Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2006

Open Access 01-12-2006 | Research article

Herbal medicine: women's views, knowledge and interaction with doctors: a qualitative study

Authors: Kathryn A Vickers, Kate B Jolly, Sheila M Greenfield

Published in: BMC Complementary Medicine and Therapies | Issue 1/2006

Login to get access

Abstract

Background

There is growing concern that serious interactions are occurring between prescribed/over the counter and herbal medicines and that there is a lack of disclosure of herbal use by patients to doctors. This study explores women's perspectives about the safety of herbal remedies, herb-drug interactions and communication with doctors about herbal medicines.

Methods

Qualitative, cross-sectional study, with purposive sampling which took place in Cheshire, UK. Eighteen in depth semi-structured interviews were conducted with female herbal medicine users aged 18 years and above.

Results

The large majority did not inform their GPs of their use of herbal medicines. This was due to lack of physician enquiry, perception of importance and fear of a negative response. Several women were not aware that herbal remedies could interact with prescribed or over the counter medicines. Of the women who had experienced adverse effects none had reported them, believing them of low importance.

Conclusion

The women had little knowledge about herb-drug interactions and rarely disclosed use of herbal medicines to their doctor. Doctors' communication and openness regarding herbal medicines needs to improve and there should be increased access to accurate information on herbal medicines in the public and health care domain.
Literature
1.
go back to reference Ernst E: Harmless Herbs? A review of the recent literature. Am J of Med. 1998, 104: 170-178. 10.1016/S0002-9343(97)00397-5.CrossRef Ernst E: Harmless Herbs? A review of the recent literature. Am J of Med. 1998, 104: 170-178. 10.1016/S0002-9343(97)00397-5.CrossRef
2.
go back to reference Thomas KJ, Nicholl JP, Coleman P: Use and expenditure on complementary medicine in England: a population based survey. Complement Ther Med. 2001, 9: 2-11. 10.1054/ctim.2000.0407.CrossRefPubMed Thomas KJ, Nicholl JP, Coleman P: Use and expenditure on complementary medicine in England: a population based survey. Complement Ther Med. 2001, 9: 2-11. 10.1054/ctim.2000.0407.CrossRefPubMed
3.
go back to reference Barnes J: Quality, efficacy and safety of complementary medicines: fashions, facts and the future. Part 1. Regulation and quality. Br J Clin Pharmacol. 2003, 55: 226-330. 10.1046/j.1365-2125.2003.01810.x.CrossRefPubMedPubMedCentral Barnes J: Quality, efficacy and safety of complementary medicines: fashions, facts and the future. Part 1. Regulation and quality. Br J Clin Pharmacol. 2003, 55: 226-330. 10.1046/j.1365-2125.2003.01810.x.CrossRefPubMedPubMedCentral
4.
5.
go back to reference Bent S: Commonly used herbal medicines in the United States: a review. Am J M. 2004, 116: 478-485. 10.1016/j.amjmed.2003.10.036.CrossRef Bent S: Commonly used herbal medicines in the United States: a review. Am J M. 2004, 116: 478-485. 10.1016/j.amjmed.2003.10.036.CrossRef
6.
go back to reference Izzo AA, Ernst E: Interactions between herbal medicines and prescribed drugs: a systematic review. Drugs. 2001, 61: 2163-2175. 10.2165/00003495-200161150-00002.CrossRefPubMed Izzo AA, Ernst E: Interactions between herbal medicines and prescribed drugs: a systematic review. Drugs. 2001, 61: 2163-2175. 10.2165/00003495-200161150-00002.CrossRefPubMed
7.
