The use of traditional medicine in maternity care among African women in Africa and the diaspora: a systematic review.

The use of traditional medicine in maternity care among African women in Africa and the diaspora: a systematic review.
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DOI:
10.1186/s12906-017-1886-x
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发表时间:
2017-08-02
影响因子:
--
通讯作者:
Smith CA
Smith CA
中科院分区:
医学3区
文献类型:
--
作者:
Shewamene Z;Dune T;Smith CA

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描述非洲妇女传统保健做法和信仰的文献很少。本研究的目的是对使用传统医学(TM)来解决非洲妇女和散居国外的非洲妇女的孕产妇和生殖健康投诉和福祉进行系统审查。使用8个医学和社会科学数据库(CINAHL、EMBASE、Infomit、奥维德Medline、ProQuest、PsychINFO、PubMed和SCOPUS)对已发表文章、灰色文献和未发表研究进行了文献检索,检索时间从每个数据库成立之日起至2016年12月31日。使用质量评估工具(QAT)进行了严格的评估。在12个非洲国家共进行了20项研究,涉及11 858名妇女。没有发现关于散居国外的非洲妇女与母亲使用TM或补充和替代医学(CAM)有关的文献。非洲妇女TM使用率高达80%。最常用的TM是草药,用于治疗妊娠相关症状。频繁的TM使用者是孕妇,没有受过正规教育,低收入,远离公共卫生设施。无法获得主流产妇护理是使用TM的主要决定因素。由于无法获得主流孕产妇保健,非洲妇女广泛使用TM来解决孕产妇和生殖健康问题。需要进一步研究,以审查各种类型的传统和文化的健康做法(草药除外),对TM的信仰,以及非洲妇女在非洲和散居地寻求健康的行为。本文的在线版本(doi:10.1186/s12906-017-1886-x)包含补充材料,可供授权用户使用。
There is a paucity of literature describing traditional health practices and beliefs of African women. The purpose of this study was to undertake a systematic review of the use of traditional medicine (TM) to address maternal and reproductive health complaints and wellbeing by African women in Africa and the diaspora. A literature search of published articles, grey literature and unpublished studies was conducted using eight medical and social science databases (CINAHL, EMBASE, Infomit, Ovid Medline, ProQuest, PsychINFO, PubMed and SCOPUS) from the inception of each database until 31 December 2016. Critical appraisal was conducted using a quality assessment tool (QAT). A total of 20 studies conducted in 12 African countries representing 11,858 women were included. No literature was found on African women in the diaspora related to maternal use of TM or complementary and alternative medicine (CAM). The prevalence of TM use among the African women was as high as 80%. The most common TM used was herbal medicine for reasons related to treatment of pregnancy related symptoms. Frequent TM users were pregnant women with no formal education, low income, and living far from public health facilities. Lack of access to the mainstream maternity care was the major determining factor for use of TM. TM is widely used by African women for maternal and reproductive health issues due to lack of access to the mainstream maternity care. Further research is required to examine the various types of traditional and cultural health practices (other than herbal medicine), the beliefs towards TM, and the health seeking behaviors of African women in Africa and the diaspora. The online version of this article (doi:10.1186/s12906-017-1886-x) contains supplementary material, which is available to authorized users.
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