalence of TCAM use to manage hypertension was higher in the Philippines than in Malaysia (18.8% vs 8.8%, p < 0.001). Biologically-based modalities, e.g. herbal remedies, were the most common type of TCAM used in both countries, mainly as a complement, rather than an alternative to conventional treatment. Households allocated around 10% of health spending to TCAM in both countries. Belief that TCAM is effective for hypertension was a positive predictor of TCAM use, while belief in conventional medicine was a negative predictor. TCAM use was not strongly associated with current use of medications for hypertension, self-reported medication adherence, blood pressure level and control, or wellbeing in either country. Conclusions: A small, but significant, proportion of individuals living in low-income communities in Malaysia and the Philippines use TCAM to manage their hypertension, despite a general lack of evidence on efficacy and safety of commonly used TCAM modalities. Recognising that their patients may be using TCAM to manage hypertension will enable health care providers to deliver safer, more patient-centred care. (© 2022. The Author(s).)
Databáze:	MEDLINE
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