Asrat Damtew, Alle Atsede, Kebede Bekalu, Dessie Bekalu
Fagita Lekoma Woreda Health Office, Addis Kidam, Ethiopia.
Department of Public health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
SAGE Open Med. 2020 Dec 7;8:2050312120978008. doi: 10.1177/2050312120978008. eCollection 2020.
Over the last 100 years, the development and mass production of chemically synthesized drugs have revolutionized health care in most parts of the world. However, large sections of the population in developing countries still depend on traditional medicines for their primary health care needs. More than 88% of Ethiopian parents use different forms of traditional medicine for their children. Therefore, this study aimed to determine factors associated with parental traditional medicine use for children in Fagita Lekoma Woreda.
Community-based cross-sectional study was conducted from 1 to 30 March 2019 in Fagita Lekoma Woreda. Data collection tool was a structured interviewer-administered questionnaire. Both descriptive and inferential statistics were used to present the data. Odds ratio and binary and multiple logistic regression analysis were used to measure the relationship between dependent and independent variables.
Among 858 participants, 71% of parents had used traditional medicine for their children within the last 12 months. Parents who cannot read and write (adjusted odds ratio = 6.42, 95% confidence interval = 2.1-19.7), parents with low monthly income (adjusted odds ratio = 4.38, 95% confidence interval = 1.58-12.1), and those who had accesses to traditional medicine (adjusted odds ratio = 2.21, 95% confidence interval = 1.23-3.98) were more likely to use traditional medicine for their children. Urban residents (adjusted odds ratio = 0.20, 95% confidence interval = 0.11-0.38) and members of community-based health insurance (adjusted odds ratio = 0.421, 95% confidence interval = 0.211-0.84) were less likely to use traditional medicine for their children.
Our study revealed that the prevalence of traditional medicine remains high. Educational status, monthly income, residence, accessibility to traditional medicine, and being a member of community-based health insurance were predictors of potential traditional medicine use. Therefore, the integration of traditional medicine with modern medicine should be strengthened. Community education and further study on efficacy and safety of traditional medicines should be also given great attention.
在过去的100年里，化学合成药物的研发和大规模生产给世界上大部分地区的医疗保健带来了革命性的变化。然而，发展中国家的大部分人口在满足其基本医疗保健需求方面仍依赖传统药物。超过88%的埃塞俄比亚父母为其子女使用不同形式的传统药物。因此，本研究旨在确定法吉塔莱科马县与父母为子女使用传统药物相关的因素。
2019年3月1日至30日在法吉塔莱科马县开展了一项基于社区的横断面研究。数据收集工具是一份由访谈员实施的结构化问卷。描述性统计和推断性统计均用于呈现数据。比值比以及二元和多元逻辑回归分析用于衡量因变量和自变量之间的关系。
在858名参与者中，71%的父母在过去12个月内为其子女使用过传统药物。不识字的父母（调整后的比值比=6.42，95%置信区间=2.1-19.7）、月收入低的父母（调整后的比值比=4.38，95%置信区间=1.58-12.1）以及能够获取传统药物的父母（调整后的比值比=2.21，95%置信区间=1.23-3.98）更有可能为其子女使用传统药物。城市居民（调整后的比值比=0.20，95%置信区间=0.11-0.38）和社区医疗保险成员（调整后的比值比=0.421，95%置信区间=0.211-0.84）为其子女使用传统药物的可能性较小。
我们的研究表明，传统药物的使用率仍然很高。教育程度、月收入、居住地点、获取传统药物的难易程度以及是否为社区医疗保险成员是使用传统药物可能性的预测因素。因此，应加强传统药物与现代药物的整合。还应高度重视社区教育以及对传统药物疗效和安全性的进一步研究。
