Center for Forest, Landscape and Planning, University of Copenhagen, Rolighedsvej 23, 1958 Frederiksberg C, Denmark.
Soc Sci Med. 2011 Nov;73(10):1498-507. doi: 10.1016/j.socscimed.2011.08.037. Epub 2011 Sep 28.
Traditional medicine is believed to constitute a crucial healthcare option for poor or remote households in developing countries that have limited access to allopathic medicine and/or a strong cultural attachment to traditional medicine. However, little research has been performed on medicinal plant reliance in developing countries, and the determinants of medicinal plant consumption at the household level in these countries have not been empirically studied. Quantifying the use of traditional medicine at the household level is, therefore, essential to the development of sustainable healthcare policies in the developing world. This paper quantifies household-level use of traditional medicine and identifies determinants of the choice of traditional treatment in the south central region of Burkina Faso. Structured household interviews (n = 205) were conducted in nine villages of rural Burkina Faso from November 2007 to November 2008 and in November 2009 to collect data on household characteristics (e.g., income, education, demographics), illness frequencies, illness types, and treatment strategies employed. Comprehensive analysis of treatment choice was performed through bivariate analyses. Results indicate that traditional medicine was primarily relied on by middle-aged individuals from relatively uneducated households who were living in villages with limited allopathic medicine service provision. Moreover, a differential approach to medicinal plant consumption was used to distinguish between patients using traditional medicine as a self-care treatment and those visiting a traditional healer. Although poorer households were shown to use traditional medicine as a self-treatment, traditional healers' services were relied on by wealthier households.
传统医学被认为是发展中国家贫困或偏远家庭的重要医疗选择，这些国家的家庭获得对抗疗法药物的机会有限，或者对传统医学有强烈的文化依附。然而，针对发展中国家药用植物依赖的研究很少，这些国家家庭对药用植物消费的决定因素也没有经过实证研究。因此，在发展中国家，量化家庭层面的传统医学使用情况对于制定可持续的医疗保健政策至关重要。本文通过量化家庭层面的传统医学使用情况，并确定布基纳法索中南部地区传统治疗选择的决定因素，来研究这个问题。2007 年 11 月至 2008 年 11 月和 2009 年 11 月，在布基纳法索农村的 9 个村庄进行了结构化的家庭访谈（n=205），以收集有关家庭特征（如收入、教育、人口统计）、疾病频率、疾病类型和治疗策略的数据。通过单变量分析对治疗选择进行了综合分析。结果表明，传统医学主要由相对缺乏教育的中年人群体在提供有限的对抗疗法服务的村庄中使用。此外，还采用了一种区分药用植物消费的方法，以区分将传统医学用作自我护理治疗的患者和那些寻求传统治疗师的患者。虽然较贫穷的家庭被认为将传统医学用作自我治疗，但富裕家庭则依赖传统治疗师的服务。
