The use of and out-of-pocket spending on complementary and alternative medicine in Qassim province, Saudi Arabia.

The use of and out-of-pocket spending on complementary and alternative medicine in Qassim province, Saudi Arabia.
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DOI:
10.5144/0256-4947.2013.282
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发表时间:
2013-05
影响因子:
1.6
通讯作者:
Henary BY
Henary BY
中科院分区:
医学4区
文献类型:
--
作者:
AlBedah AM;Khalil MK;Elolemy AT;Al Mudaiheem AA;Al Eidi S;Al-Yahia OA;Al-Gabbany SA;Henary BY

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沙特人使用补充和替代医学(CAM)的现状尚未得到发展。本研究的目的是评估使用国际调查问卷来衡量补充和替代医学(I-CAM-Q)在沙特阿拉伯的使用,以评估使用和CAM的自付支出的可行性。这是一项横断面研究,于2011年在卡西姆的初级卫生保健中心进行。在多阶段抽样技术,12个初级卫生保健中心随机选择在沙特阿拉伯的卡西姆省。从每个中心,100名与会者进行了采访,共1160份完成的问卷。共有74%的受试者在调查前12个月内访问过CAM提供者。如果排除精神治疗师,这一比例下降到47.6%。接受访问的特定CAM提供者是精神治疗师(26.7%),草药医生(23.2%),蜜蜂产品提供者(14.9%)和hijama(湿拔罐; 13%)。慢性病是就诊的主要原因。共有50%的受试者对其访视感到满意。11.3%的参与者由医生提供CAM。超过75%的受试者在过去12个月内因医疗和健康原因使用草药,而只有25%使用维生素或矿物质。26%的参与者使用自助。放松(10.3%)是最常见的自我CAM练习,其次是冥想(6.7%)。受试者花费350 000(US$)用于CAM访问和300 000(US$)购买CAM产品。I-CAM-Q可用于包括沙特阿拉伯在内的东方不同人口和文化,但需要定制以克服其局限性,因为问卷是在西方社会开发的。
The current picture of the Saudis’ use of complementary and alternative medicine (CAM) has not yet been developed. The aim of this study was to assess the feasibility of using the international questionnaire to measure use of complementary and alternative medicine (I-CAM-Q) in Saudi Arabia to evaluate the use of and out-of-pocket spending on CAM. It was a cross-sectional study, conducted in 2011, in primary health care centers in Qassim. In a multistage sampling technique, 12 primary health care centers were selected randomly in the Al-Qassim province in Saudi Arabia. From each center, 100 attendants were interviewed for a total of 1160 completed questionnaires. A total of 74% of subjects had visited CAM providers in 12 months before the survey. This percentage decreased to 47.6% when spiritual healers were excluded. The specific CAM providers who were visited were spiritual healers (26.7%), herbalists (23.2%), providers of honeybee products (14.9%), and hijama (wet cupping; 13%). Chronic illnesses were the main reason for the visits. A total of 50% of subjects were satisfied with their visit. Physicians were the providers of CAM for 11.3% of the participants. More than 75% of the subjects used herbs in the previous 12 months for medical and health reasons, while only 25% used vitamins or minerals. Self-help was used in 26% of the participants. Relaxation (10.3%) was the most common self-CAM practice followed by meditation (6.7%). The subjects spent 350 000 (US$) on CAM visits and 300 000 (US$) purchasing CAM products. I-CAM-Q can be used in different populations and cultures in the East including Saudi Arabia after customization to overcome its limitations, as the questionnaire was developed in Western societies.
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