Prevalence and predictors of traditional medicine use among persons with diabetes in Africa: a systematic review.

IF 2.3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Emmanuel Ekpor, Eric Osei, Samuel Akyirem
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引用次数: 0

Abstract

The utilization of traditional medicine (TM) is prevalent among the general population in Africa; however, its use among individuals with diabetes in the region remains underdocumented. This review aimed to synthesize the available literature to identify the prevalence and predictors of TM use among persons with diabetes in Africa. A systematic search was conducted across multiple databases, including MEDLINE, Embase, CINAHL, and AMED, covering studies published from 2000 to April 2023. Of 1560 records identified, 24 articles met the inclusion criteria. The prevalence of TM use varied significantly, ranging from 12.4% to 77.1%, with a median prevalence of 50%. TM was commonly used concurrently with conventional medicine (CM) (35.4-88.4%), with a majority (63.8-91.3%) not disclosing TM use to healthcare providers. Female gender, long diabetes duration, use of oral antiglycaemic medication and family history of diabetes emerged as the most common factors that predicted the use of TM. This review highlights the widespread use of TM among individuals with diabetes in Africa, often in conjunction with CM. The high prevalence of undisclosed TM use emphasizes the urgent need for healthcare providers to actively inquire about TM use during clinical consultations to address potential herb-drug interactions and adverse effects.

非洲糖尿病患者使用传统药物的普遍性和预测因素:系统综述。
传统医学(TM)的使用在非洲的普通人群中非常普遍,但是,该地区糖尿病患者使用传统医学的情况仍然没有得到充分的记录。本综述旨在综合现有文献,确定传统医学在非洲糖尿病患者中的使用率和预测因素。我们在多个数据库(包括 MEDLINE、Embase、CINAHL 和 AMED)中进行了系统检索,涵盖了 2000 年至 2023 年 4 月期间发表的研究。在确定的 1560 条记录中,有 24 篇文章符合纳入标准。使用 TM 的流行率差异很大,从 12.4% 到 77.1%,中位流行率为 50%。TM通常与常规药物(CM)同时使用(35.4%-88.4%),大多数人(63.8%-91.3%)未向医疗服务提供者透露TM的使用情况。女性性别、糖尿病病程长、使用口服降糖药和糖尿病家族史是预测使用 TM 的最常见因素。本综述强调了在非洲糖尿病患者中广泛使用 TM 的情况,通常与 CM 同时使用。未披露 TM 使用情况的高发率强调,医疗保健提供者迫切需要在临床咨询中积极询问 TM 的使用情况,以解决潜在的草药药物相互作用和不良反应问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Health
International Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.50
自引率
0.00%
发文量
83
审稿时长
>12 weeks
期刊介绍: International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions. It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.
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