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BMC Complementary Medicine and Therapies
Published in: BMC Complementary Medicine and Therapies 1/2015

Open Access 01-12-2015 | Research article

Prevalence and modes of complementary and alternative medicine use among peasant farmers with musculoskeletal pain in a rural community in South-Western Nigeria

Authors: Chidozie Emmanuel Mbada, Tijani Lukman Adeyemi, Rufus Adesoji Adedoyin, Hakeem David Badmus, Taofeek Oluwole Awotidebe, Olujide Olusesan Arije, Olorunfemi Sunday Omotosho

Published in: BMC Complementary Medicine and Therapies | Issue 1/2015

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Abstract

Background

Anecdotally, use of Complementary and Alternative Medicine (CAM) for Musculoskeletal Pain (MSP) is common in Nigeria; however, there seems to be a dearth of empirical data on its prevalence and mode of use. This study investigated the prevalence and modes of use of CAM for MSP among farmers in a rural community in South-western Nigeria.

Methods

This cross-sectional survey employed multistage sampling technique guidelines for conducting community survey by the World Health Organization among rural community farmers in Gudugbu village, Oyo State, Nigeria. A questionnaire developed from previous studies and validated by expert reviews was used to assess prevalence and modes of CAM use. Data was analyzed using descriptive and inferential statistics. Alpha level was set at p < 0.05.

Results

A total of 230 consenting rural farmers volunteered for this study with a valid response rate of 93.9 % (n = 216). The lifetime, 12-month and point prevalence of CAM for MSP was 96.8 % respectively. Herbal therapy and massage were the predominant types of CAM therapies among previous (83.8 and 80.1 %) and current CAM users (37.5 and 37.5 %). CAM was largely used as sole therapy for MSP (75.5 %) and also in combination with orthodox medicine (23.6 %), and it is consumed on daily basis (21.8 %). CAM was perceived to be very good in maintaining a healthy life (87.1 %) and has less side effects (74 %) and more healthy than taking doctors’ prescriptions (63.4 %).

