Traditional healers in Riyadh region: reasons and health problems for seeking their advice. A household survey.
Journal: 2010/June - Journal of Alternative and Complementary Medicine
ISSN: 1557-7708
Abstract:
OBJECTIVE
The objectives were to study sociodemographic characteristics of complementary and alternative medicine (CAM) visitors, rate of their visits, health problems, and reasons for the visits.
METHODS
This was a cross-sectional study.
METHODS
This study was conducted in Riyadh city and its suburbs.
METHODS
The sample size was calculated to be 462 families, selected according to the World Health Organization multistage random cluster sampling technique and was divided into 40 clusters. The 40 clusters were distributed proportionally according to the size of population in the catchment area.
METHODS
A well-structured questionnaire that contains the items that fulfill the research objectives was used to collect the data by trained research assistants.
RESULTS
The study includes 1408 individuals; 61% were female. About 42% of the participants consulted traditional healers (TH) sometime before and 24% within the past 12 months. There were more visits to TH in elderly people >> or =60 years), females, married, divorced, or widows and illiterate people. Common types of traditional healing included reciting the Holy Quran (62.5%), herb practitioners (43.2%), cautery (12.4%), and cupping (4.4%). Cautery was used more in suburban areas than in the city. The nationalities of the TH were Saudis (86%), Sudanese (3%), Yemenis (1%), Indians (1%), and others (9%). The common medical problems for seeking TH help were abdominal pain, flatulence, low back pain, sadness, depression, and headache. The common reasons for visiting TH were belief of success of CAM (51%), preference of natural materials (29%), and nonresponse to medical treatment (25%). Factors independently associated with consultation of TH were dissatisfaction with physician diagnosis (odds ratio [OR] = 122), failure of medical treatment (OR = 80), success of TH (OR = 79), long waiting time for physicians (OR = 20) and knowledge that some herbs are harmful (OR = 1.4).
CONCLUSIONS
In this study, about half of the participants have visited TH. Abdominal pain was the most common presenting health problem. CAM is a reality and it deserves more investigation and appropriate legislation and control.
Relations:
Content
Citations
(16)
References
(24)
Diseases
(1)
Conditions
(2)
Organisms
(1)
Affiliates
(1)
Similar articles
Articles by the same authors
Discussion board
J Altern Complement Med 16(2): 199-204

Traditional Healers in Riyadh Region: Reasons and Health Problems for Seeking Their Advice. A Household Survey

Objectives

The objectives were to study sociodemographic characteristics of complementary and alternative medicine (CAM) visitors, rate of their visits, health problems, and reasons for the visits.

Design

This was a cross-sectional study.

Setting

This study was conducted in Riyadh city and its suburbs.

Subjects

The sample size was calculated to be 462 families, selected according to the World Health Organization multistage random cluster sampling technique and was divided into 40 clusters. The 40 clusters were distributed proportionally according to the size of population in the catchment area.

Intervention and outcome measures

A well-structured questionnaire that contains the items that fulfill the research objectives was used to collect the data by trained research assistants.

Results

The study includes 1408 individuals; 61% were female. About 42% of the participants consulted traditional healers (TH) sometime before and 24% within the past 12 months. There were more visits to TH in elderly people (≥60 years), females, married, divorced, or widows and illiterate people. Common types of traditional healing included reciting the Holy Quran (62.5%), herb practitioners (43.2%), cautery (12.4%), and cupping (4.4%). Cautery was used more in suburban areas than in the city. The nationalities of the TH were Saudis (86%), Sudanese (3%), Yemenis (1%), Indians (1%), and others (9%). The common medical problems for seeking TH help were abdominal pain, flatulence, low back pain, sadness, depression, and headache. The common reasons for visiting TH were belief of success of CAM (51%), preference of natural materials (29%), and nonresponse to medical treatment (25%). Factors independently associated with consultation of TH were dissatisfaction with physician diagnosis (odds ratio [OR] = 122), failure of medical treatment (OR = 80), success of TH (OR = 79), long waiting time for physicians (OR = 20) and knowledge that some herbs are harmful (OR = 1.4).

Conclusions

In this study, about half of the participants have visited TH. Abdominal pain was the most common presenting health problem. CAM is a reality and it deserves more investigation and appropriate legislation and control.

