High Usage of Complementary and Alternative Medicine among Turkish Asthmatic Children
Abstract
An increasing number of asthmatic patients are attracted by complementary and and alternative medicine (CAM). The aim of this study was to estimate the prevalence and describe the characteristics of CAM use by children with asthma in a paediatric allergy clinic in Istanbul, Turkey.The parents of asthmatic children were invited to participate in a cross-sectional survey study. Current asthma treatment, severity of asthma, emergency admittances and hospitalisations, education of parents, settlements, income of the family and parental use of CAM were investigated as predictors of CAM usage.Out of the 500 patients, 330 (66 %) had used CAM therapy; most popular modalities were herbal medicine (45 %), honey (41.6 %), grape syrup (37.2 %) and quail eggs (36.2 %). The most common used herbal medicine in the study group were linden (21.6%) and ginger (21.2 %). There was no significant difference in regard to the use of regular asthma treatment, the severity of asthma, the frequency of emergency admittance, hospitalisations due to asthma, education of parents and settlements between CAM users and non-CAM group. A significant inverse association was found in terms of family income and CAM usage. Parents’ own use of CAM was also associated with significant increase in the use of CAM.In conclusion; the prevalance of reported CAM use among Turkish asthmatic children was found to be high (66 %), with herbal medicine being the most popular modality. The results of this study shows that CAM use becomes more prevelant among asthmatic children from families with low income. It will be increasingly important for physicians who care for allergic children to be aware of high CAM usage.
1. Rabe KF, Adachi M, Lai CK, Soriano JB, Vermeire PA, Weiss KB, et al. Worldwide severity and control of asthma in children and adults: the global asthma insights and reality surveys. J Allergy Clin Immunol 2004;114(1):40-7.
2. Rizzo MC, Solé D. Inhaled corticosteroids in the treatment of respiratory allergy: safety vs. efficacy. J Pediatr (Rio J) 2006; 82(5 Suppl):S198-205.
3. National Center for Complementary and Alternative Medicine (NCCAM). What is CAM? March 8, 2007. Available at:http://nccam.nih.gov/health/whatiscam/ Accessed November 1, 2012.
4. Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Report 2008; 12:1-23.
5. Shen J, Oraka E. Complementary and alternative medicine (CAM) use among children with current asthma. Prev Med 2012; 54(1):27-31.
6. Reznik M, Ozuah PO, Franco K, Cohen R, Motlow F.Use of complementary therapy by adolescents with asthma. Arch Pediatr Adolesc Med 2002;156(10):1042-4.
7. Eisenberg DM, Kessler RC, Foster C, Norlock FE, Calkins DR, Delbanco TL. Unconventional medicine in the United States. Prevalence, costs, and patterns of use. N Engl J Med 1993; 328(4):246-52.
8. Orhan F, Sekerel BE, Kocabas CN, Sackesen C, Adalioglu G, Tuncer A. Complementary and alternative medicine in children with asthma.Ann Allergy Asthma Immunol 2003; 90(6):611-5.
9. Babayigit A, Olmez D, Karaman O, Uzuner N.Complementary and alternative medicine use in Turkish children with bronchial asthma. J Altern Complement Med. 2008; 14(7):797-9.
10. Sidora-Arcoleo K, Yoos HL, McMullen A, Kitzman H.Complementary and alternative medicine use in children with asthma: prevalence and sociodemographic profile of users. J Asthma. 2007; 44(3):169-75.
11. Singer L, Karakis I, Ivri L, Gross M, Bolotin A, Gazala E.The characteristics of complementary and alternative medicine use by parents of asthmatic children in Southern Israel. Acta Paediatr 2007; 96(11):1693-7.
12. Torres-Llenza V, Bhogal S, Davis M, Ducharme F.Use of complementary and alternative medicine in children with asthma. Can Respir J 2010; 17(4):183-7.
13. Slader CA, Reddel HK, Jenkins CR, Armour CL, Bosnic- Anticevich SZ. Complementary and alternative medicine use in asthma: who is using what? Respirology 2006;11(4):373-87.
14. Clement Y, William A, Aranda D, Chase R, Watson N, Mohammed R, et al. Medicinal herb use among asthmatic patients attending a specialty care facility in Trinidad. BMC Complement Altern Med 2005; 5:3.
15. Braganza S, Ozuah P, Sharif I. The use of complementary therapies in inner-city asthmatic children. J Asthma 2003;40(7):823-7.
16. Shenfield G, Lim E, Allen H. Survey of the use of complementary medicine and therapies in children with asthma. J Paediatr Child Health 2002; 38(3):252-7.
17. Spigelblatt L, Laîné-Ammara G, Pless IB, Guyver A. The use of alternative medicine by children. Pediatrics 1994;94(6 Pt 1):811-4.
18. Ottolini MC, Hamburger EK, Loprieato JO, Coleman RH, Sachs HC, Madden R, et al. Complementary and alternative medicine use among children in the Washington, DC area. Ambul Pediatr 2001; 1(2):122-5.
19. Marino LA, Shen J. Characteristics of complementary and alternative medicine use among adults with current asthma, 2006. J Asthma 2010; 47(5):521-5.
20. Adeyeye OO, Onadeko BO, Ogunleye O, Bamisile RT, Olubusi A. The use of complementary and alternative medicine by asthma patients receiving care in an urban tertiary center in Nigeria. Int J Biol Med Res 2011;2(4):1026-30.
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Issue | Vol 14, No 4 (2015) | |
Section | Original Article(s) | |
Keywords | ||
Alternative medicine Asthma Children Complementary medicine Herbal medicine |
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