Complementary and alternative medicine use among patients with type 2 diabetes living in the United Arab Emirates

Abstract Background The use of Complementary and Alternative Medicine (CAM) among Type 2 Diabetes Mellitus (T2DM) patients is increasing to manage the complexities of their condition, enhance their health, and ease complications. The burden of T2DM in the United Arab Emirates (UAE) coupled with the...

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Main Authors: Hadia Radwan, Hayder Hasan, Rena Hamadeh, Mona Hashim, Zeenat AbdulWahid, Mahboobeh Hassanzadeh Gerashi, Marwa Al Hilali, Farah Naja
Format: Article
Language:English
Published: BMC 2020-07-01
Series:BMC Complementary Medicine and Therapies
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12906-020-03011-5
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author Hadia Radwan
Hayder Hasan
Rena Hamadeh
Mona Hashim
Zeenat AbdulWahid
Mahboobeh Hassanzadeh Gerashi
Marwa Al Hilali
Farah Naja
author_facet Hadia Radwan
Hayder Hasan
Rena Hamadeh
Mona Hashim
Zeenat AbdulWahid
Mahboobeh Hassanzadeh Gerashi
Marwa Al Hilali
Farah Naja
author_sort Hadia Radwan
collection DOAJ
description Abstract Background The use of Complementary and Alternative Medicine (CAM) among Type 2 Diabetes Mellitus (T2DM) patients is increasing to manage the complexities of their condition, enhance their health, and ease complications. The burden of T2DM in the United Arab Emirates (UAE) coupled with the high prevalence of CAM use and its associated risks among patients with T2DM necessitated the investigation of the use of CAM by this patients’ population. The aim of this study is to examine the prevalence, types, and correlates of CAM use among T2DM patients in the UAE. Methods Patients with T2DM attending the outpatient clinics in the two governmental hospitals in Dubai and Sharjah, UAE were invited to participate in a cross-sectional survey. Face-to-face interviews were conducted with participants to complete a multi-component questionnaire. The questionnaire comprised of three main sections: demographic data, diabetes-related information, and CAM use details. Data analysis employed descriptive statistics, univariate and multivariate logistic regression to assess the prevalence and correlates of CAM use. Results Two hundred forty-four T2DM patients completed the questionnaire (response rate: 80%). A total of 39.3% of participants were CAM users since diagnosis. After adjustment; the logistic regression results showed that CAM use was significantly associated with age, sex, education, employment, and having health insurance. The most commonly used type of CAM by participants were folk foods and herbs followed by spiritual and natural healing and vitamins and minerals supplements. The majority of CAM users were referred or encouraged to use CAM by family (42.7%), friends (25%) or social media (17.7%). Only 13.5% of participants used CAM because it was suggested by health care practitioners. Only 1 in four of CAM users disclosed CAM use to their treating physician. Conclusion CAM use among T2DM patients in the UAE is considerably high. Health policy and decision-makers are encouraged to dedicate particular attention to facilitating proper regulation and integration of CAM within conventional medicine to protect the health and wellbeing of patients. A concerted effort by medical schools and public health authorities should be committed to educating health care providers and patients on the safe and effective use of CAM therapies.
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spelling doaj.art-bebf2c1471424c05b9161f0bfd5659472022-12-21T21:09:48ZengBMCBMC Complementary Medicine and Therapies2662-76712020-07-0120111210.1186/s12906-020-03011-5Complementary and alternative medicine use among patients with type 2 diabetes living in the United Arab EmiratesHadia Radwan0Hayder Hasan1Rena Hamadeh2Mona Hashim3Zeenat AbdulWahid4Mahboobeh Hassanzadeh Gerashi5Marwa Al Hilali6Farah Naja7Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical & Health Sciences (RIMHS), University of SharjahDepartment of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical & Health Sciences (RIMHS), University of SharjahDepartment of Nutrition and Food Sciences, American University of BeirutDepartment of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical & Health Sciences (RIMHS), University of SharjahEndocrinology and Diabetes Department, Al Qassimi Hospital-Ministry of Health and PreventionDepartment of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical & Health Sciences (RIMHS), University of SharjahClinical Nutrition Department, Al Qassimi Hospital-Ministry of Health and PreventionDepartment of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical & Health Sciences (RIMHS), University of SharjahAbstract Background The use of Complementary and Alternative Medicine (CAM) among Type 2 Diabetes Mellitus (T2DM) patients is increasing to manage the complexities of their condition, enhance their health, and ease complications. The burden of T2DM in the United Arab Emirates (UAE) coupled with the high prevalence of CAM use and its associated risks among patients with T2DM necessitated the investigation of the use of CAM by this patients’ population. The aim of this study is to examine the prevalence, types, and correlates of CAM use among T2DM patients in the UAE. Methods Patients with T2DM attending the outpatient clinics in the two governmental hospitals in Dubai and Sharjah, UAE were invited to participate in a cross-sectional survey. Face-to-face interviews were conducted with participants to complete a multi-component questionnaire. The questionnaire comprised of three main sections: demographic data, diabetes-related information, and CAM use details. Data analysis employed descriptive statistics, univariate and multivariate logistic regression to assess the prevalence and correlates of CAM use. Results Two hundred forty-four T2DM patients completed the questionnaire (response rate: 80%). A total of 39.3% of participants were CAM users since diagnosis. After adjustment; the logistic regression results showed that CAM use was significantly associated with age, sex, education, employment, and having health insurance. The most commonly used type of CAM by participants were folk foods and herbs followed by spiritual and natural healing and vitamins and minerals supplements. The majority of CAM users were referred or encouraged to use CAM by family (42.7%), friends (25%) or social media (17.7%). Only 13.5% of participants used CAM because it was suggested by health care practitioners. Only 1 in four of CAM users disclosed CAM use to their treating physician. Conclusion CAM use among T2DM patients in the UAE is considerably high. Health policy and decision-makers are encouraged to dedicate particular attention to facilitating proper regulation and integration of CAM within conventional medicine to protect the health and wellbeing of patients. A concerted effort by medical schools and public health authorities should be committed to educating health care providers and patients on the safe and effective use of CAM therapies.http://link.springer.com/article/10.1186/s12906-020-03011-5Complementary and alternative medicineType 2 diabetes mellitusUnited Arab EmiratesFolk food and herbsPatient safetyIntegration
spellingShingle Hadia Radwan
Hayder Hasan
Rena Hamadeh
Mona Hashim
Zeenat AbdulWahid
Mahboobeh Hassanzadeh Gerashi
Marwa Al Hilali
Farah Naja
Complementary and alternative medicine use among patients with type 2 diabetes living in the United Arab Emirates
BMC Complementary Medicine and Therapies
Complementary and alternative medicine
Type 2 diabetes mellitus
United Arab Emirates
Folk food and herbs
Patient safety
Integration
title Complementary and alternative medicine use among patients with type 2 diabetes living in the United Arab Emirates
title_full Complementary and alternative medicine use among patients with type 2 diabetes living in the United Arab Emirates
title_fullStr Complementary and alternative medicine use among patients with type 2 diabetes living in the United Arab Emirates
title_full_unstemmed Complementary and alternative medicine use among patients with type 2 diabetes living in the United Arab Emirates
title_short Complementary and alternative medicine use among patients with type 2 diabetes living in the United Arab Emirates
title_sort complementary and alternative medicine use among patients with type 2 diabetes living in the united arab emirates
topic Complementary and alternative medicine
Type 2 diabetes mellitus
United Arab Emirates
Folk food and herbs
Patient safety
Integration
url http://link.springer.com/article/10.1186/s12906-020-03011-5
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