Prevalence and Predictors of Traditional Medicine Utilization Among Persons Living With Aids (PLWA) on Antiretroviral (ARV) and Prophylaxis Treatment in Both Rural and Urban Areas in South Africa
Identifieur interne : 003228 ( Main/Exploration ); précédent : 003227; suivant : 003229Prevalence and Predictors of Traditional Medicine Utilization Among Persons Living With Aids (PLWA) on Antiretroviral (ARV) and Prophylaxis Treatment in Both Rural and Urban Areas in South Africa
Auteurs : G D Hughes ; T R Puoane [Afrique du Sud] ; B L Clark [États-Unis] ; T L Wondwossen [Afrique du Sud] ; Q. Johnson ; W. Folk [États-Unis]Source :
- African Journal of Traditional, Complementary, and Alternative Medicines [ 0189-6016 ] ; 2012.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient, Adulte, Agents antiVIH (usage thérapeutique), Analyse multivariée, Enquêtes et questionnaires, Facteurs de l'âge, Facteurs sexuels, Facteurs socioéconomiques, Femelle, Humains, Interactions médicaments-plantes, Mâle, Médecine traditionnelle africaine (utilisation), Phytothérapie (utilisation), Population rurale, Population urbaine, République d'Afrique du Sud, Syndrome d'immunodéficience acquise (traitement médicamenteux), VIH (Virus de l'Immunodéficience Humaine), Études transversales.
- MESH :
- traitement médicamenteux : Syndrome d'immunodéficience acquise.
- usage thérapeutique : Agents antiVIH.
- utilisation : Médecine traditionnelle africaine, Phytothérapie.
- Acceptation des soins par le patient, Adulte, Analyse multivariée, Enquêtes et questionnaires, Facteurs de l'âge, Facteurs sexuels, Facteurs socioéconomiques, Femelle, Humains, Interactions médicaments-plantes, Mâle, Population rurale, Population urbaine, République d'Afrique du Sud, VIH (Virus de l'Immunodéficience Humaine), Études transversales.
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- Acquired Immunodeficiency Syndrome (drug therapy), Adult, Age Factors, Anti-HIV Agents (therapeutic use), Cross-Sectional Studies, Female, HIV, Herb-Drug Interactions, Humans, Male, Medicine, African Traditional (utilization), Multivariate Analysis, Patient Acceptance of Health Care, Phytotherapy (utilization), Rural Population, Sex Factors, Socioeconomic Factors, South Africa, Surveys and Questionnaires, Urban Population.
- MESH :
- chemical , therapeutic use : Anti-HIV Agents.
- geographic : South Africa.
- drug therapy : Acquired Immunodeficiency Syndrome.
- utilization : Medicine, African Traditional, Phytotherapy.
- Adult, Age Factors, Cross-Sectional Studies, Female, HIV, Herb-Drug Interactions, Humans, Male, Multivariate Analysis, Patient Acceptance of Health Care, Rural Population, Sex Factors, Socioeconomic Factors, Surveys and Questionnaires, Urban Population.
Abstract
Previous studies have reported that majority of antiretroviral (ARV) treatment-naïve patients use traditional medicine (TM). Given that TM use is ubiquitous in South Africa especially for chronic conditions, there is a potential for ARV non-adherence and serious drug interactions among patients with HIV/AIDs who use TM. The motivating factors for TM use in HIV/AIDS patients on ARV and prophylaxis treatment have not been well defined in South Africa. This study aimed to investigate the prevalence, facilitators, predictors, and types of TM used among persons living with HIV/AIDS on antiretroviral treatment. The study was a cross-sectional survey which involved 100 participants enrolled at ARV clinics in two South African provinces. Univariate and bivariate analyses were performed to assess the relationships between variables and potential predictors of TM. Sixteen percent of participants on ARV reported TM use. Seventy-nine percent used TM prior to a diagnosis of HIV. Participants were more likely to use TM if they were from a rural province, female, older, unmarried, employed, had limited education, or were HIV-positive for less than five years. TM users reported utilizing herbal or medicinal mixtures that were claimed to heal all conditions. This study provides insights into the treatment modalities selected by patients with HIV/AIDS in South Africa who are receiving ARV. This study revealed that less than 20% of participants co-used TM and ARV. However, close to 80% of participants utilize TM before contracting HIV, which is in keeping with approximate estimates by the WHO.
Url:
PubMed: 23983383
PubMed Central: 3746637
Affiliations:
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Given that TM use is ubiquitous in South Africa especially for chronic conditions, there is a potential for ARV non-adherence and serious drug interactions among patients with HIV/AIDs who use TM. The motivating factors for TM use in HIV/AIDS patients on ARV and prophylaxis treatment have not been well defined in South Africa. This study aimed to investigate the prevalence, facilitators, predictors, and types of TM used among persons living with HIV/AIDS on antiretroviral treatment. The study was a cross-sectional survey which involved 100 participants enrolled at ARV clinics in two South African provinces. Univariate and bivariate analyses were performed to assess the relationships between variables and potential predictors of TM. Sixteen percent of participants on ARV reported TM use. Seventy-nine percent used TM prior to a diagnosis of HIV. Participants were more likely to use TM if they were from a rural province, female, older, unmarried, employed, had limited education, or were HIV-positive for less than five years. TM users reported utilizing herbal or medicinal mixtures that were claimed to heal all conditions. This study provides insights into the treatment modalities selected by patients with HIV/AIDS in South Africa who are receiving ARV. This study revealed that less than 20% of participants co-used TM and ARV. However, close to 80% of participants utilize TM before contracting HIV, which is in keeping with approximate estimates by the WHO.</p></div></front></TEI><affiliations><list><country><li>Afrique du Sud</li><li>États-Unis</li></country><region><li>Tennessee</li></region></list><tree><noCountry><name sortKey="Hughes, G D" sort="Hughes, G D" uniqKey="Hughes G" first="G D" last="Hughes">G D Hughes</name><name sortKey="Johnson, Q" sort="Johnson, Q" uniqKey="Johnson Q" first="Q" last="Johnson">Q. Johnson</name></noCountry><country name="Afrique du Sud"><noRegion><name sortKey="Puoane, T R" sort="Puoane, T R" uniqKey="Puoane T" first="T R" last="Puoane">T R Puoane</name></noRegion><name sortKey="Wondwossen, T L" sort="Wondwossen, T L" uniqKey="Wondwossen T" first="T L" last="Wondwossen">T L Wondwossen</name></country><country name="États-Unis"><region name="Tennessee"><name sortKey="Clark, B L" sort="Clark, B L" uniqKey="Clark B" first="B L" last="Clark">B L Clark</name></region><name sortKey="Folk, W" sort="Folk, W" uniqKey="Folk W" first="W" last="Folk">W. Folk</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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