Prevalence and correlates of herbal medicine use among type 2 diabetic patients in Teaching Hospital in Ethiopia: a cross-sectional study

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Abstract

Background

Type 2 Diabetes Mellitus (T2DM) patients are increasingly using herbal remedies due to the fact that sticking to the therapeutic regimens is becoming awkward. However, studies towards herbal medicine use by diabetic patients is scarce in Ethiopia. Therefore, the aim of the current study was to explore the prevalence and correlates of herbal medicine use with different sociodemographic variables among type 2 diabetes patients visiting the diabetic follow-up clinic of University of Gondar comprehensive specialized hospital (UOGCSH), Ethiopia.

Methods

A hospital-based cross sectional study was employed on 387 T2DM patients visiting the diabetes illness follow-up care clinic of UOGCSH from October 1 to November 30, 2016. An interviewer-administered questionnaire regarding the demographic and disease characteristics as well as herbal medicine use was completed by the study subjects. Descriptive, univariate and multivariate logistic regression statistics were performed to determine prevalence and come up with correlates of herbal medicine use.

Results

From 387 participants, 62% were reported to be herbal medicine users. The most prevalent herbal preparations used were Garlic ( Allium sativum L.) (41.7%), Giesilla (Caylusea abyssinica (fresen.) (39.6%), Tinjute (Otostegia integrifolia Benth) (27.2%), and Kosso (Hagenia abyssinicaa) (26.9%). Most of herbal medicine users (87.1%) didn’t consult their physicians about their herbal medicine use. Families and friends (51.9%) were the frontline sources of information about herbal medicine followed by other DM patients who used herbal medicines (28.9%).

Conclusions

The present study revealed a high rate of herbal medicine use along with a very low rate use disclosure to the health care professionals. Higher educational status, a family history of DM, duration of T2DM and presence of DM complications were identified to be strong predictors of herbal medicine use. From the stand point of high prevalence and low disclosure rate, it is imperative for health care providers to strongly consult patients regarding herbal medicine use.

Electronic supplementary material

The online version of this article (10.1186/s12906-018-2147-3) contains supplementary material, which is available to authorized users.

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Most cited references 31

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F Eshun, Ru-Qian He (2003)

Scientific investigations on Aloe vera have gained more attention over the last several decades due to its reputable medicinal properties. Some publications have appeared in reputable Scientific Journals that have made appreciable contributions to the discovery of the functions and utilizations of Aloe--"nature's gift." Chemical analysis reveals that Aloe vera contains various carbohydrate polymers, notably glucomannans, along with a range of other organic and inorganic components. Although many physiological properties of Aloe vera have been described, it still remains uncertain as to which of the component(s) is responsible for these physiological properties. Further research needs to be done to unravel the myth surrounding the biological activities and the functional properties of A. vera. Appropriate processing techniques should be employed during the stabilization of the gel in order to affect and extend its field of utilization.

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Complementary medicine use by the Australian population: a critical mixed studies systematic review of utilisation, perceptions and factors associated with use

Rebecca Reid, Amie Steel, Jon Lee Wardle … (2016)

Background There is increasing evidence that complementary medicine (CM) services are being used by a substantial proportion of the Australian population and this topic has attracted keen interest from primary health care providers and policy makers. This article outlines the first summative critical review of the predictors of CM use in Australia as well as the characteristics and perceptions of Australian CM users over the last 14 years. Methods A literature search was conducted to ascertain original research from 2000 to 2014 in the AMED; CINAHL; and PubMed databases. Selected articles were subject to a critical appraisal analysis to identify the quality of the article. The search was confined to peer reviewed original articles published in English which identified the nature of CM services use in Australia. Results The findings indicate a correlation between CM users and gender, with reports of a higher rate of use from females compared to males. Female CM users are more likely to be middle-aged with a higher education and higher annual income in comparison to female non-CM users. An association between resident location and use of CM disciplines was also identified with reports of rural residents utilising manual therapies more frequently compared to urban residents. CM users are more likely to seek CM services for a range of chronic conditions including diseases identified as National Health Priority Areas by the Australian Government. Conclusions This article provides the first comprehensive review examining the nature of CM use in Australia. The review findings offer important insights into the characteristics and features of CM use in Australia and provide insights for national and regional primary health care initiatives and of interest to medical doctors, allied health professionals, CM practitioners, researchers and policy makers.

