Utilization of Complementary and Alternative Medicine in Multiethnic Population: The Malaysian Cohort Study

Noraidatulakma Abdullah @ Muda, Boekhtiar Borhanuddin, Afzan Effiza Abdul Patah, Mohd Shaharom Abdullah, Andri Dauni, Mohd Arman Kamaruddin, Shamsul Azhar Shah, A. Rahman A. Jamal

Research output: Contribution to journalArticle

Abstract

Background.: This study aimed to identify the factors of CAM usage for general health and to determine the factors associated with the usage of different types of CAM after the diagnosis of chronic diseases among The Malaysian Cohort participants. Methods.: This was a cross-sectional study derived from The Malaysian Cohort (TMC) project, a prospective population-based cohort aged between 35 to 65 years old that recruited from April 2006 to September 2012. Association between the CAM usage and contributing factors were determined via logistic regression. Results.: The sample were mostly female (58.1%), Malays (43.1%), came from urban (71.9%), aged 44 years and below (26.8%) and had secondary education (45.9%). The prevalence of CAM usage varied across diseases; 62.8% in cancer patients, 53.3% in hypercholesterolemia, 49.4% in hypertensives and 48.6% in diabetics. General CAM usage was greater among female (OR: 1.54, 95% CI: 1.49, 1.59), Chinese (OR: 1.15, 95% CI: 1.12, 1.19), those with higher education (OR: 3.12, 95% CI: 3.00, 3.25), urban residents (OR: 1.55, 95% CI: 1.50, 1.61) and older people (OR ranging from 1.15 to 1.75) while for post-diagnosis of chronic diseases usage, the odds were higher among those with lower education and living in rural areas. Conclusion.: Health status, educational level, age, living location and types of chronic diseases were significant factors that influence CAM usage for the intent of either health maintenance or disease treatment. Further exploration on CAM safety and benefit are crucial to minimize the adverse effect and to ensure the efficacy of CAM product.

Original languageEnglish
JournalJournal of Evidence-Based Integrative Medicine
Volume23
DOIs
Publication statusPublished - 12 Apr 2018

Fingerprint

Complementary Therapies
Chronic Disease
Cohort Studies
Education
Population
Health
Hypercholesterolemia
Health Status
Cross-Sectional Studies
Logistic Models
Safety
Neoplasms
Therapeutics

Keywords

  • Asian population
  • cancer
  • complementary and alternative medicine
  • diabetes
  • hypercholesterolemia
  • hypertension

ASJC Scopus subject areas

  • Complementary and alternative medicine

Cite this

Utilization of Complementary and Alternative Medicine in Multiethnic Population : The Malaysian Cohort Study. / Abdullah @ Muda, Noraidatulakma; Borhanuddin, Boekhtiar; Patah, Afzan Effiza Abdul; Abdullah, Mohd Shaharom; Dauni, Andri; Kamaruddin, Mohd Arman; Shah, Shamsul Azhar; A. Jamal, A. Rahman.

In: Journal of Evidence-Based Integrative Medicine, Vol. 23, 12.04.2018.

Research output: Contribution to journalArticle

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abstract = "Background.: This study aimed to identify the factors of CAM usage for general health and to determine the factors associated with the usage of different types of CAM after the diagnosis of chronic diseases among The Malaysian Cohort participants. Methods.: This was a cross-sectional study derived from The Malaysian Cohort (TMC) project, a prospective population-based cohort aged between 35 to 65 years old that recruited from April 2006 to September 2012. Association between the CAM usage and contributing factors were determined via logistic regression. Results.: The sample were mostly female (58.1{\%}), Malays (43.1{\%}), came from urban (71.9{\%}), aged 44 years and below (26.8{\%}) and had secondary education (45.9{\%}). The prevalence of CAM usage varied across diseases; 62.8{\%} in cancer patients, 53.3{\%} in hypercholesterolemia, 49.4{\%} in hypertensives and 48.6{\%} in diabetics. General CAM usage was greater among female (OR: 1.54, 95{\%} CI: 1.49, 1.59), Chinese (OR: 1.15, 95{\%} CI: 1.12, 1.19), those with higher education (OR: 3.12, 95{\%} CI: 3.00, 3.25), urban residents (OR: 1.55, 95{\%} CI: 1.50, 1.61) and older people (OR ranging from 1.15 to 1.75) while for post-diagnosis of chronic diseases usage, the odds were higher among those with lower education and living in rural areas. Conclusion.: Health status, educational level, age, living location and types of chronic diseases were significant factors that influence CAM usage for the intent of either health maintenance or disease treatment. Further exploration on CAM safety and benefit are crucial to minimize the adverse effect and to ensure the efficacy of CAM product.",
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author = "{Abdullah @ Muda}, Noraidatulakma and Boekhtiar Borhanuddin and Patah, {Afzan Effiza Abdul} and Abdullah, {Mohd Shaharom} and Andri Dauni and Kamaruddin, {Mohd Arman} and Shah, {Shamsul Azhar} and {A. Jamal}, {A. Rahman}",
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