Conclusion

There is a high prevalence of CAM among Nigerian rural farmers. The most commonly employed CAM for MSP were herbal remedies and massage which are attributable to beliefs on their perceived efficacy.
Literature
1.
Bergman S, Herrström P, Högström K, Petersson IF, Svensson B, Jacobsson LT. Chronic musculoskeletal pain, prevalence rates, and socio-demographic associations in a Swedish population study. J Rheumatol. 2001;28(6):1369–77.PubMed
2.
Stewart WF, Ricci JA, Chee E, Morganstein D, Lipton R. Lost productive time and cost due to common pain conditions in the UW workforce. JAMA. 2003;290:2443–54.CrossRefPubMed
3.
Bedson J, Mottram S, Thomas E, Peat G. Knee pain and osteoarthritis in the general population: what influences patients to consult? Fam Pract. 2007;24:443–53.CrossRefPubMed
4.
Wootton JC, Sparber A. Surveys of complementary and alternative medicine: part I. General trends and demographic groups. J Altern Complement Med. 2001;7:195–208.CrossRefPubMed
5.
Astin JA. Why patients use alternative medicine: results of a national study. JAMA. 1998;279(19):1548–53.CrossRefPubMed
6.
Artus M, Croft P, Lewis M. The use of CAM and conventional treatments among primary care consulters with chronic musculoskeletal pain. BMC Fam Pract. 2007;8:26. doi:10.1186/1471-2296-8-26.CrossRefPubMedPubMedCentral
7.
Grazio S, Balen D. Complementary and alternative treatment of musculoskeletal pain. Acta Clin Croat. 2011;50(4):513–30.PubMed
8.
Ernst E, Resch KL, Mills S, Hill R, Mitchell A, Willoghby A, et al. Complementary medicine: a definition. Br J Gen Pract. 1995;45:506.PubMedCentral
9.
Olatunde S, Boon H, Hirschkorn K, Welsh S, Bajcar J. Roles and responsibilities of pharmacists with respect to natural health products: key informant interviews. Res Social Adm Pharm. 2010;6(1):63–9.CrossRefPubMed
10.
Tilburt JC, Kaptchuk TJ. Herbal medicine research and global health: an ethical analysis. Bull World Health Organ. 2008;86(8):577–656.CrossRef
11.
12.
Barnes PM, Bloom B, Nahin RL. Complementary and Alternative Medicine Use Among Adults and Children: United States, 2007. National Health Statistics Report. US Department of Health and Human Services. Center for Disease Control and Prevention. 2008; Number 12. Pp 1–24. https://​nccih.​nih.​gov/​ . Accessed 19/03/2015.
13.
14.
Emslie M, Campbell M, Walker K. Complementary therapies in a local healthcare setting. Part 1: Is there real public demand? Complement Ther Med. 1996;4:39–42.CrossRef
15.
Thomas KJ, Coleman P, Nicholl JP. Trends in access to complementary or alternative medicines via primary care in England: 1995–2001 Results from a follow-up national survey. Fam Pract. 2003;20:575–7.CrossRefPubMed
16.
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.CrossRefPubMed
17.
Eisenberg DM, Kessler RC, Foster C, Norlock FE, Calkins DR, Delbanco TL. Unconventional medicine in the United States. Prevalence, costs and patterns of use. N Engl J Med. 1993;328:246–52.CrossRefPubMed
18.
Eisenberger NI, Lieberman M. Why it hurts to be left out: The neurocognitive overlap between physical and social pain. In: Williams KD, editor. The social outcast: ostracism, social exclusion, rejection, & bullying (Sydney symposium of social psychology). East Sussex: Psychology Press; 2005. p. 210. ISBN 1-84169-424-X.
19.
Pinchuck T, Clark R. Medicine for beginners. London: Writers and Readers Publishing Cooperative Ltd.; 1984.
20.
Reilly D. Complementary and Alternative medicine in Europe: reflections and trends, The International Symposium Commemorating the 10th Anniversary of Asan Medical Center. 1999. p. 61–71.
21.
Molassiotis A, Fernadez-Ortega P, Pud D, Ozden G, Scott JA, Panteli V, et al. Use of complementary and alternative medicine in cancer patients: a European survey. Ann Oncol. 2005;16(4):655–63.CrossRefPubMed
22.
23.
Cha YS. Status of health care system related to complementary medicine. Res Inst Healthcare Pol Korean Med Assoc. 2007;5:51–7.
24.
Yoon BB. Understanding and misconceptions about complementary medicine: it would be safe under the supervision and command of doctor. Res Inst Healthcare Pol Korean Med Assoc. 2007;5:29–33.
25.
Park JS, Shin BC, Kim CB, et al. A policy proposal for the Korean collaboration of Eastern and Western medicine according to a model of the Chinese integrative medicine. J Res Inst Korean Med Daejeon Univ. 2010;19(1):1–7.
26.
Chung VC, Ma PH, Lau CH, Griffiths SM. Developing policy for integrating biomedicine and traditional Chinese medical practice using focus groups and the Delphi technique. Evid Based Complement Alternat Med. 2012;11:149512.
27.
Ryu JS, Choi BH, Lim BM, Kim SK, Yun YJ. Medical practices and attitudes of dual-licensed medical doctors in Korea. Evid Based Complement Alternat Med. 2013;7:183643.
28.
Shirwaikar A, Govindarajan R, Rawat AKS. Integrating complementary and alternative medicine with primary health care. Evid Based Complement Alternat Med. 2013;3:948308.
29.
30.
Michie CA. The use of herbal remedies in Jamaica. Ann Trop Paediat. 1992;12:31–6.CrossRef
31.
Singh V, Raidoo DM, Harris CS. The prevalence, pattern of usage and people's attitude towards complementary and alternative medicine (CAM) among the Indian community in Chatsworth. South Africa BMC Complement Altern Med. 2004;4:3. doi:10.1186/1472-6882 -4-3.CrossRefPubMed
32.
Amira CO, Okubadejo NU. Frequency of complementary and alternative medicine utilization in hypertensive patients attending an urban tertiary care centre in Nigeria. BMC Complement Altern Med. 2007;7:30. doi:10.1186/1472-6882-7-30.CrossRefPubMedPubMedCentral
33.
Cizmesija T, Bergman-Markovac B. Use of complementary and alternative medicine among patients in primary health care. Acta Med Croatica. 2008;62:15.PubMed
34.
35.
