A hospital-based study on complementary and alternative medicine use among diabetes patients in Rajshahi, Bangladesh
Abstract Background The use of complementary and alternative medicine (CAM) among type 2 diabetes mellitus (T2DM) patients is increasing worldwide. It can affect optimum glycemic management. This study was to determine the rate and influencing factors of CAM use among diabetes patients as well as th...
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| Format: | Article |
| Language: | English |
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BMC
2020-07-01
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| Series: | BMC Complementary Medicine and Therapies |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12906-020-03021-3 |
| _version_ | 1828187688379875328 |
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| author | Md. Abdur Rafi Dewan Tasnia Azad Mridula Bhattacharjee Nikita Rahman Kazi Abdul Mubin Md. Ajijur Rahman Md. Golam Hossain |
| author_facet | Md. Abdur Rafi Dewan Tasnia Azad Mridula Bhattacharjee Nikita Rahman Kazi Abdul Mubin Md. Ajijur Rahman Md. Golam Hossain |
| author_sort | Md. Abdur Rafi |
| collection | DOAJ |
| description | Abstract Background The use of complementary and alternative medicine (CAM) among type 2 diabetes mellitus (T2DM) patients is increasing worldwide. It can affect optimum glycemic management. This study was to determine the rate and influencing factors of CAM use among diabetes patients as well as their effect on glycemic control. Methods This cross-sectional study was conducted among T2DM patients attending the outpatient department of Rajshahi Medical College Hospital. It is a tertiary hospital in the northern part of Bangladesh. A face-to-face interview with a pretested structured questionnaire was used for data collection. Chi-square (χ2) test and multivariate logistic regression model were used in this study for data analysis. Results Out of 244 T2DM patients, 86 (35.2%) used CAM. Multivariate logistic regression model showed that lower family income group (AOR = 8.7, 95% CI: 2.15–35.22, p-value 0.002), having no institutional education (AOR = 3.4, 95% CI: 1.17–9.87, p-value 0.025) and having diabetes for more than five years (AOR = 2.821, 95% CI: 1.34–5.94, p-value 0.006) were the most influential predictors of CAM use. The most commonly used CAMs were herbal products (67.4%) and homeopathic medicine (37.2%). Most of the CAM users (72%) were influenced by friends, neighbors, and family members. The most common reasons behind CAM use were reported to be the belief that CAM helped control diabetes better (44.2%) and easy availability and lower cost (27.9%). More than half of the users reported the efficacy of CAM as ‘nothing significant’, while others reported as somewhat good. 14% of CAM users experienced side-effects, especially gastrointestinal upset. It was observed that using CAM was associated with poor glycemic control (AOR = 2.25, 95% CI: 1.14–4.44, p-value 0.018). Conclusion Our study demonstrated that some modifiable factors are associated with the use of CAM, and it cannot maintain good glycemic control. So, patients should be made aware of the ineffectiveness and bad effects of CAM by enhancing educational and poverty-alleviating programs. |
| first_indexed | 2024-04-12T07:39:00Z |
| format | Article |
| id | doaj.art-94160864d3f04eb28a5996b10fe98a27 |
| institution | Directory Open Access Journal |
| issn | 2662-7671 |
| language | English |
| last_indexed | 2024-04-12T07:39:00Z |
| publishDate | 2020-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Complementary Medicine and Therapies |
| spelling | doaj.art-94160864d3f04eb28a5996b10fe98a272022-12-22T03:41:51ZengBMCBMC Complementary Medicine and Therapies2662-76712020-07-012011910.1186/s12906-020-03021-3A hospital-based study on complementary and alternative medicine use among diabetes patients in Rajshahi, BangladeshMd. Abdur Rafi0Dewan Tasnia Azad1Mridula Bhattacharjee2Nikita Rahman3Kazi Abdul Mubin4Md. Ajijur Rahman5Md. Golam Hossain6Rajshahi Medical CollegeJashore Medical CollegeKushtia Medical CollegeRajshahi Medical CollegeDepartment of Pharmacy, University of RajshahiDepartment of Pharmacy, University of RajshahiDepartment of Statistics, University of RajshahiAbstract Background The use of complementary and alternative medicine (CAM) among type 2 diabetes mellitus (T2DM) patients is increasing worldwide. It can affect optimum glycemic management. This study was to determine the rate and influencing factors of CAM use among diabetes patients as well as their effect on glycemic control. Methods This cross-sectional study was conducted among T2DM patients attending the outpatient department of Rajshahi Medical College Hospital. It is a tertiary hospital in the northern part of Bangladesh. A face-to-face interview with a pretested structured questionnaire was used for data collection. Chi-square (χ2) test and multivariate logistic regression model were used in this study for data analysis. Results Out of 244 T2DM patients, 86 (35.2%) used CAM. Multivariate logistic regression model showed that lower family income group (AOR = 8.7, 95% CI: 2.15–35.22, p-value 0.002), having no institutional education (AOR = 3.4, 95% CI: 1.17–9.87, p-value 0.025) and having diabetes for more than five years (AOR = 2.821, 95% CI: 1.34–5.94, p-value 0.006) were the most influential predictors of CAM use. The most commonly used CAMs were herbal products (67.4%) and homeopathic medicine (37.2%). Most of the CAM users (72%) were influenced by friends, neighbors, and family members. The most common reasons behind CAM use were reported to be the belief that CAM helped control diabetes better (44.2%) and easy availability and lower cost (27.9%). More than half of the users reported the efficacy of CAM as ‘nothing significant’, while others reported as somewhat good. 14% of CAM users experienced side-effects, especially gastrointestinal upset. It was observed that using CAM was associated with poor glycemic control (AOR = 2.25, 95% CI: 1.14–4.44, p-value 0.018). Conclusion Our study demonstrated that some modifiable factors are associated with the use of CAM, and it cannot maintain good glycemic control. So, patients should be made aware of the ineffectiveness and bad effects of CAM by enhancing educational and poverty-alleviating programs.http://link.springer.com/article/10.1186/s12906-020-03021-3Complementary and alternative medicineType 2 diabetes mellitusHospital-basedGlycemic controlBangladesh |
| spellingShingle | Md. Abdur Rafi Dewan Tasnia Azad Mridula Bhattacharjee Nikita Rahman Kazi Abdul Mubin Md. Ajijur Rahman Md. Golam Hossain A hospital-based study on complementary and alternative medicine use among diabetes patients in Rajshahi, Bangladesh BMC Complementary Medicine and Therapies Complementary and alternative medicine Type 2 diabetes mellitus Hospital-based Glycemic control Bangladesh |
| title | A hospital-based study on complementary and alternative medicine use among diabetes patients in Rajshahi, Bangladesh |
| title_full | A hospital-based study on complementary and alternative medicine use among diabetes patients in Rajshahi, Bangladesh |
| title_fullStr | A hospital-based study on complementary and alternative medicine use among diabetes patients in Rajshahi, Bangladesh |
| title_full_unstemmed | A hospital-based study on complementary and alternative medicine use among diabetes patients in Rajshahi, Bangladesh |
| title_short | A hospital-based study on complementary and alternative medicine use among diabetes patients in Rajshahi, Bangladesh |
| title_sort | hospital based study on complementary and alternative medicine use among diabetes patients in rajshahi bangladesh |
| topic | Complementary and alternative medicine Type 2 diabetes mellitus Hospital-based Glycemic control Bangladesh |
| url | http://link.springer.com/article/10.1186/s12906-020-03021-3 |
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