Abou-Rizk Joana, Alameddine Mohamad, Naja Farah
Department of Nutrition and Food Sciences, Faculty of Agriculture and Food Sciences, American University of Beirut, Riad El-Solh, Beirut 1107 2020, Lebanon.
Mohammed Bin Rashid University of Medicine and Health Sciences, Building 14, Dubai Healthcare City, P.O. Box 505055, Dubai, UAE; Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Riad El-Solh, Beirut 1107 2020, Lebanon.
Evid Based Complement Alternat Med. 2016;2016:5013132. doi: 10.1155/2016/5013132. Epub 2016 Dec 6.
This study aimed to assess the prevalence and determinants of Complementary and Alternative Medicine (CAM) use among People Living with HIV and AIDS (PLWHA) in Lebanon and to identify related issues that may affect patient care. A cross-sectional survey design was used to interview 116 PLWHA in Beirut. The questionnaire addressed sociodemographic and disease characteristics as well as CAM use. The main outcome of the study was CAM use since diagnosis. Data analysis included descriptive statistics and logistic regression analyses. Overall, 46.6% of participants reported using one or more CAM therapies, with herbs and herbal products being the most commonly used (63%). A higher education level was associated with a 3-fold increase in the odds of CAM use. Among users, 20% used CAM as alternative to conventional treatment, 48% were not aware of CAM-drug interactions, 89% relied on nonhealth care sources for their choice of CAM, and 44% did not disclose CAM use to their physician. CAM use is prevalent among Lebanese PLWHA. Findings of this study highlighted the need to educate health care practitioners to have an open communication and a patient-centered approach discussing CAM use during routine care and to enhance awareness of PLWHA on safe use of CAM.
本研究旨在评估黎巴嫩艾滋病毒和艾滋病感染者（PLWHA）使用补充和替代医学（CAM）的流行情况及决定因素，并确定可能影响患者护理的相关问题。采用横断面调查设计，对贝鲁特的116名艾滋病毒和艾滋病感染者进行访谈。问卷涉及社会人口统计学和疾病特征以及补充和替代医学的使用情况。该研究的主要结果是自诊断以来使用补充和替代医学的情况。数据分析包括描述性统计和逻辑回归分析。总体而言，46.6%的参与者报告使用了一种或多种补充和替代医学疗法，其中草药和草药产品是最常用的（63%）。较高的教育水平与使用补充和替代医学的几率增加3倍相关。在使用者中，20%将补充和替代医学作为传统治疗的替代方法，48%不知道补充和替代医学与药物的相互作用，89%在选择补充和替代医学时依赖非医疗保健来源，44%未向其医生透露使用补充和替代医学的情况。补充和替代医学在黎巴嫩艾滋病毒和艾滋病感染者中很普遍。本研究结果强调，有必要教育医疗保健从业者在常规护理期间以开放的沟通和以患者为中心的方法讨论补充和替代医学的使用情况，并提高艾滋病毒和艾滋病感染者对安全使用补充和替代医学的认识。