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Evelin Tiralongo, Hsiao-Huang Chang, Marianne Wallis (2007)

This paper is a report of a literature review to explore the prevalence of complementary and alternative medicine use amongst people with diabetes to inform nursing practice, education and research. Diabetes mellitus affects the entirety of a person's being and increasingly people use complementary and alternative medicine in conjunction with other medical treatments and lifestyle modifications to manage their condition and improve well-being. The CINAHL, Medline, ProQuest nursing journals and Psych INFO databases were searched for the period 1990-2006 using identified keywords. A total of 18 studies from nine countries were found. The results suggest that the prevalence of complementary and alternative medicine use among people with diabetes ranges from 17% to 72.8%. The most widely used therapies among diabetic populations are nutritional supplements, herbal medicines, nutritional advice, spiritual healing and relaxation techniques. The characteristics which influence complementary and alternative medicine use are age, duration of diabetes, degree of complications and self-monitoring of blood glucose. Although inconsistency in the definition of complementary and alternative medicine and varying research designs make estimation of usage prevalence difficult, evidence suggests that a high proportion of people with diabetes use these therapies concurrently with conventional healthcare services. Healthcare professionals need to be aware of this issue and may need to incorporate complementary and alternative medicine information into patient assessment and intervention.

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Author and article information

Contributors

Abebe Basazn Mekuria: abeyohannes21@gmail.com

Sewunet Admasu Belachew: sewunet.admasu@gmail.com

Henok Getachew Tegegn: minaleshewa015@gmail.com

Dawit Simegnew Ali: davesimegnew@gmail.com

Adeladlew Kassie Netere: Kassieadeladlew21@gmail.com

Eskedar Lemlemu: lemlemue@yahoo.com

Daniel Asfaw Erku: daniel.asfaw05@gmail.com

Journal

Journal ID (nlm-ta): BMC Complement Altern Med

Journal ID (iso-abbrev): BMC Complement Altern Med

Title: BMC Complementary and Alternative Medicine

Publisher: BioMed Central (London )

ISSN (Electronic): 1472-6882

Publication date (Electronic): 9 March 2018

Publication date PMC-release: 9 March 2018

Publication date Collection: 2018

Volume: 18

Electronic Location Identifier: 85

Affiliations

[1 ]ISNI 0000 0000 8539 4635, GRID grid.59547.3a, Department of Pharmacology, School of Pharmacy, College of Medicine and Health Sciences, , University of Gondar, ; P.O. Box: 196, Chechela Street, Lideta Subcity Kebele 16, Gondar, Ethiopia

[2 ]ISNI 0000 0000 8539 4635, GRID grid.59547.3a, Department of Clinical Pharmacy, School of Pharmacy, , University of Gondar, ; Chechela Street, Lideta Subcity Kebele 16, Gondar, Ethiopia

[3 ]ISNI 0000 0004 4901 9087, GRID grid.472427.0, Department of Pharmacology, , Bule Hora University, ; Bule Hora, Ethiopia

[4 ]ISNI 0000 0000 8539 4635, GRID grid.59547.3a, Department of Pharmaceutics and Social Pharmacy, College of Medicine and Health Sciences, , University of Gondar, ; Chechela Street, Lideta Subcity Kebele 16, Gondar, Ethiopia

[5 ]GRID grid.449044.9, Department of Sociology, , Debre Markos University, ; Debre Markos, Ethiopia

Article

Publisher ID: 2147

DOI: 10.1186/s12906-018-2147-3

PMC ID: 5845232

PubMed ID: 29523120

SO-VID: 6a786215-3b26-48dd-b12a-4a4cd74669b8

License:

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.