go back to reference Smith L, Ernst E, Ewings P, Myers P, Smith C: Co-ingestion of herbal medicines and warfarin. Br J Gen Pract. 2004, 54: 439-41.PubMedPubMedCentral Smith L, Ernst E, Ewings P, Myers P, Smith C: Co-ingestion of herbal medicines and warfarin. Br J Gen Pract. 2004, 54: 439-41.PubMedPubMedCentral
8.
go back to reference Barnes J, Mills SY, Abbot NC, Willoughby M, Ernst E: Different standards for reporting ADRs to herbal remedies and conventional OTC medicines: face-to-face, interviews with 515 users of herbal remedies. Br J Clin Pharmacol. 1998, 45: 496-500. 10.1046/j.1365-2125.1998.00715.x.CrossRefPubMedPubMedCentral Barnes J, Mills SY, Abbot NC, Willoughby M, Ernst E: Different standards for reporting ADRs to herbal remedies and conventional OTC medicines: face-to-face, interviews with 515 users of herbal remedies. Br J Clin Pharmacol. 1998, 45: 496-500. 10.1046/j.1365-2125.1998.00715.x.CrossRefPubMedPubMedCentral
9.
go back to reference Owusu-Daaku FTK, Smith FJ: Health-seeking behaviour: perspective of Ghanaian women in London and Kumasi. Pharmaceutical Press. 2005, 13: 71-76. Owusu-Daaku FTK, Smith FJ: Health-seeking behaviour: perspective of Ghanaian women in London and Kumasi. Pharmaceutical Press. 2005, 13: 71-76.
10.
go back to reference Sandhu DS, Heinrich M: The use of health foods, spices and other botanicals in the Sikh community in London. Phytother Res. 2005, 19: 633-642. 10.1002/ptr.1714.CrossRefPubMed Sandhu DS, Heinrich M: The use of health foods, spices and other botanicals in the Sikh community in London. Phytother Res. 2005, 19: 633-642. 10.1002/ptr.1714.CrossRefPubMed
11.
go back to reference Sharples FM, van Haselen R, Fisher P: NHS patients' perspective on complementary medicine: a survey. Complement Ther Med. 2003, 11: 243-8. 10.1016/S0965-2299(03)00107-9.CrossRefPubMed Sharples FM, van Haselen R, Fisher P: NHS patients' perspective on complementary medicine: a survey. Complement Ther Med. 2003, 11: 243-8. 10.1016/S0965-2299(03)00107-9.CrossRefPubMed
12.
go back to reference Robison A, McGrail MR: Disclosure of CAM use to medical practitioners: a review of qualitative and quantitative studies. Complement Ther Med. 2004, 12: 90-8. 10.1016/j.ctim.2004.09.006.CrossRef Robison A, McGrail MR: Disclosure of CAM use to medical practitioners: a review of qualitative and quantitative studies. Complement Ther Med. 2004, 12: 90-8. 10.1016/j.ctim.2004.09.006.CrossRef
13.
go back to reference Alder SR, Fosket JR: Disclosing complementary and alternative medicine use in the medical encounter: a qualitative study in women with breast cancer. J Fam Pract. 1991, 48: 453-8. Alder SR, Fosket JR: Disclosing complementary and alternative medicine use in the medical encounter: a qualitative study in women with breast cancer. J Fam Pract. 1991, 48: 453-8.
14.
go back to reference Harrison RA, Holt D, Pattison DJ, Elton PJ: Who and how many people are taking herbal supplements? A survey of 21,923 adults. Int J Vitam Nutr Res. 2004, 74: 183-6. 10.1024/0300-9831.74.3.183.CrossRefPubMed Harrison RA, Holt D, Pattison DJ, Elton PJ: Who and how many people are taking herbal supplements? A survey of 21,923 adults. Int J Vitam Nutr Res. 2004, 74: 183-6. 10.1024/0300-9831.74.3.183.CrossRefPubMed
15.
go back to reference Al-Windi A: Predictors of herbal medicine use in Swedish health practice. Pharmacoepidemiol Drug Saf. 2004, 13: 489-96. 10.1002/pds.901.CrossRefPubMed Al-Windi A: Predictors of herbal medicine use in Swedish health practice. Pharmacoepidemiol Drug Saf. 2004, 13: 489-96. 10.1002/pds.901.CrossRefPubMed
16.
