Patterns and predictors of complementary and alternative medicine use in people presenting with the non-communicable disease in an urban health facility, North India
Authors
Devashish Nailwal
Veer Chandra Singh Garhwali Government Medical Sciences and Research Institute, Srinagar, Uttarakhand
Venkatashiva B
Department of Community Medicine, NRI Academy of Medical Sciences, Guntur, Andhra Pradesh
Arti Gupta
Department of Community and Family Medicine, All India Institute of Medical Sciences Mangalagiri, Andhra Pradesh, India
Background: The rising burden of non-communicable diseases (NCDs) is a threat to India. Increasingly, individuals interested in improving their health and making healthy lifestyle changes are turning to complementary and alternative medicine (CAM) as a health-care option.
Design and Methods: The objective of this study was to determine the prevalence, pattern, and predictor of alternative medicine use among NCDs patients undergoing allopathic treatment in an urban health centre. The study design was a hospital-based crosssectional study, which was done in a government hospital, Srinagar, Pauri District, Uttarakhand, India among adult males and females aged above 20 years. The patients having NCDs were systematically sampled.
Result: Among 233 studied patients 57.1% were males. The mean age of the patients was 55.8 years (SD 13.5). Of the total studied patients 46.8% were diagnosed with DM, and 43.8% of HTN. Nearly one-fifth of the patients were known to have a CVD or COPD. A total of 49.8% of the studied NCD patients reported use of both allopathic and alternative medicine treatment and nearly 3.4% of the studied NCD patients in the last one year to seek exclusive alternative medicine treatment. The overall use of exclusive alternative medicine was low that is 3.7%, 1.0%, and 5% in diabetes, hypertension, and chronic lung disease patients, respectively. The most common form of alternative medicine used by studied patients was medicinal herbs/biological-based medicine (MB) (62.9%). Among MB commonly used were a bitter gourd, aloe vera, and others. 29.8% of the patients used Indian/Ayurveda medicine in total.
Conclusions: The use of exclusive alternative medicine is low in adult patients with NCD. However, medical pluralism is prevalent. A better understanding of practices especially that focuses on alternative medicine needs a qualitative study, which was beyond the scope of this study.
Significance for public health.
Alternative medicine provision for non communicable disease patients remains largely informal or unregulated. Though integrated into conventional health care frameworks it is largely fragmented. A better understanding of the pattern of alternative medicine use amongst non communicable disease patients will help dispel prevalent misconceptions concerning alternative medicine. It will assist conventional practitioners to critically evaluate their own prescribing habits.
Key words: Alternative, complementary, Ayurveda, non-communicable disease, hypertension, diabetes
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