Department of Family & Community Medicine, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Corresponding author.
Address correspondence to: Norah Al-Rowais, M.Sc., K.S.F., Department of Family & Community Medicine (34), College of Medicine, King Saud University, P.O. Box 2925, Riyadh 11461, Kingdom of Saudi Arabia. E-mail:as.ude.usk@siaworn
Address correspondence to: Norah Al-Rowais, M.Sc., K.S.F., Department of Family & Community Medicine (34), College of Medicine, King Saud University, P.O. Box 2925, Riyadh 11461, Kingdom of Saudi Arabia. E-mail:as.ude.usk@siaworn

Abstract

Objectives

The objectives were to study sociodemographic characteristics of complementary and alternative medicine (CAM) visitors, rate of their visits, health problems, and reasons for the visits.

Design

This was a cross-sectional study.

Setting

This study was conducted in Riyadh city and its suburbs.

Subjects

The sample size was calculated to be 462 families, selected according to the World Health Organization multistage random cluster sampling technique and was divided into 40 clusters. The 40 clusters were distributed proportionally according to the size of population in the catchment area.

Intervention and outcome measures

A well-structured questionnaire that contains the items that fulfill the research objectives was used to collect the data by trained research assistants.

Results

The study includes 1408 individuals; 61% were female. About 42% of the participants consulted traditional healers (TH) sometime before and 24% within the past 12 months. There were more visits to TH in elderly people (≥60 years), females, married, divorced, or widows and illiterate people. Common types of traditional healing included reciting the Holy Quran (62.5%), herb practitioners (43.2%), cautery (12.4%), and cupping (4.4%). Cautery was used more in suburban areas than in the city. The nationalities of the TH were Saudis (86%), Sudanese (3%), Yemenis (1%), Indians (1%), and others (9%). The common medical problems for seeking TH help were abdominal pain, flatulence, low back pain, sadness, depression, and headache. The common reasons for visiting TH were belief of success of CAM (51%), preference of natural materials (29%), and nonresponse to medical treatment (25%). Factors independently associated with consultation of TH were dissatisfaction with physician diagnosis (odds ratio [OR] = 122), failure of medical treatment (OR = 80), success of TH (OR = 79), long waiting time for physicians (OR = 20) and knowledge that some herbs are harmful (OR = 1.4).

Conclusions

In this study, about half of the participants have visited TH. Abdominal pain was the most common presenting health problem. CAM is a reality and it deserves more investigation and appropriate legislation and control.

Abstract

Footnotes

Al-Aska A, Al-Khwaiter SA, Al-Jualie AA, Mufti MH, Al-Omair A, Al-Baaj T. A report of the result of 120 native healers interviews. Personal communication (unpublished). A project sponsored by King AbdulAziz City for Science and Technology.

Personal communication with Ministry of Health authorities.

