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原油作为传统药物的用途:对尼日利亚西南部一家乡村诊所中母亲们的调查。

Uses of crude oil as traditional medicine: a survey of mothers in a rural clinic in South-south Nigeria.

作者信息

Dienye Paul O, Akani Alexander B, Itimi Kalamawei

机构信息

Department of Family Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.

出版信息

Rural Remote Health. 2012;12(2):1858. Epub 2012 May 24.

Abstract

INTRODUCTION

Crude oil is used as traditional medicine among rural dwellers in South-south Nigeria. Although complications have been reported following its use, this rural populace holds tenaciously to an erroneous belief in its efficacy in treating many ailments. Despite this widespread use there are no known studies from the region on the use of crude oil in this way. This study surveyed the use of crude oil by rural mothers with the objectives of determining the proportion of mothers who use crude oil as traditional medicine, the reasons for its use, the diseases believed to be cured by it, and to establish the identity of those who administer crude oil.

METHOD

This cross-sectional study was conducted in Bethesda Clinic Ngo in South- south Nigeria in the period January-December 2009.

RESULTS

Of 420 mothers recruited, 134 (31.9%) used crude oil as medication. Their ages ranged from 19 to 47 years with a mean of 33.72 ± 9.45 years. Mothers older than 30 years were significantly more likely to use crude oil than those younger than 30 years (X2= 4.56, p = 0.033, RR = 0.737, CI = 0.548-0.990). There was no statistically significant association between marital status and the use of crude oil as traditional medicine (χ2 = 1.24, p = 0.265, RR= 0.793, CI = 0.545-1.255 ). Although the majority of participants (78.86%) had a minimum of primary education level (educated group), the uneducated participants were significantly more likely to use crude oil (χ2 = 62. 67, p < 0.001, RR = 2.936, CI = 2.243-3.776 ). The proportion of mothers using crude oil was significantly higher among those whose occupation was fishing (χ2 = 10.98, p = 0.001, RR = 1.629, CI = 1.198-2.232 ). The most common use of crude oil was for febrile convulsions (82.1%). The reasons for using crude oil were that crude oil was inexpensive (66.4%) and that available hospitals were costly and/or inefficient (61.9%). The most common administrators of crude oil were neighbours (73.2%).

CONCLUSION

A high proportion of mothers attending Bethesda Clinic Ngo use crude oil on their children as a traditional medicine, and this is because of their belief in its effectiveness, and its availability and affordability. The use of this product is encouraged the country's costly and inefficient health system. Neighbours play a large role in the administration of crude oil and this is consistent with the local culture.

摘要

引言

在尼日利亚西南部的农村居民中,原油被用作传统药物。尽管使用原油后曾有并发症的报道,但该农村人群仍固执地坚信其对多种疾病的治疗效果。尽管原油被广泛使用,但该地区尚无关于以这种方式使用原油的已知研究。本研究对农村母亲使用原油的情况进行了调查,目的是确定将原油用作传统药物的母亲比例、使用原因、认为可被其治愈的疾病,并确定施用原油者的身份。

方法

这项横断面研究于2009年1月至12月期间在尼日利亚西南部的贝塞斯达诊所恩戈进行。

结果

在招募的420名母亲中,有134名(31.9%)使用原油作为药物。她们的年龄在19岁至47岁之间,平均年龄为33.72±9.45岁。30岁以上的母亲比30岁以下的母亲更有可能使用原油(X2 = 4.56,p = 0.033,RR = 0.737,CI = 0.548 - 0.990)。婚姻状况与将原油用作传统药物之间没有统计学上的显著关联(χ2 = 1.24,p = 0.265,RR = 0.793,CI = 0.545 - 1.255)。尽管大多数参与者(78.86%)至少具有小学教育水平(受过教育的群体),但未受过教育的参与者使用原油的可能性显著更高(χ2 = 62.67,p < 0.001,RR = 2.936,CI = 2.243 - 3.776)。从事渔业的母亲中使用原油的比例显著更高(χ2 = 10.98,p = 0.001,RR = 1.629,CI = 1.198 - 2.232)。原油最常见的用途是治疗高热惊厥(82.1%)。使用原油的原因是原油价格便宜(66.4%)以及现有的医院费用高昂和/或效率低下(61.9%)。施用原油最常见的是邻居(73.2%)。

结论

在贝塞斯达诊所恩戈就诊的母亲中,有很大比例的人将原油作为传统药物用于其子女,这是因为她们相信其有效性、可得性和可承受性。该国昂贵且效率低下的卫生系统助长了这种产品的使用。邻居在原油施用方面发挥了很大作用,这与当地文化相符。

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