Ajaiyeoba EO, Falade CO, Fawole OI, Akinboye DO, Gbotosho GO, Bolaji OM, et al. Efficacy of herbal remedies used by herbalists in Oyo State Nigeria for treatment of Plasmodium falciparum infections – a survey and an observation. Afr J Med Med Sci. 2004;33(2):115–9.PubMed
36.
Okeke TA, Okafor HU, Uzochukwu BS. Traditional healers in Nigeria: perception of cause, treatment and referral practices of severe malaria. J Bio Soc Sci. 2006;38:491–500.
37.
Danesi MA, Adetunji JB. Use of alternative medicine by patients with epilepsy: a survey of 265 epileptic patients in a developing country. Epilepsia. 1994;35:344–51.CrossRefPubMed
38.
Onyiapat JE, Okoronkwo IL, Ogbonnaya NP. Complementary and alternative medicine use among adults in Enugu. Nigeria BMC Complement Altern Med. 2011;11:19. doi:10.1186/1472-6882-11-19.CrossRefPubMed
39.
Akinsulie AO, Temiye EO, Akanmu AS, Lesi FE, Whyte CO. Clinical evaluation of extract of Cajanuscajan (Ciklavit) in sickle cell anaemia. J Trop Pediatr. 2005;51:200–5.CrossRefPubMed
40.
Omokhodion FO. Low back pain in a rural community in South West Nigeria. West Afr J Med. 2002;21(2):87–90.PubMed
41.
Fabunmi AA, Aba SO, Odunaiya NA. Prevalence of low back pain among peasant farmers in a rural community in South West Nigeria. Afr J Med Med Sci. 2005;34:259–62.PubMed
42.
43.
Birabi BN, Dienye PO, Ndukwu PO. Prevalence of low back pain among peasant farmers in a rural community in South-South Nigeria. Rural Remote Health. 2012;12:1920.PubMed
44.
45.
46.
Ramsey SD, Spencer AC, Topolski TD, Belza B, Patrick DL. Use of alternative therapies by older adults with osteoarthritis. Arthritis Rheum. 2001;45(3):222–7.CrossRefPubMed
47.
Herman CJ, Allen P, Hunt WC, Prasad A, Brady TJ. Use of complementary therapies among primary care clinic patients with arthritis. Prev Chronic Dis. 2004;1(4):A12.PubMedPubMedCentral
48.
Patterson C, Arthur H. A complementary alternative medicine questionnaire for young adults. Integr Med Insights. 2009;4:1–11.PubMedPubMedCentral
49.
Kaboli PJ, Doebbeling BN, Saag KG, Rosenthal GE. Use of complementary and alternative medicine by older patients with arthritis: a population-based study. Arthr Rheum. 2001;45(4):398–403.CrossRef
50.
Quandt SA, Chen H, Gryzywacz JG, Bell RA, Lang W, Arcury TA. Use of complementary and alternative medicine by persons with arthritis: results of the National Health Interview Survey. Arthr Rheum. 2005;53(5):748–55.CrossRef
51.
Sleath B, Callahan L, DeVellis RF, Sloane PD. Patients’ perceptions of primary care physicians’ participatory decision-making style and communication about complementary and alternative medicine for arthritis. J Complement Alt Med. 2005;11(3):449–53.CrossRef
52.
Saydah SH, Eberhardt MS. Use of complementary and alternative medicine among adults with chronic disease: United States, 2002. J Complement Alt Med. 2006;12(8):805–12.CrossRef
53.
Rao JK, Mihaliak K, Kroenke K, Bradley J, Tierney WM, Weinberger M. Use of complementary therapies for arthritis among patients of rheumatologists. Ann Intern Med. 1999;131(6):409–16.CrossRefPubMed
54.
55.
Wang B-R, Choi IY, Kim K-J, Kwon YD. Use of traditional Korean medicine by patients with musculoskeletal disorders. PLoS One. 2013;8(5), e63209. doi:10.1371/journal.pone.0063209.CrossRefPubMedPubMedCentral
56.
Callahan LF, Wiley-Exley EK, Mielenz TJ, et al. Use of complementary and alternative medicine among patients with arthritis. Prev Chronic Dis. 2009;6:44.
57.
58.
Wolsko PM, Eisenberg DM, Davis RB, Kessler R, Phillips RS. Patterns and perceptions of care for treatment of back and neck pain. Results of a national survey. Spine. 2003;28(3):292–8.PubMed
59.
Perry R, Dowrick CF. Complementary medicine and the general practice: an urban perspective. Complement Ther Med. 2000;8:71–5.CrossRefPubMed
60.
Lewith GT, Hayland M, Gray SF. Attitudes to and use of complementary medicine among physicians in the United Kingdom. Complement Ther Med. 2001;9:167–72.CrossRefPubMed
61.
Čižmešija T, Bergman-Markovac B. Use of complementary and alternative medicine among patients in primary health care. Acta Med Croatica. 2008;62:15–22.PubMed
62.
Palinkas LA, Kabongo ML, The SURF*NET study group. The use of complementary and alternative medicine by primary care patients. J Fam Pract. 2000;49(12):1121–113.PubMed
63.
Mollaoğlu M, Aciyurt A. Use of complementary and alternative medicine among patients with chronic diseases. Acta Clin Croat. 2013;52:181–8.PubMed
64.
Cuellar N, Butts JB. Caregiver distress: what nurses in rural settings can do to help. Nurs Forum. 1999;34:24–30.CrossRefPubMed
65.
Bernard SL, Jordan JM, Cook HL. Gender and ethnic differences in alternative and conventional arthritis remedy use among community-dwelling rural adults with arthritis. Arthritis Care Res. 1996;9:384–90.CrossRefPubMed
66.
Bukovčan T. I want to choose whom I love and where to I go for treatment– activism in researching CAM in Croatia. Ethnological Res. 2008;77–85.
67.
Barry PJ, Kemper KJ. Alternative medicine use by homeless youth. Achieves Paediatric Adolescent Med. 1998;152(11):1071–5.
68.
Billot L, Mouchtouris A, Deschamps JP, Romero MI, Zubarew T. French adolescent attitudes towards informal care for physical and emotional or relational problems. Acta Paediatr. 2002;9(4):466–74.
69.
Arthur H, Noesgaard C. Exploring adolescent complementary/alternative medicine (CAM) use in Canada. J Interprof Care. 2007;22(1):45–55.
Metadata
Title
Prevalence and modes of complementary and alternative medicine use among peasant farmers with musculoskeletal pain in a rural community in South-Western Nigeria
Authors
Chidozie Emmanuel Mbada
Tijani Lukman Adeyemi
Rufus Adesoji Adedoyin
Hakeem David Badmus
Taofeek Oluwole Awotidebe
Olujide Olusesan Arije
Olorunfemi Sunday Omotosho
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2015
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-015-0695-3

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