Footnotes

References

  • 1. Ernst E. Cohen MH. Stone J. Ethical problems arising in evidence-based complementary and alternative medicine. J Med Ethics. 2004;30:156–159.
  • 2. Ben-Arye E. Frenkel M. Klein A. Scharf M. Attitudes toward integration of complementary and alternative medicine in primary care: Perspective of patients, physicians and complementary practitioners. Patient Educ Couns. 2008;70:395–402.[PubMed]
  • 3. Cohen MWhat is complementary medicine? Aust Fam Physician. 2000;29:1125–1128.[PubMed][Google Scholar]
  • 4. Eisenberg DM. David RB. Ettner SL, et al. Trends in alternative medicine use in the United States. JAMA. 1998;280:1569–1575.[PubMed]
  • 5. Ernst E. White AR. The BBC survey of complementary medicine use in the UK. Complement Ther Med. 2000;8:32–36.[PubMed]
  • 6. WHO traditional medicine strategy 2002–2005. Geneva: World Health Organization; 2000. [PubMed]
  • 7. Al Faris EA. Al-Rowais N. Mohamed AG, et al. Prevalence and pattern of alternative medicine use in Saudi Arabia: The result of a household survey. Ann Saudi Med. 2008;28:4–10.
  • 8. Astin JAWhy patients use alternative medicine: Results of a national survey. JAMA. 1998;279:1548–1553.[PubMed][Google Scholar]
  • 9. Siapush MWhy do people favour alternative medicine? Aust NZ J Pub Health. 1999;23:266–271.[PubMed][Google Scholar]
  • 10. Siapush MPost-modern values, dissatisfaction with conventional medicine and popularity of alternative therapies. J Social. 1998;34:58–70.[PubMed][Google Scholar]
  • 11. Linde K. Berner MR. Kriston L. St John's wort for major depression [Review] Cochrane Database Syst Rev. 2008;4:CD000448.[PubMed]
  • 12. Smith CA. Collins CT. Syna AM. Crowther CA. Complementary and alternative therapies for pain management in labour [Review] Cochrane Database Syst Rev. 2006;4:CD003521.[PubMed]
  • 13. Furlan AD. Van Tulder MW. Cherkin DC, et al. Acupuncture and dry-needing for low back pain [Review] Cochrane Database Syst Rev. 2005;1:CD001351.[PubMed]
  • 14. Stevinson C. Pittler MH. Ernst E. Garlic for treating hypercholestremia: A meta analysis of randomized clinic trials. Ann Intern Med. 2000;133:420–429.[PubMed]
  • 15. Al-Awad ME. Vijaya Kumar E. Malhotra RK. Native manual tonsillectomy: A dangerous practice in Asir. Ann Saudi Med. 1992;12:188–190.[PubMed]
  • 16. Malik IA. Gopalan S. Use of CAM results in delay in seeking medical advice for breast cancer. Eur J Epidemiol. 2003;18:817–822.[PubMed]
  • 17. Gupta M. Chowdery MSA. A common practice of traditional medicine with oil and/or Ghee, as folk medicine in children of Southern Saudi Arabia. Ann Saudi Med. 1990;10:378–382.[PubMed]
  • 18. Sebai ZA Health in Saudi Arabia. First. Riyadh: Tihama Publications; 1984. [PubMed][Google Scholar]
  • 19. Watt HGCutaneous cautery (Al Kowi): A study in pediatric orthopedic clinic in central Saudi Arabia. Ann Saudi Med. 1989;9:475–478.[PubMed][Google Scholar]
  • 20. Tabbara KCautery, folk remedies and magic. Ann Saudi Med. 1989;9:433–434.[PubMed][Google Scholar]
  • 21. Al-Faris EAThe pattern of alternative medicine use among patients attending health centers in a military community in Riyadh. J Fam Com Med. 2000;7:17–25.[Google Scholar]
  • 22. Ajaji N. Taha AZ. Al-Subier AG. Prevalence of utilization of native medicine among primary care consumers. Saudi Med J. 1998;19:551–554.[PubMed]
  • 23. Ministry of Planning, Central Department of StatisticsKingdom of Saudi Arabia 1416H–1996AD. Statistical Year Book. p. 469.[Google Scholar]
  • 24. Ministry of Health, Directorate of Health Affairs, Department of Statistics, Riyadh Region 1996. Annual Statistical Report. 1996.
  • 25. Lemeshow S. Robinson D. Surveys to measure program coverage and impact: A review of the methodology used by the expanded program on immunization. World Health Stat Quart. 1985;38:65–75.[PubMed]
  • 26. Adams J. Sibbritt GW. Easthope G. Young A. The profile of women who consult alternative health practitioners in Australia. Med J Aust. 2003;179:297–300.[PubMed]
  • 27. Steyer TE. Freed GL. Lantz PM. Medicaid reimbursement for alternative therapies. Alt Ther Health Med. 2002;8:84–88.[PubMed]
  • 28. Tesch BJHerbs commonly used by women: An evidence-based review. Am J Obst Gynecol. 2003;188(5 suppl):544–555.[PubMed][Google Scholar]
  • 29. Maclennan AH. Wilson DH. Taylor AW. Prevalence and cost of alternative medicine in Australia. Lancet. 1996;347:569–573.[PubMed]
  • 30. Maclennan AH. Wilson DH. Taylor AW. The escalating cost and prevalence of alternative medicine. Prev Med. 2002;35:166–173.[PubMed]
  • 31. Palinkas LA. Kabongo MI. San Diego Unified Practice Research in family medicine network: The use of complementary and alternative medicine by primary care patients. J Fam Pract. 2000;49:1121–1130.[PubMed]
  • 32. Barret B. Marchand L. Scheder J, et al. What complementary and alternative medicine practitioners say about health and health care. Ann Fam Med. 2004;2:253–259.
  • 33. Ben-Arye E. Sebarf M. Frenkel M. How should complementary practitioners and physicians communicate? A cross-sectional study. J Am Board Fam Med. 2007;20:565–571.[PubMed]
Collaboration tool especially designed for Life Science professionals.Drag-and-drop any entity to your messages.