Charoencheewakul C, Laohasiriwong W, Suwannaphant K, Sopon A
Doctor of Public Health Program, Faculty of Public Health, Khon Kaen University, Thailand.
Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand.
Kathmandu Univ Med J (KUMJ). 2019 Apr-Jun;17(66):107-113.
Background Globally, type 2 Diabetes Mellitus is in increasing trend. With its chronic and incurable natures, type 2 diabetes patients have been increasingly seeking various regiments to relive their sufferings. However, magnitude and influencing factors are still unclear. Objective To identify prevalence of complementary and alternative medicine among type 2 diabetes patients and the association between health literacy and its use in the Northeast region of Thailand. Method This cross-sectional study aimed to determine the prevalence of Complementary and Alternative Medicine use and the roles of health literacy on its use among type 2 diabetes patients in the Northeast Region of Thailand. A total of 1,012 type 2 diabetes mellitus patients were systematic randomly selected to response to a structured questionnaire interview. The generalized linear mixed model was applied to identify factors associated with it. Result There were 30.89% (95% CI: 28.25 to 33.67) of type 2 diabetes patients used complementary and alternative medicine. Majority of these patients (52.23%, 95% CI: 49.30 to 55.15) had sufficient level of health literacy related to complementary and alternative medicine. Type 2 diabetes patients who had sufficient to excellent levels of health literacy had 2.64 times higher Odds of complementary and alternative medicine use (95% CI: 1.91 to 3.65) when compared with those who had inadequate to problematic levels of health literacy. Others covariates that were also associated with complementary and alternative medicine use were had adequate income (ORadj. = 2.52; 95% CI: 1.81 to 3.52), had HbA1C < 7 (OR Adj. = 2.50; 95%CI: 1.86 to 3.37) and had comorbidity (OR Adj. = 2.07; 95%CI: 1.57 to 2.73). Conclusion About thirty percent of type 2 diabetes patients used complementary and alternative medicine. Health literacy, economic status, comorbidity and diabetic control had strong influence on complementary and alternative medicine use.
在全球范围内，2型糖尿病呈上升趋势。由于其慢性和不可治愈的特性，2型糖尿病患者越来越多地寻求各种疗法来缓解痛苦。然而，其规模和影响因素仍不明确。目的：确定泰国东北部地区2型糖尿病患者中补充和替代医学的患病率以及健康素养与其使用之间的关联。方法：这项横断面研究旨在确定泰国东北部地区2型糖尿病患者中补充和替代医学的使用患病率以及健康素养在其使用中的作用。总共系统随机抽取了1012名2型糖尿病患者，以回应一份结构化问卷调查。应用广义线性混合模型来确定与之相关的因素。结果：30.89%（95%置信区间：28.25至33.67）的2型糖尿病患者使用补充和替代医学。这些患者中的大多数（52.23%，95%置信区间：49.30至55.15）具有与补充和替代医学相关的足够健康素养水平。与健康素养水平不足至有问题的患者相比，健康素养水平足够至优秀的2型糖尿病患者使用补充和替代医学的几率高2.64倍（95%置信区间：1.91至3.65）。其他与补充和替代医学使用相关的协变量包括有足够收入（调整后比值比=2.52；95%置信区间：1.81至3.52）、糖化血红蛋白<7（调整后比值比=2.50；95%置信区间：1.86至3.37）以及患有合并症（调整后比值比=2.07；95%置信区间：1.57至2.73）。结论：约30%的2型糖尿病患者使用补充和替代医学。健康素养、经济状况、合并症和糖尿病控制对补充和替代医学的使用有很大影响。
