Prevalence, determinants and outcomes of traditional, complementary and alternative medicine use for hypertension among low-income households in Malaysia and the Philippines

作者：Lia M. Palileo‐Villanueva, Benjamin Palafox, Arianna Maever L. Amit, Veincent Christian Filipino Pepito, Fadhlina Ab-Majid, Farnaza Ariffin, Dina Balabanova, Mohamad‐Rodi Isa, Nafiza Mat Nasir, Mazapuspavina My, Alicia Renedo, Maureen Seguin, Khalid Yusoff, Antonio L. Dans, Martin McKee · 发表于：BMC Complementary Medicine and Therapies · 年份：2022 · DOI：10.1186/s12906-022-03730-x · 被引用次数：30 · 研究领域：Complementary and Alternative Medicine Studies、Ethnobotanical and Medicinal Plants Studies、Medicinal Plant Extracts Effects

BACKGROUND: Traditional, complementary and alternative medicine (TCAM) is used to treat a broad range of conditions. In low- and middle-income countries (LMICs), TCAM use is particularly common among those with low socio-economic status. To better understand the patterns and impact of TCAM use on the management of non-communicable diseases in these populations, this study examines the prevalence and characteristics of TCAM use for hypertension, its determinants, and its association with hypertension management outcomes and wellbeing among low-income adults in two Southeast Asian countries at different levels of economic and health system development, Malaysia and the Philippines. METHODS: We analysed cross-sectional data from 946 randomly selected adults diagnosed with hypertension from low-income rural and urban communities in Malaysia (n = 495) and the Philippines (n = 451). We compared the prevalence, characteristics and household expenditure on TCAM use between countries and used multi-level, mixed-effects regression to estimate associations between TCAM use and its determinants, and five hypertension management outcomes and wellbeing. RESULTS: The prevalence of TCAM use to manage hypertension was higher in the Philippines than in Malaysia (18.8% vs 8.8%, p < 0.001). Biologically-based modalities, e.g. herbal remedies, were the most common type of TCAM used in both countries, mainly as a complement, rather than an alternative to conventional treatment. Households allocate...