Abstract
Objective
To survey the use, capability and satisfaction of complementary and alternative medicine (CAM) in comparison with conventional medicine in Iran.
Methods
In this national survey, a cross-sectional study was designed, 5,000 people were surveyed to identify predictors of Iranian traditional medicine (ITM) use compared with conventional medicine. Data were collected through a questionnaire that covered three different predictor categories: demographic information, patient’s viewpoint, and patients’ experiences.
Results
Most of the participants preferred government owned hospitals rather than other places. Praying for one’s own health was the most frequent and favorable ITM domain (P=0.017) based on patients’ interests, both in low- (P=0.08) and high-level (P=0.011) educated subjects. Among the participants, 97.8% had previous conventional medicine history due to their chronic diseases
Conclusions
Iranian patients resort to ITM as a choice at the late stage of the disease. Current deficiency in integration of CAM and conventional medicine is in contrast to the increasing demand on patients’ side. Health care organizers should be facilitating the CAM services by tuition of CAM practitioners and supporting eligible CAM centers for diagnosis and treatment of patients.
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References
Arcury TA, Suerken CK, Grzywacz JG, Bell RA, Lang W, Quandt SA. Complementary and alternative medicine use among older adults: ethnic variation. Ethn Dis 2006;16:723–731.
Lewith GT. Complementary and alternative medicine: an educational, attitudinal and research challenge. Med J Aust 2000;172:102–103.
Zollman C, Vickers A. ABC of complementary medicine. Users and practitioners of complementary medicine. BMJ 1999;319:836–838.
Straus SE, Chesney MA. Science and government. Enhanced: in defense of NCCAM. Science 2006;313:303–304.
Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, Kessler RC. Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up national survey. JAMA 1998;280:1569–1575.
Schneider CD, Meek PM, Bell IR. Development and validation of IMAQ: Integrative Medicine Attitude Questionnaire. BMC Med Educ 2003;3:5.
Bensoussan A. Complementary medicine—where lies its appeal? Med J Aust 1999;170:247–248.
Visser GJ, Peters L. Alternative medicine and general practitioners in The Netherlands: towards acceptance and integration. Fam Pract 1990;7:227–232.
Bausell RB, Lee WL, Berman BM. Demographic and health-related correlates to visits to complementary and alternative medical providers. Med Care 2001;39:190–196.
Druss BG, Rosenheck RA. Association between use of unconventional therapies and conventional medical services. JAMA 1999;282:651–656.
Mackenzie ER, Taylor L, Bloom BS, Hufford DJ, Johnson JC. Ethnic minority use of complementary and alternative medicine (CAM): a national probability survey of CAM utilizers. Altern Ther Health Med 2003;9:50–56.
Oldendick R, Coker AL, Wieland D, Raymond JI, Probst JC, Schell BJ, Stoskopf CH. Population-based survey of complementary and alternative medicine usage, patient satisfaction, and physician involvement. South Carolina Complementary Medicine Program Baseline Research Team. South Med J 2000;93:375–381.
Paramore LC. Use of alternative therapies: estimates from the 1994 Robert Wood Johnson Foundation National Access to Care Survey. J Pain Symptom Manage 1997;13:83–89.
Rafferty AP, McGee HB, Miller CE, Reyes M. Prevalence of complementary and alternative medicine use: state-specific estimates from the 2001 Behavioral Risk Factor Surveillance System. Am J Public Health 2002;92:1598–1600.
Pirotta MV, Cohen MM, Kotsirilos V, Farish SJ. Complementary therapies: have they become accepted in general practice? Med J Aust 2000;172:105–109.
Astin JA. Why patients use alternative medicine: results of a national study. JAMA 1998;279:1548–1553.
Bell RA, Suerken CK, Grzywacz JG, Lang W, Quandt SA, Arcury TA. CAM use among older adults age 65 or older with hypertension in the United States: general use and disease treatment. J Altern Compl Med 2006;12:903–909.
