Psycho-Socioeconomic Factors Affecting Complementary and Alternative Medicine Use among Selected Rural Communities in Malaysia: A Cross-Sectional Study

Ganasegeran, Kurubaran; Rajendran, Anantha Kumar; Al-Dubai, Sami Abdo Radman

doi:10.1371/journal.pone.0112124

Cited by 23 publications

(32 citation statements)

References 19 publications

(42 reference statements)

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“…Attitude toward CAM has also been associated with CAM use 4. In women, CAM use was considered a more holistic approach to health and well-being over which they were able to maintain their personal control 9.…”

Section: Discussionmentioning

confidence: 99%

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Association between belief and attitude toward preference of complementary alternative medicine use

Islahudin¹,

Shahdan²,

Mohamad-Samuri³

2017

PPA

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BackgroundThere is a steep increase in the consumer use of complementary alternative medicine (CAM), with many users unaware of the need to inform their health care providers. Various predictors including psychosocial factors such as beliefs and behavior have been accounted for preference toward CAM use, with varying results.MethodsThis study investigates the belief and attitude regarding preference toward CAM use among the Malaysian population by using a questionnaire-based, cross-sectional study.ResultsA large majority of the 1,009 respondents admitted to taking at least one type of CAM (n=730, 72.3%). Only 20 (1.9%) respondents were found to have negative beliefs (total score <35), 4 (0.4%) respondents had neutral beliefs (total score =35), and 985 (97.6%) respondents had positive belief toward CAM (total score >36). A total of 507 (50.2%) respondents were categorized as having a negative CAM attitude, while 502 (49.8%) respondents were categorized as having a positive CAM attitude. It was demonstrated that there was a positive correlation between belief and attitude score (ρ=0.409, P<0.001). Therefore, the higher the belief in CAM, the more positive the attitude was toward CAM. Those who were using CAM showed a stronger belief (P=0.002), with a more positive attitude (P<0.001) toward it, than those who were not using CAM.ConclusionIdentifying belief regarding preference toward CAM use among the public could potentially reveal those with a higher tendency to use CAM. This is important as not everyone feels the need to reveal the use of CAM to their health care providers, which could lead to serious repercussions such as interactions and adverse effects.

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Section: Discussionmentioning

confidence: 99%

“…Among them, gender, education, and household income were factors that were found to affect preference toward CAM 4,5. In rural communities, those with a lower income and a higher education level were more likely to prefer CAM use.…”

Section: Introductionmentioning

confidence: 99%

Association between belief and attitude toward preference of complementary alternative medicine use

Islahudin¹,

Shahdan²,

Mohamad-Samuri³

2017

PPA

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“…8 Patient-related factors (preference for traditional medicine), provider- and health system-related factors (lack of information about illness), and therapeutic factors (fear of side effects, complex regimen) showed positive associations with medication nonadherence and were statistically significant. This significance could be attributed to multiethnic Malaysians’ predilection for holistic health beliefs and complementary medicine use, 14 in addition to physician adjustments to prescribed doses with newer synergistic therapies (in which patients may undermine the therapeutic efficacy or have greater concerns), can predispose patients toward medication-nonadherent behaviour. 13 …”

Section: Discussionmentioning

confidence: 99%

The prevalence of medication nonadherence in post-myocardial infarction survivors and its perceived barriers and psychological correlates: a cross-sectional study in a cardiac health facility in Malaysia

