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Prevalence and correlates of complementary and alternative medicine use among diabetic patients in Beirut, Lebanon: A cross-sectional study

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dc.contributor.author Naja F.
dc.contributor.author Mousa D.
dc.contributor.author Alameddine M.
dc.contributor.author Shoaib H.
dc.contributor.author Itani L.
dc.contributor.author Mourad Y.
dc.contributor.editor
dc.date 2014
dc.date.accessioned 2017-10-18T13:24:07Z
dc.date.available 2017-10-18T13:24:07Z
dc.date.issued 2014
dc.identifier 10.1186/1472-6882-14-185
dc.identifier.issn 14726882
dc.identifier.uri http://hdl.handle.net/10938/20210
dc.description.abstract Background: Patients with Type 2 Diabetes Mellitus (T2DM) are increasingly using complementary and alternative medicine (CAM) therapies due to difficulty in adhering to the therapeutic regimens and lifestyle changes necessary for disease management. Little is known about the prevalence and mode of CAM use among patients with T2DM in Lebanon.Objective: To assess the prevalence and modes of CAM use among patients with T2DM residing in Beirut, Lebanon.Methods: A cross-sectional survey of T2DM patients was conducted on patients recruited from two major referral centers in Beirut- a public hospital and a private academic medical center. In a face-to-face interview, participants completed a questionnaire comprised of three sections: socio-demographic, diabetes characteristics and types and modes of CAM use. Descriptive statistics, univariate and multivariate logistic regression analyses were utilized to assess the prevalence and correlates of CAM use, as well as whether the use was complementary or alternative to mainstream medicine. The main outcome in this study, CAM use, was defined as using CAM at least once since diagnosis with T2DM.Results: A total of 333 T2DM patients completed the survey (response rate: 94.6percent). Prevalence of CAM use since diagnosis with the disease was 38percent. After adjustment, CAM use was significantly associated with a married status, a longer duration of T2DM, the presence of disease complications, and a positive family history of the disease. Folk foods and herbs were the most commonly used CAM followed by natural health products. One in five patients used CAM as alternative to conventional treatment. Only 7percent of CAM users disclosed the CAM use to their treating physician. Health care practitioners were the least cited (7percent) as influencing the choice of CAM among users.Conclusion: The use of CAM therapies among T2DM patients in Lebanon is prevalent. Decision makers and care providers must fully understand the potential risks and benefits of CAM therapies to appropriately advise their patients. Attention must be dedicated to educating T2DM patients on the importance of disclosing CAM use to their physicians especially patients with a family history of diabetes, and those who have had the disease for a long time. © 2014 Naja et al.; licensee BioMed Central Ltd.
dc.format.extent
dc.language English
dc.publisher BioMed Central Ltd.; LONDON
dc.relation.ispartof Publication Name: BMC Complementary and Alternative Medicine; Publication Year: 2014; Volume: 14;
dc.source Scopus
dc.title Prevalence and correlates of complementary and alternative medicine use among diabetic patients in Beirut, Lebanon: A cross-sectional study
dc.type Article
dc.contributor.affiliation Naja, F., Faculty of Agriculture and Food Sciences, Department of Nutrition and Food Sciences, American University of Beirut, Riad El-Solh, Beirut 1107 2020, Lebanon
dc.contributor.affiliation Mousa, D., Faculty of Agriculture and Food Sciences, Department of Nutrition and Food Sciences, American University of Beirut, Riad El-Solh, Beirut 1107 2020, Lebanon
dc.contributor.affiliation Alameddine, M., Faculty of Health Sciences, Department of Health Management and Policy, American University of Beirut, Riad El-Solh, Beirut 1107 2020, Lebanon
dc.contributor.affiliation Shoaib, H., Faculty of Agriculture and Food Sciences, Department of Nutrition and Food Sciences, American University of Beirut, Riad El-Solh, Beirut 1107 2020, Lebanon
