Prevalence and associated factors of herbal medicine use among patients living with chronic disease in Ethiopia: A systematic review and meta-analysis

Background: Complementary use of medicinal plants with prescribed drugs is becoming more widespread concern among people with chronic disease like cancer, HIV/AIDS, diabetes and hypertension. Consequently, the purpose of this review was to determine the prevalence and associated factors of herbal me...

Full description

Bibliographic Details
Main Authors: Worku Chekol Tassew, Getaw Wubie Assefa, Agerie Mengistie Zeleke, Yeshiwas Ayal Ferede
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Metabolism Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589936824000124
_version_ 1797249056472301568
author Worku Chekol Tassew
Getaw Wubie Assefa
Agerie Mengistie Zeleke
Yeshiwas Ayal Ferede
author_facet Worku Chekol Tassew
Getaw Wubie Assefa
Agerie Mengistie Zeleke
Yeshiwas Ayal Ferede
author_sort Worku Chekol Tassew
collection DOAJ
description Background: Complementary use of medicinal plants with prescribed drugs is becoming more widespread concern among people with chronic disease like cancer, HIV/AIDS, diabetes and hypertension. Consequently, the purpose of this review was to determine the prevalence and associated factors of herbal medicine use among patients suffering from chronic disease. Methods: This systematic review and meta-analysis was conducted by searching articles from Cochrane library, Google scholar, PubMed and African journal online. Data was extracted using Microsoft excel format and imported in to Stata software version 11 (Stata Corp LLC, TX, USA) for analysis. Statistical heterogeneity across the studies was investigated using Cochran's Q chi-square test at the significance level of <0.05 and the I2 index. A random-effects model was used to estimate the pooled prevalence of herbal medicine use. Results: Our systematic search yielded a total of 17,665 records from four databases (Google scholar (12,800), PubMed (3835), Cochrane library (30) and African journal online (12). The pooled estimate of herbal medicine use among patients with chronic disease in Ethiopia is found to be 56.94% (95% CI: 49.75, 64.12, P < 0.001). Being female (POR = 2.06, 95% CI = 1.55, 2.75, I2 = 10.0%), rural residence (POR = 2.80, 95% CI = 1.42, 5.52, I2 = 89.1%), duration of the disease greater than 5 years (POR = 6.42, 95% CI = 4.188, 9.84, I2 = 48.3%) and having complication (POR = 4.65, 95% CI = 3.75, 5.77, I2 = 0.0%) were factors associated with herbal medicine use among patients living with chronic disease. Conclusion: The study found a high prevalence of herbal medicine use among patients living with chronic disease. Being female, rural residence, duration of disease greater than 5 years and having complication were factors that are significantly associated with herbal medicine use. The prevalence of herbal medicine use among persons with chronic disease in Ethiopia presents significant implications for healthcare practice. Healthcare professionals need to adopt a patient-centered strategy that promotes open, judgment-free discussions about herbal medicine usage. Prospero registration: CRD42024498817.
first_indexed 2024-03-07T20:03:43Z
format Article
id doaj.art-05004643fd814c379d0678aa9429ba56
institution Directory Open Access Journal
issn 2589-9368
language English
last_indexed 2024-04-24T20:24:25Z
publishDate 2024-03-01
publisher Elsevier
record_format Article
series Metabolism Open
spelling doaj.art-05004643fd814c379d0678aa9429ba562024-03-22T05:40:30ZengElsevierMetabolism Open2589-93682024-03-0121100280Prevalence and associated factors of herbal medicine use among patients living with chronic disease in Ethiopia: A systematic review and meta-analysisWorku Chekol Tassew0Getaw Wubie Assefa1Agerie Mengistie Zeleke2Yeshiwas Ayal Ferede3Department of Medical Nursing, Teda Health Science College, Gondar, Ethiopia; Corresponding author. P.O. Box 196, Gondar, Ethiopia.Department of CTID &amp; HIV Medicine, Teda Health Science College, Gondar, EthiopiaDepartment of Clinical Midwifery, Teda Health Science College, Gondar, EthiopiaDepartment of Reproductive Health, Teda Health Science College, Gondar, EthiopiaBackground: Complementary use of medicinal plants with prescribed drugs is