go back to reference Ni H, Simile C, Hardy AM: Utilization of complementary and alternative medicine by United States adults: results from the 1999 national health interview survey. Med Care. 2002, 40: 353-8. 10.1097/00005650-200204000-00011.CrossRefPubMed Ni H, Simile C, Hardy AM: Utilization of complementary and alternative medicine by United States adults: results from the 1999 national health interview survey. Med Care. 2002, 40: 353-8. 10.1097/00005650-200204000-00011.CrossRefPubMed
17.
go back to reference Bowling A: Research methods in health, Investigating health and health services. 2002, Berkshire: Open University Press, 2 Bowling A: Research methods in health, Investigating health and health services. 2002, Berkshire: Open University Press, 2
18.
go back to reference Ritchie J, Lewis J: Qualitative Research Practice, A guide for social science students and researchers. 2003, London: Sage Publications Ritchie J, Lewis J: Qualitative Research Practice, A guide for social science students and researchers. 2003, London: Sage Publications
20.
go back to reference Rawsthorne P, Shanahan F, Cronin NC, Anton PA, Lofberg R, Bohman L, Bernstein CN: An international survey of the use and attitudes regarding alternative medicine by patients with inflammatory bowel disease. Am J Gastroenterol. 1999, 94: 1289-303. 10.1111/j.1572-0241.1999.01080.x.CrossRef Rawsthorne P, Shanahan F, Cronin NC, Anton PA, Lofberg R, Bohman L, Bernstein CN: An international survey of the use and attitudes regarding alternative medicine by patients with inflammatory bowel disease. Am J Gastroenterol. 1999, 94: 1289-303. 10.1111/j.1572-0241.1999.01080.x.CrossRef
21.
go back to reference Dilhuydy JM: Patients attraction to complementary and alternative medicine (CAM): a reality which physicians can neither ignore or deny. Bull Cancer. 2003, 90: 623-8.PubMed Dilhuydy JM: Patients attraction to complementary and alternative medicine (CAM): a reality which physicians can neither ignore or deny. Bull Cancer. 2003, 90: 623-8.PubMed
22.
go back to reference Cuzzolin L, Zaffani S, Murgia V, Gangemi M, Meneghelli G, Chiamenti G, Benoni G: Patterns and perceptions of complementary/alternative medicine among paediatricians and patients' mothers: a review of the literature. Eur J Pediatr. 2003, 162: 820-7. 10.1007/s00431-003-1313-9.CrossRefPubMed Cuzzolin L, Zaffani S, Murgia V, Gangemi M, Meneghelli G, Chiamenti G, Benoni G: Patterns and perceptions of complementary/alternative medicine among paediatricians and patients' mothers: a review of the literature. Eur J Pediatr. 2003, 162: 820-7. 10.1007/s00431-003-1313-9.CrossRefPubMed
24.
go back to reference Willems S, De Maesschalck S, Deveugele M, Derese A, De Maeseneer J: Socio-economic status of the patient and the doctor-patient communication: does it make a difference?. Patient Educ Couns. 2005, 56: 139-46. 10.1016/j.pec.2004.02.011.CrossRefPubMed Willems S, De Maesschalck S, Deveugele M, Derese A, De Maeseneer J: Socio-economic status of the patient and the doctor-patient communication: does it make a difference?. Patient Educ Couns. 2005, 56: 139-46. 10.1016/j.pec.2004.02.011.CrossRefPubMed
Metadata
Title
Herbal medicine: women's views, knowledge and interaction with doctors: a qualitative study
Authors
Kathryn A Vickers
Kate B Jolly
Sheila M Greenfield
Publication date
01-12-2006
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2006
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/1472-6882-6-40

Other articles of this Issue 1/2006

BMC Complementary Medicine and Therapies 1/2006 Go to the issue