Bell RA, Suerken CK, Grzywacz JG, Lang W, Quandt SA, Arcury TA. Complementary and alternative medicine use among adults with diabetes in the United States. Altern Ther Health Med 2006;12:16–22.
Vakhidov VV. 1,000th anniversary of the birth of Avicenna. Khirurgiia (Mosk) 1980;110–114.
Shub MB. Avicenna. S Afr Med J 1972;45:675–676.
Sarrafzadeh AS, Sarafian N, von Gladiss A, Unterberg AW, Lanksch WR. Ibn Sina (Avicenna). Historical note. Neurosurg Focus 2001;11:E5.
Mohseni M. Attitude towards modern and traditional medicine in an Iranian community. Soc Sci Med 1979;13A:499–500.
Lindroth C. The Canon medicinae by Avicenna, a work and its times. Sven Med Tidskr 1999;3:103–121.
Larijani B, Zahedi F, Malek-Afzali H. Medical ethics in the Islamic Republic of Iran. East Mediterr Health J 2005;11:1061–1072.
Javadpour N. Avicenna (980–1037). Invest Urol 1968;6:334–335.
Good BJ. The professionalization of medicine in a provincial Iranian town. Health Care Dimen 1976;3:51–65.
Dehesh S. Pre-Islamic medicine in Persia. Middle East J Anaesthesiol 1975;4:377–382.
Broumand B. Where were Avicenna and Rhazes from? Ann Saudi Med 2008;28:470–471.
Broumand B. The contribution of Iranian scientists to world civilization. Arch Iran Med 2006;9:288–290.
Brandenburg D. Alchemy and medicine. Therapeutics in ancient times and in the Islamic Middle Ages (II). Med Monatsschr 1975;29:25–28.
Brandenburg D. Medicine in the Iranian national epic (Shahnama) of Firdausi. Med Monatsschr 1971;25:274–279.
Baker CF. Islamic and Jewish Medicine in the medieval Mediterranean world: the Genizah evidence. J R Soc Med 1996;89:577–580.
Azaizeh H, Saad B, Cooper E, Said O. Traditional Arabic and Islamic medicine, a re-emerging health aid. Evid Based Compl Altern Med 2008
Asefzadeh S, Sameefar F. Traditional healers in the Qazvin region of the Islamic Republic of Iran: a qualitative study. East Med Health J 2001;7:544–550.
Aroua A. Hygiene and prevention in Avicenna. Tunis Med 1980;58:556–561.
Aksoy S, Elmai A. The core concepts of the ‘four principles’ of bioethics as found in Islamic tradition. Med Law 2002;21:211–224.
Aboussouan C. Avicenna, the prestigious scholar of the islamic world. Chir Dent Fr 1970;40:50.
Curlin FA, Rasinski KA, Kaptchuk TJ, Emanuel EJ, Miller FG, Tilburt JC. Religion, clinicians, and the integration of complementary and alternative medicines. J Altern Compl Med 2009;15:987–994.
Downey L, Tyree PT, Lafferty WE. Preventive screening of women who use complementary and alternative medicine providers. J Women Health (Larchmt) 2009;18:1133–1143.
Lie D, Boker J. Development and validation of the CAM Health Belief Questionnaire (CHBQ) and CAM use and attitudes amongst medical students. BMC Med Educ 2004;4:2.
Watanabe S, Imanishi J, Satoh M, Ozasa K. Unique place of Kampo (Japanese traditional medicine) in complementary and alternative medicine: a survey of doctors belonging to the regional medical association in Japan. Tohoku J Exp Med 2001;194:55–63.
Hopper I, and Cohen M. Complementary therapies and the medical profession: a study of medical students’ attitudes. Altern Ther Health Med 1998;4:68–73.
Pagano I. Complementary and alternative medicine. Hawaii Med J 2008;67:136–137.
Neldner KH. Complementary and alternative medicine. Dermatol Clin 2000;18:189–193.
