AlRawi Sara N, Khidir Amal, Elnashar Maha S, Abdelrahim Huda A, Killawi Amal K, Hammoud Maya M, Fetters Michael D
Department of Family Medicine, University of Michigan, 1018 Fuller Street, Ann Arbor, MI, 48104-1213, USA.
Weill Cornell Medical College in Qatar, Education City, PO Box 24144, Doha, Qatar.
BMC Complement Altern Med. 2017 Mar 14;17(1):157. doi: 10.1186/s12906-017-1639-x.
Evidence indicates traditional medicine is no longer only used for the healthcare of the poor, its prevalence is also increasing in countries where allopathic medicine is predominant in the healthcare system. While these healing practices have been utilized for thousands of years in the Arabian Gulf, only recently has a theoretical model been developed illustrating the linkages and components of such practices articulated as Traditional Arabic & Islamic Medicine (TAIM). Despite previous theoretical work presenting development of the TAIM model, empirical support has been lacking. The objective of this research is to provide empirical support for the TAIM model and illustrate real world applicability.
Using an ethnographic approach, we recruited 84 individuals (43 women and 41 men) who were speakers of one of four common languages in Qatar; Arabic, English, Hindi, and Urdu, Through in-depth interviews, we sought confirming and disconfirming evidence of the model components, namely, health practices, beliefs and philosophy to treat, diagnose, and prevent illnesses and/or maintain well-being, as well as patterns of communication about their TAIM practices with their allopathic providers.
Based on our analysis, we find empirical support for all elements of the TAIM model. Participants in this research, visitors to major healthcare centers, mentioned using all elements of the TAIM model: herbal medicines, spiritual therapies, dietary practices, mind-body methods, and manual techniques, applied singularly or in combination. Participants had varying levels of comfort sharing information about TAIM practices with allopathic practitioners.
These findings confirm an empirical basis for the elements of the TAIM model. Three elements, namely, spiritual healing, herbal medicine, and dietary practices, were most commonly found. Future research should examine the prevalence of TAIM element use, how it differs among various populations, and its impact on health.
有证据表明,传统医学不再仅仅用于穷人的医疗保健,在那些西医在医疗体系中占主导地位的国家,其普及率也在上升。虽然这些治疗方法在阿拉伯湾地区已经使用了数千年,但直到最近才开发出一个理论模型,阐明了这些被称为传统阿拉伯与伊斯兰医学(TAIM)的治疗方法的联系和组成部分。尽管之前有理论研究提出了TAIM模型的发展,但一直缺乏实证支持。本研究的目的是为TAIM模型提供实证支持,并说明其在现实世界中的适用性。
我们采用人种志方法,招募了84名卡塔尔四种常用语言(阿拉伯语、英语、印地语和乌尔都语)之一的使用者(43名女性和41名男性)。通过深入访谈,我们寻找模型组成部分的证实和证伪证据,即健康实践、治疗、诊断和预防疾病及/或维持健康的信念和理念,以及他们与西医提供者交流TAIM实践的模式。
基于我们的分析,我们发现对TAIM模型的所有要素都有实证支持。本研究的参与者,即主要医疗中心的访客,提到使用TAIM模型的所有要素:草药、精神疗法、饮食习惯、身心方法和手工技术,单独使用或组合使用。参与者在与西医从业者分享TAIM实践信息时的舒适度各不相同。
这些发现证实了TAIM模型要素的实证基础。最常发现的三个要素是精神治疗、草药和饮食习惯。未来的研究应该考察TAIM要素的使用普及率、不同人群之间的差异以及其对健康的影响。