dc.contributor.affiliation Itani, L., Faculty of Health Sciences, Department of Nutrition and Dietetics, Beirut Arab University, Riad El-Solh, Beirut 1107 2809, Lebanon
dc.contributor.affiliation Mourad, Y., Faculty of Health Sciences, Department of Health Management and Policy, American University of Beirut, Riad El-Solh, Beirut 1107 2020, Lebanon
dc.contributor.authorAddress Alameddine, M.; Faculty of Health Sciences, Department of Health Management and Policy, American University of Beirut, Riad El-Solh, Beirut 1107 2020, Lebanon; email: ma164@aub.edu.lb
dc.contributor.authorCorporate University: American University of Beirut; Faculty: Faculty of Agricultural and Food Sciences; Department: Nutrition and Food Sciences;
dc.contributor.authorDepartment Nutrition and Food Sciences
dc.contributor.authorDivision
dc.contributor.authorEmail sklee61@snu.ac.kr
dc.contributor.authorFaculty Faculty of Agricultural and Food Sciences
dc.contributor.authorInitials Chung, HJ
dc.contributor.authorInitials Cho, L
dc.contributor.authorInitials Shin, JS
dc.contributor.authorInitials Lee, J
dc.contributor.authorInitials Ha, IH
dc.contributor.authorInitials Park, HJ
dc.contributor.authorInitials Lee, SK
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Lee, SK (reprint author), Seoul Natl Univ, Inst Nat Prod Res, Coll Pharm, San 56-1 Sillim Dong, Seoul 151742, South Korea.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut
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dc.description.citedCount
dc.description.citedTotWOSCount 0
dc.description.citedWOSCount 0
dc.format.extentCount 1
dc.identifier.articleNo 185
dc.identifier.coden BCAMC
dc.identifier.scopusID 84903523259
dc.publisher.address 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND
dc.relation.ispartOfISOAbbr BMC Complement. Altern. Med.
dc.relation.ispartofPubTitle BMC Complementary and Alternative Medicine
dc.relation.ispartofPubTitleAbbr BMC Complement. Altern. Med.
dc.relation.ispartOfVolume 14
dc.source.ID WOS:000338161400001
dc.type.publication Journal
dc.subject.otherAuthKeyword Complementary and alternative medicine
dc.subject.otherAuthKeyword integration
dc.subject.otherAuthKeyword lebanon
dc.subject.otherAuthKeyword patient safety
dc.subject.otherAuthKeyword policy
dc.subject.otherAuthKeyword prevalence
dc.subject.otherAuthKeyword type-two diabetes mellitus
dc.subject.otherIndex Mineral
dc.subject.otherIndex natural product
dc.subject.otherIndex vitamin
dc.subject.otherIndex adult
dc.subject.otherIndex alternative medicine
dc.subject.otherIndex article
dc.subject.otherIndex cross-sectional study
dc.subject.otherIndex demography
dc.subject.otherIndex disease duration
dc.subject.otherIndex family history
dc.subject.otherIndex female
dc.subject.otherIndex functional food
dc.subject.otherIndex health care personnel
dc.subject.otherIndex health survey
dc.subject.otherIndex herb
dc.subject.otherIndex herbal tea
dc.subject.otherIndex human
dc.subject.otherIndex interview
dc.subject.otherIndex lebanon
dc.subject.otherIndex major clinical study
dc.subject.otherIndex male
dc.subject.otherIndex marriage
dc.subject.otherIndex middle aged
dc.subject.otherIndex multivariate logistic regression analysis
dc.subject.otherIndex non insulin dependent diabetes mellitus
dc.subject.otherIndex physician
dc.subject.otherIndex prevalence
dc.subject.otherIndex public hospital
dc.subject.otherIndex questionnaire
dc.subject.otherIndex refusal to participate
dc.subject.otherIndex spiritual healing
dc.subject.otherIndex statistics
dc.subject.otherIndex univariate analysis
dc.subject.otherIndex university hospital
dc.subject.otherIndex vitamin supplementation
dc.subject.otherKeywordPlus Alternative medicine use
dc.subject.otherKeywordPlus diabetes-mellitus
dc.subject.otherKeywordPlus complementary medicine
dc.subject.otherKeywordPlus primary-care
dc.subject.otherKeywordPlus prevalence
dc.subject.otherKeywordPlus plants
dc.subject.otherKeywordPlus integration
dc.subject.otherKeywordPlus therapies
dc.subject.otherKeywordPlus products
dc.subject.otherKeywordPlus lebanon
dc.subject.otherWOS Integrative and Complementary Medicine
dc.identifier.doi http://dx.doi.org/10.1186/1472-6882-14-185


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