Pirotta M, Farish SJ, Kotsirilos V, Cohen MM. Characteristics of Victorian general practitioners who practise complementary therapies. Aust Fam Physician 2002;31:1133–1138.
Lie DA, Boker J. Comparative survey of complementary and alternative medicine (CAM) attitudes, use, and information-seeking behaviour among medical students, residents & faculty. BMC Med Educ 2006;6:58.
Nedrow AR, Istvan J, Haas M, Barrett R, Salveson C, Moore G, et al. Implications for education in complementary and alternative medicine: a survey of entry attitudes in students at five health professional schools. J Altern Compl Med 2007;13:381–386.
Yamashita H, Tsukayama H, Sugishita C. Popularity of complementary and alternative medicine in Japan: a telephone survey. Compl Ther Med 2002;10:84–93.
Xue CC, Zhang AL, Lin V, Da Costa C, Story DF. Complementary and alternative medicine use in Australia: a national population-based survey. J Altern Compl Med 2007;13:643–650.
Hartel U, Volger E. Use and acceptance of classical natural and alternative medicine in Germany—findings of a representative population-based survey. Forsch Komplementarmed Klass Naturheilkd 2004;11:327–334.
Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Report 2008;1–23.
Hunt KJ, Coelho HF, Wider B, Perry R, Hung SK, Terry R, et al. Complementary and alternative medicine use in England: results from a national survey. Int J Clin Pract 64:1496–1502.
Lewith G, Verhoef M, Koithan M, Zick SM. Developing CAM Research Capacity for Complementary Medicine. Evid Based Complement Alternat Med 2006;3:283–289.
Rosenbaum ME, Nisly NL, Ferguson KJ, Kligman EW. Academic physicians and complementary and alternative medicine: an institutional survey. Am J Med Qual 2002;17:3–9.
Zollman C, Vickers A. ABC of complementary medicine: complementary medicine and the doctor. BMJ 1999;319:1558–1561.
Zollman C, Vickers A. ABC of complementary medicine. Complementary medicine and the patient. BMJ 1999;319:1486–1489.
Zollman C, Vickers A. ABC of complementary medicine. Complementary medicine in conventional practice. BMJ 1999;319:901–904.
Engel LW, Straus SE. Development of therapeutics: opportunities within complementary and alternative medicine. Nat Rev Drug Discov 2002;1:229–237.
Gold EB, Bair Y, Zhang G, Utts J, Greendale GA, Upchurch D, et al. Cross-sectional analysis of specific complementary and alternative medicine (CAM) use by racial/ethnic group and menopausal status: the Study of Women’s Health Across the Nation (SWAN). Menopause 2007;14:612–623.
Grzywacz JG, Suerken CK, Neiberg RH, Lang W, Bell RA, Quandt SA, et al. Age, ethnicity, and use of complementary and alternative medicine in health self-management. J Health Soc Behav 2007;48:84–98.
Grzywacz JG, Suerken CK, Quandt SA, Bell RA, Lang W, Arcury TA. Older adults’ use of complementary and alternative medicine for mental health: findings from the 2002 National Health Interview Survey. J Altern Compl Med 2006;12:467–473.
Graham RE, Ahn AC, Davis RB, O’Connor BB, Eisenberg DM, Phillips RS. Use of complementary and alternative medical therapies among racial and ethnic minority adults: results from the 2002 National Health Interview Survey. J Natl Med Assoc 2005;97:535–545.
Hunt K, Ernst E. Evidence-based practice in British complementary and alternative medicine: double standards? J Health Serv Res Policy 2009;14:219–223.
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Abolhassani, H., Naseri, M. & Mahmoudzadeh, S. A survey of complementary and alternative medicine in Iran. Chin. J. Integr. Med. 18, 409–416 (2012). https://doi.org/10.1007/s11655-012-1124-9
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DOI: https://doi.org/10.1007/s11655-012-1124-9