becoming more widespread concern among people with chronic disease like cancer, HIV/AIDS, diabetes and hypertension. Consequently, the purpose of this review was to determine the prevalence and associated factors of herbal medicine use among patients suffering from chronic disease. Methods: This systematic review and meta-analysis was conducted by searching articles from Cochrane library, Google scholar, PubMed and African journal online. Data was extracted using Microsoft excel format and imported in to Stata software version 11 (Stata Corp LLC, TX, USA) for analysis. Statistical heterogeneity across the studies was investigated using Cochran's Q chi-square test at the significance level of <0.05 and the I2 index. A random-effects model was used to estimate the pooled prevalence of herbal medicine use. Results: Our systematic search yielded a total of 17,665 records from four databases (Google scholar (12,800), PubMed (3835), Cochrane library (30) and African journal online (12). The pooled estimate of herbal medicine use among patients with chronic disease in Ethiopia is found to be 56.94% (95% CI: 49.75, 64.12, P < 0.001). Being female (POR = 2.06, 95% CI = 1.55, 2.75, I2 = 10.0%), rural residence (POR = 2.80, 95% CI = 1.42, 5.52, I2 = 89.1%), duration of the disease greater than 5 years (POR = 6.42, 95% CI = 4.188, 9.84, I2 = 48.3%) and having complication (POR = 4.65, 95% CI = 3.75, 5.77, I2 = 0.0%) were factors associated with herbal medicine use among patients living with chronic disease. Conclusion: The study found a high prevalence of herbal medicine use among patients living with chronic disease. Being female, rural residence, duration of disease greater than 5 years and having complication were factors that are significantly associated with herbal medicine use. The prevalence of herbal medicine use among persons with chronic disease in Ethiopia presents significant implications for healthcare practice. Healthcare professionals need to adopt a patient-centered strategy that promotes open, judgment-free discussions about herbal medicine usage. Prospero registration: CRD42024498817.http://www.sciencedirect.com/science/article/pii/S2589936824000124Chronic diseaseHerbal medicineSystematic reviewEthiopia
spellingShingle Worku Chekol Tassew
Getaw Wubie Assefa
Agerie Mengistie Zeleke
Yeshiwas Ayal Ferede
Prevalence and associated factors of herbal medicine use among patients living with chronic disease in Ethiopia: A systematic review and meta-analysis
Metabolism Open
Chronic disease
Herbal medicine
Systematic review
Ethiopia
title Prevalence and associated factors of herbal medicine use among patients living with chronic disease in Ethiopia: A systematic review and meta-analysis
title_full Prevalence and associated factors of herbal medicine use among patients living with chronic disease in Ethiopia: A systematic review and meta-analysis
title_fullStr Prevalence and associated factors of herbal medicine use among patients living with chronic disease in Ethiopia: A systematic review and meta-analysis
title_full_unstemmed Prevalence and associated factors of herbal medicine use among patients living with chronic disease in Ethiopia: A systematic review and meta-analysis
title_short Prevalence and associated factors of herbal medicine use among patients living with chronic disease in Ethiopia: A systematic review and meta-analysis
title_sort prevalence and associated factors of herbal medicine use among patients living with chronic disease in ethiopia a systematic review and meta analysis
topic Chronic disease
Herbal medicine
Systematic review
Ethiopia
url http://www.sciencedirect.com/science/article/pii/S2589936824000124
work_keys_str_mv AT workuchekoltassew prevalenceandassociatedfactorsofherbalmedicineuseamongpatientslivingwithchronicdiseaseinethiopiaasystematicreviewandmetaanalysis
AT getawwubieassefa prevalenceandassociatedfactorsofherbalmedicineuseamongpatientslivingwithchronicdiseaseinethiopiaasystematicreviewandmetaanalysis
AT ageriemengistiezeleke prevalenceandassociatedfactorsofherbalmedicineuseamongpatientslivingwithchronicdiseaseinethiopiaasystematicreviewandmetaanalysis
AT yeshiwasayalferede prevalenceandassociatedfactorsofherbalmedicineuseamongpatientslivingwithchronicdiseaseinethiopiaasystematicreviewandmetaanalysis