Prevalence and factors associated with the use of traditional medicine in individuals with hypercholesterolemia, hyperglycaemia, and arterial hypertension in Ecuador: results from a population-based study in two health districts.

IF 3.3 2区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE
Marta Puig-García, Carmen López-Herraiz, Cintia Caicedo-Montaño, María Fernanda Rivadeneira, Juan Vásconez-Donoso, Gregorio Montalvo-Villacis, Ikram Benazizi-Dahbi, Lucy Anne Parker
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引用次数: 0

Abstract

Background: While traditional medicine (TM) is employed by a significant portion of the global population for managing health issues, clinical guidelines and state recommendations often overlook this practice. The aim of this study was to describe the frequency of use of TM to control 3 metabolic risk factors (MRF): hypertension, hypercholesterolemia, and hyperglycaemia; and the sociodemographic, economic, and clinical characteristics associated with the use of TM.

Methods: Cross-sectional descriptive study that analyses data obtained from a representative population survey in 2 health districts, one urban in the south of Quito and another in a forested rural area with diverse ethnic groups in Esmeraldas, Ecuador. We include 602 individuals with at least one MRF. We calculated the proportion of people reporting the regular use of TM (herbal or traditional remedy) to control their MRF and we assessed potential associations with sociodemographic, economic, and clinical characteristics with a multivariable logistic regression model.

Results: In two very different sociocultural contexts in Ecuador we found that use of TM to control MRF was frequent (39.4% in Esmeraldas, 31.1% in Quito), frequently in combination with CM. There is a notable percentage of people, 33.9% in Esmeraldas and 39.0% in Quito, who did not take any treatment for their MRF, and the remainder used CM alone. In both settings, an individual's education lever was significantly associated with TM use. Whereas in Quito individuals with higher education more frequently treated their MRF with TM (aOR 2.04, 95% CI 1.03-3.90), in the rural, hard-to-reach context of Esmeraldas, it was more frequent among people with no formal schooling (aOR: 3.76; 95%CI 1.59-8.88), as well as those of younger age (aOR by year: 0.97; 95% CI 0.95-0.99) and afro ethnicity (aOR: 2.13; 95%CI 1.02-4.45).

Conclusion: Traditional medicine is used by a significant proportion of the population in Ecuador, highlighting the need for a more accessible and intercultural healthcare approach. The health system should ensure access to the necessary information and resources for the management of their metabolic risk factors.

厄瓜多尔高胆固醇血症、高血糖症和动脉高血压患者使用传统药物的患病率及相关因素:在两个卫生区进行的人口研究结果。
背景:虽然全球有相当一部分人采用传统医学(TM)来管理健康问题,但临床指南和国家建议往往忽视了这一做法。本研究旨在描述使用传统医药控制高血压、高胆固醇血症和高血糖这三种代谢风险因素(MRF)的频率,以及与使用传统医药相关的社会人口、经济和临床特征:横断面描述性研究,分析在两个卫生区(一个位于基多南部的城市,另一个位于厄瓜多尔埃斯梅拉达斯一个多民族的森林农村地区)进行的代表性人口调查所获得的数据。调查对象包括 602 名至少患有一种 MRF 的人。我们计算了报告定期使用 TM(草药或传统疗法)控制 MRF 的人数比例,并使用多变量逻辑回归模型评估了与社会人口、经济和临床特征的潜在关联:在厄瓜多尔两种截然不同的社会文化背景下,我们发现经常使用 TM 来控制 MRF(埃斯梅拉达斯为 39.4%,基多为 31.1%),而且经常与中医结合使用。还有相当一部分人(埃斯梅拉达斯为 33.9%,基多为 39.0%)没有对 MRF 采取任何治疗措施,其余人则单独使用中医治疗。在这两个地区,个人的教育水平与 TM 的使用有很大关系。在基多,受过高等教育的人更经常使用传统疗法治疗 MRF(aOR:2.04,95%CI:1.03-3.90),而在埃斯梅拉达斯的农村地区,没有受过正规教育的人(aOR:3.76;95%CI:1.59-8.88)、年龄较小的人(按年份计算的aOR:0.97;95%CI:0.95-0.99)和非洲裔人(aOR:2.13;95%CI:1.02-4.45)更经常使用传统疗法:结论:厄瓜多尔有相当一部分人口使用传统医学,这说明有必要采取一种更方便、更跨文化的医疗保健方法。医疗系统应确保人们能够获得必要的信息和资源,以管理其代谢风险因素。
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来源期刊
BMC Complementary Medicine and Therapies
BMC Complementary Medicine and Therapies INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
6.10
自引率
2.60%
发文量
300
审稿时长
19 weeks
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