Ganasegeran¹,

Rashid²

2017

PPA

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BackgroundAlthough evidence-based practice has shown the benefits of prescribed cardioprotective drugs in post-myocardial infarction (MI) survivors, adherence rates remain suboptimal. The aim of this study was to determine the prevalence and factors associated with medication nonadherence among post-MI survivors in Malaysia.Materials and methodsThis cross-sectional study was conducted from February to September 2016 among 242 post-MI survivors aged 24–96 years at the cardiology outpatient clinic in a Malaysian cardiac specialist center. The study utilized an interviewer-administered questionnaire that consisted of items adapted and modified from the validated Simplified Medication Adherence Questionnaire, sociodemographics, health factors, perceived barriers, and novel psychological attributes, which employed the modified Confusion, Hubbub, and Order Scale and the Verbal Denial in Myocardial Infarction questionnaire.ResultsThe prevalence of medication nonadherence was 74%. In the multivariable model, denial of illness (AOR 1.2, 95% CI 0.9–1.8; P=0.032), preference to traditional medicine (AOR 8.7, 95% CI 1.1–31.7; P=0.044), lack of information about illness (AOR 3.3, 95% CI 1.1–10.6; P=0.045), fear of side effects (AOR 6.4, 95% CI 2.5–16.6; P<0.001), and complex regimen (AOR 5.2, 95% CI 1.9–14.2; P=0.001) were statistically significant variables associated with medication nonadherence.ConclusionThe relatively higher medication-nonadherence rate in this study was associated with patient-, provider-, and therapy-related factors and the novel psychological attribute denial of illness. Future research should explore these factors using robust methodological techniques to determine temporality among these factors.

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“…In Malaysia, use of Complementary and Alternative Medicine (CAM; 補充與替代醫學 bǔ chōng yǔ tì dài yī xué) for health maintenance, disease prevention and treatment is prevalent among healthy individuals as well as patients with chronic diseases. 1 , 2 Particular to cancer, numerous studies reported a significantly high degree of CAM use among the Malaysian population. 3 , 4 At the same time approximately 80% of the population in African and Asian countries reported CAM as a primary source to cure and prevent disease.…”

Section: Introductionmentioning

confidence: 99%

Use of complementary and alternative medicines among Malaysian cancer patients: A descriptive study

Farooqui

Hassali

Shatar

et al. 2016

Journal of Traditional and Complementary Medicine

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The use of Complementary and Alternative Medicine (CAM; 補充與替代醫學 bǔ chōng yǔ tì dài yī xué) has been rapidly increasing among cancer patients. However, this pervasiveness is still largely unexplored among Malaysian cancer patients. The current study aimed to evaluate the patterns of CAM use among cancer patients from a local hospital in Malaysia. In addition, the study focused on the information-seeking behavior and CAM use disclosure to doctors. Of 393 patients, 184 (46.1%) had used CAM for their cancers. CAM usage was significantly associated with gender (p = 0.021), level of education (p = 0.001), employment status (p = 0.02), and monthly income (p < 0.001). Among frequently used CAM were nutritional supplements (n = 77, 41.8%), natural products (n = 74, 40.2%), and multivitamin (n = 62, 33.6%). Friends and family members were the most common source of CAM information (n = 139, 75.5%). Seventy-nine (43%) reported to disclose their CAM use to the health care providers. The most common (n = 63, 34.2%) reason of nondisclosure was “it is not important to discuss it with oncologist.” This study confirmed that CAM use is common among Malaysian cancer patients, thus highlighting a greater need for patient education regarding CAM therapies and their potential interactions with conventional therapies. Although some types of CAM therapies may help patients to cope with emotional distress and improve quality of life, CAM, with no proven efficacy, may pose dangers to patients' health due to interactions with conventional therapies. Doctors and other health care providers including nurses and pharmacists should engage cancer patients in an open nonjudgmental dialog to ascertain CAM use disclosure to their health care providers.

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Psycho-Socioeconomic Factors Affecting Complementary and Alternative Medicine Use among Selected Rural Communities in Malaysia: A Cross-Sectional Study

Cited by 23 publications

References 19 publications

Association between belief and attitude toward preference of complementary alternative medicine use

Association between belief and attitude toward preference of complementary alternative medicine use

The prevalence of medication nonadherence in post-myocardial infarction survivors and its perceived barriers and psychological correlates: a cross-sectional study in a cardiac health facility in Malaysia

Use of complementary and alternative medicines among Malaysian cancer patients: A descriptive study

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