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埃塞俄比亚东部哈拉里地区州哈勒尔市儿童家长使用传统药物情况及其相关因素:一项基于社区的横断面研究

Parental traditional medicine use for children and associated factors in Harar City, Harari Regional State, Eastern Ethiopia: a community-based cross-sectional study.

作者信息

Alemu Ayichew, Meseret Fentahun, Keneni Mulualem, Wondimneh Fenta, Legesse Henok, Mossie Yalew, Teshager Tilahun, Tamiru Eyerusalem, Tizau Diribsa, Asfaw Tesfaye

机构信息

Department of Pediatrics and Child Health Nursing, School of Nursing, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

Department of Emergency and Critical Care Nursing, School of Nursing, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

出版信息

Front Pediatr. 2025 Jun 9;13:1546455. doi: 10.3389/fped.2025.1546455. eCollection 2025.

Abstract

INTRODUCTION

Globally, there is consensus that traditional medicine (TM) has its benefit in solving health-related issues; however, a challenge lies in the lack of standardized scientific criteria to guide its appropriate use. Evidence suggests that, in some cases, traditional medicine may exacerbate health problems and lead to complications. Although many studies have explored traditional medicine use among adults, there is limited research on parental use of traditional medicine for children, particularly in Harar City. Therefore, the aim of this study was to determine the prevalence and associated factors of parental traditional medicine use for children in Harar City, Eastern Ethiopia.

RESEARCH METHODS

A cross-sectional study was carried out in the community of Harar City between 15 October and 15 November 2024. A multistage sampling procedure was used to obtain 348 parents. The required data were assembled through in-person interviews. The data that assembled were analyzed using Stata statistical software, version 16.0. To determine the associated factors with the outcome variable, multivariable logistic regression was applied via adjusted odds ratio (aOR) with a 95% confidence interval (CI). Independent variables with  < 0.05 were declared as significantly associated variables with the outcome variable.

RESULTS

Approximately 348 parents were sampled for the study with a response rate of 100%. The proportion of parental TM use for children was 76.15% (95% CI: 71.8-80.5). Parents with more than four children (aOR = 3.24, 95% CI: 1.13-9.28), with a good attitude toward TM (aOR = 1.98, 95% CI: 1.02-3.86), and who were members of community-based health insurance (aOR = 0.34, 95% CI: 0.19-0.63) were independent variables associated with parental traditional medicine use for children.

CONCLUSION

Approximately three-quarters of parents reported using traditional medicine for their children. This practice was influenced by modifiable factors. Therefore, stakeholders in the health sector should give focused attention to the key factors influencing parental use of traditional medicine for children.

摘要

引言

在全球范围内,人们一致认为传统医学在解决与健康相关的问题方面具有益处;然而,一个挑战在于缺乏标准化的科学标准来指导其合理使用。有证据表明,在某些情况下,传统医学可能会加剧健康问题并导致并发症。尽管许多研究探讨了成年人使用传统医学的情况,但关于父母为孩子使用传统医学的研究却很有限,尤其是在哈拉尔市。因此,本研究的目的是确定埃塞俄比亚东部哈拉尔市父母为孩子使用传统医学的患病率及其相关因素。

研究方法

于2024年10月15日至11月15日在哈拉尔市社区开展了一项横断面研究。采用多阶段抽样程序选取了348名家长。所需数据通过面对面访谈收集。收集到的数据使用Stata统计软件16.0版进行分析。为确定与结果变量相关的因素,通过调整后的优势比(aOR)及95%置信区间(CI)应用多变量逻辑回归。P<0.05的自变量被宣布为与结果变量显著相关的变量。

结果

本研究共抽取了约348名家长,回复率为100%。父母为孩子使用传统医学的比例为76.15%(95%CI:71.8 - 80.5)。孩子数量超过四个的父母(aOR = 3.24,95%CI:1.13 - 9.28)、对传统医学态度良好的父母(aOR = 1.98,95%CI:1.02 - 3.86)以及参加社区医疗保险的父母(aOR = 0.34,95%CI:0.19 - 0.63)是与父母为孩子使用传统医学相关的独立变量。

结论

约四分之三的家长报告为孩子使用传统医学。这种做法受到可改变因素的影响。因此,卫生部门的利益相关者应重点关注影响父母为孩子使用传统医学的关键因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692f/12183208/aaf5ccd17c41/fped-13-1546455-g001.jpg

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