Utilization of Complementary and Alternative Medicine in Multiethnic Population: The Malaysian Cohort Study

Background. This study aimed to identify the factors of CAM usage for general health and to determine the factors associated with the usage of different types of CAM after the diagnosis of chronic diseases among The Malaysian Cohort participants. Methods. This was a cross-sectional study derived fro...

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Main Authors: Noraidatulakma Abdullah PhD, Boekhtiar Borhanuddin MSc CH, Afzan Effiza Abdul Patah Dip. IT, Mohd Shaharom Abdullah BSc CEM, Andri Dauni BSc (Hons), Mohd Arman Kamaruddin BSc (Hons), Shamsul Azhar Shah PhD, Rahman Jamal PhD
Format: Article
Language:English
Published: SAGE Publishing 2018-04-01
Series:Journal of Evidence-Based Integrative Medicine
Online Access:https://doi.org/10.1177/2515690X18765945
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author Noraidatulakma Abdullah PhD
Boekhtiar Borhanuddin MSc CH
Afzan Effiza Abdul Patah Dip. IT
Mohd Shaharom Abdullah BSc CEM
Andri Dauni BSc (Hons)
Mohd Arman Kamaruddin BSc (Hons)
Shamsul Azhar Shah PhD
Rahman Jamal PhD
author_facet Noraidatulakma Abdullah PhD
Boekhtiar Borhanuddin MSc CH
Afzan Effiza Abdul Patah Dip. IT
Mohd Shaharom Abdullah BSc CEM
Andri Dauni BSc (Hons)
Mohd Arman Kamaruddin BSc (Hons)
Shamsul Azhar Shah PhD
Rahman Jamal PhD
author_sort Noraidatulakma Abdullah PhD
collection DOAJ
description Background. This study aimed to identify the factors of CAM usage for general health and to determine the factors associated with the usage of different types of CAM after the diagnosis of chronic diseases among The Malaysian Cohort participants. Methods. This was a cross-sectional study derived from The Malaysian Cohort (TMC) project, a prospective population-based cohort aged between 35 to 65 years old that recruited from April 2006 to September 2012. Association between the CAM usage and contributing factors were determined via logistic regression. Results. The sample were mostly female (58.1%), Malays (43.1%), came from urban (71.9%), aged 44 years and below (26.8%) and had secondary education (45.9%). The prevalence of CAM usage varied across diseases; 62.8% in cancer patients, 53.3% in hypercholesterolemia, 49.4% in hypertensives and 48.6% in diabetics. General CAM usage was greater among female (OR: 1.54, 95% CI: 1.49, 1.59), Chinese (OR: 1.15, 95% CI: 1.12, 1.19), those with higher education (OR: 3.12, 95% CI: 3.00, 3.25), urban residents (OR: 1.55, 95% CI: 1.50, 1.61) and older people (OR ranging from 1.15 to 1.75) while for post-diagnosis of chronic diseases usage, the odds were higher among those with lower education and living in rural areas. Conclusion. Health status, educational level, age, living location and types of chronic diseases were significant factors that influence CAM usage for the intent of either health maintenance or disease treatment. Further exploration on CAM safety and benefit are crucial to minimize the adverse effect and to ensure the efficacy of CAM product.
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spelling doaj.art-dcc727e72912423ca32812e179d445892022-12-21T17:13:23ZengSAGE PublishingJournal of Evidence-Based Integrative Medicine2515-690X2018-04-012310.1177/2515690X18765945Utilization of Complementary and Alternative Medicine in Multiethnic Population: The Malaysian Cohort StudyNoraidatulakma Abdullah PhD0Boekhtiar Borhanuddin MSc CH1Afzan Effiza Abdul Patah Dip. IT2Mohd Shaharom Abdullah BSc CEM3Andri Dauni BSc (Hons)4Mohd Arman Kamaruddin BSc (Hons)5Shamsul Azhar Shah PhD6Rahman Jamal PhD7 UKM Medical Molecular Biology Institute (UMBI), Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia UKM Medical Molecular Biology Institute (UMBI), Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia UKM Medical Molecular Biology Institute (UMBI), Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia UKM Medical Molecular Biology Institute (UMBI), Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia UKM Medical Molecular Biology Institute (UMBI), Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia UKM Medical Molecular Biology Institute (UMBI), Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia Department of Community Health, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia UKM Medical Molecular Biology Institute (UMBI), Universiti Kebangsaan Malaysia, Kuala Lumpur, MalaysiaBackground. This study aimed to identify the factors of CAM usage for general health and to determine the factors associated with the usage of different types of CAM after the diagnosis of chronic diseases among The Malaysian Cohort participants. Methods. This was a cross-sectional study derived from The Malaysian Cohort (TMC) project, a prospective population-based cohort aged between 35 to 65 years old that recruited from April 2006 to September 2012. Association between the CAM usage and contributing factors were determined via logistic regression. Results. The sample were mostly female (58.1%), Malays (43.1%), came from urban (71.9%), aged 44 years and below (26.8%) and had secondary education (45.9%). The prevalence of CAM usage varied across diseases; 62.8% in cancer patients, 53.3% in hypercholesterolemia, 49.4% in hypertensives and 48.6% in diabetics. General CAM usage was greater among female (OR: 1.54, 95% CI: 1.49, 1.59), Chinese (OR: 1.15, 95% CI: 1.12, 1.19), those with higher education (OR: 3.12, 95% CI: 3.00, 3.25), urban residents (OR: 1.55, 95% CI: 1.50, 1.61) and older people (OR ranging from 1.15 to 1.75) while for post-diagnosis of chronic diseases usage, the odds were higher among those with lower education and living in rural areas. Conclusion. Health status, educational level, age, living location and types of chronic diseases were significant factors that influence CAM usage for the intent of either health maintenance or disease treatment. Further exploration on CAM safety and benefit are crucial to minimize the adverse effect and to ensure the efficacy of CAM product.https://doi.org/10.1177/2515690X18765945
spellingShingle Noraidatulakma Abdullah PhD
Boekhtiar Borhanuddin MSc CH
Afzan Effiza Abdul Patah Dip. IT
Mohd Shaharom Abdullah BSc CEM
Andri Dauni BSc (Hons)
Mohd Arman Kamaruddin BSc (Hons)
Shamsul Azhar Shah PhD
Rahman Jamal PhD
Utilization of Complementary and Alternative Medicine in Multiethnic Population: The Malaysian Cohort Study
Journal of Evidence-Based Integrative Medicine
title Utilization of Complementary and Alternative Medicine in Multiethnic Population: The Malaysian Cohort Study
title_full Utilization of Complementary and Alternative Medicine in Multiethnic Population: The Malaysian Cohort Study
title_fullStr Utilization of Complementary and Alternative Medicine in Multiethnic Population: The Malaysian Cohort Study
title_full_unstemmed Utilization of Complementary and Alternative Medicine in Multiethnic Population: The Malaysian Cohort Study
title_short Utilization of Complementary and Alternative Medicine in Multiethnic Population: The Malaysian Cohort Study
title_sort utilization of complementary and alternative medicine in multiethnic population the malaysian cohort study
url https://doi.org/10.1177/2515690X18765945
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