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 : 001D02 ( Pmc/Checkpoint ); précédent : 001D01; suivant : 001D03Prevalence 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.
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.
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PubMed: 23983383
PubMed Central: 3746637
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Johnson</name><affiliation><nlm:aff id="A1">South African Herbal Science and Medicine Institute (SAHSMI), University of the Western Cape, Belleville South Africa</nlm:aff><wicri:noCountry code="subfield">Belleville South Africa</wicri:noCountry></affiliation></author><author><name sortKey="Folk, W" sort="Folk, W" uniqKey="Folk W" first="W" last="Folk">W. Folk</name><affiliation wicri:level="1"><nlm:aff id="A4">Department of Biochemistry, School of Medicine University of Missouri-Columbia MO, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Biochemistry, School of Medicine University of Missouri-Columbia MO</wicri:regionArea><wicri:noRegion>School of Medicine University of Missouri-Columbia MO</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23983383</idno><idno type="pmc">3746637</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746637</idno><idno type="RBID">PMC:3746637</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">001569</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001569</idno><idno type="wicri:Area/Pmc/Curation">001568</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001568</idno><idno type="wicri:Area/Pmc/Checkpoint">001D02</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001D02</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">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</title><author><name sortKey="Hughes, G D" sort="Hughes, G D" uniqKey="Hughes G" first="G D" last="Hughes">G D Hughes</name><affiliation><nlm:aff id="A1">South African Herbal Science and Medicine Institute (SAHSMI), University of the Western Cape, Belleville South Africa</nlm:aff><wicri:noCountry code="subfield">Belleville South Africa</wicri:noCountry></affiliation></author><author><name sortKey="Puoane, T R" sort="Puoane, T R" uniqKey="Puoane T" first="T R" last="Puoane">T R Puoane</name><affiliation wicri:level="1"><nlm:aff id="A2">School of Public Health, University of the Western Cape, Bellville, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>School of Public Health, University of the Western Cape, Bellville</wicri:regionArea><wicri:noRegion>Bellville</wicri:noRegion></affiliation></author><author><name sortKey="Clark, B L" sort="Clark, B L" uniqKey="Clark B" first="B L" last="Clark">B L Clark</name><affiliation wicri:level="2"><nlm:aff id="A3">Clarks & Associates Statistical Consulting, Nashville, TN, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Clarks & Associates Statistical Consulting, Nashville, TN</wicri:regionArea><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Wondwossen, T L" sort="Wondwossen, T L" uniqKey="Wondwossen T" first="T L" last="Wondwossen">T L Wondwossen</name><affiliation wicri:level="1"><nlm:aff id="A2">School of Public Health, University of the Western Cape, Bellville, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>School of Public Health, University of the Western Cape, Bellville</wicri:regionArea><wicri:noRegion>Bellville</wicri:noRegion></affiliation></author><author><name sortKey="Johnson, Q" sort="Johnson, Q" uniqKey="Johnson Q" first="Q" last="Johnson">Q. Johnson</name><affiliation><nlm:aff id="A1">South African Herbal Science and Medicine Institute (SAHSMI), University of the Western Cape, Belleville South Africa</nlm:aff><wicri:noCountry code="subfield">Belleville South Africa</wicri:noCountry></affiliation></author><author><name sortKey="Folk, W" sort="Folk, W" uniqKey="Folk W" first="W" last="Folk">W. Folk</name><affiliation wicri:level="1"><nlm:aff id="A4">Department of Biochemistry, School of Medicine University of Missouri-Columbia MO, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Biochemistry, School of Medicine University of Missouri-Columbia MO</wicri:regionArea><wicri:noRegion>School of Medicine University of Missouri-Columbia MO</wicri:noRegion></affiliation></author></analytic><series><title level="j">African Journal of Traditional, Complementary, and Alternative Medicines</title><idno type="eISSN">0189-6016</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>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.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Afr J Tradit Complement Altern Med</journal-id><journal-id journal-id-type="iso-abbrev">Afr J Tradit Complement Altern Med</journal-id><journal-title-group><journal-title>African Journal of Traditional, Complementary, and Alternative Medicines</journal-title></journal-title-group><issn pub-type="epub">0189-6016</issn><publisher><publisher-name>African Networks on Ethnomedicines</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23983383</article-id><article-id pub-id-type="pmc">3746637</article-id><article-id pub-id-type="publisher-id">jAJT.v9.i4.pg470</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Papers</subject></subj-group></article-categories><title-group><article-title>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</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Hughes</surname><given-names>G D</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Puoane</surname><given-names>T R</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Clark</surname><given-names>B L</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Wondwossen</surname><given-names>T L</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Johnson</surname><given-names>Q</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Folk</surname><given-names>W</given-names></name><xref ref-type="aff" rid="A4">4</xref></contrib></contrib-group><aff id="A1"><label>1</label>South African Herbal Science and Medicine Institute (SAHSMI), University of the Western Cape, Belleville South Africa</aff><aff id="A2"><label>2</label>School of Public Health, University of the Western Cape, Bellville, South Africa</aff><aff id="A3"><label>3</label>Clarks & Associates Statistical Consulting, Nashville, TN, USA</aff><aff id="A4"><label>4</label>Department of Biochemistry, School of Medicine University of Missouri-Columbia MO, USA</aff><author-notes><corresp><email>ghughes@uwc.ac.za</email></corresp></author-notes><pub-date pub-type="epub"><day>1</day><month>7</month><year>2012</year></pub-date><pub-date pub-type="collection"><year>2012</year></pub-date><volume>9</volume><issue>4</issue><fpage>470</fpage><lpage>484</lpage><permissions><copyright-statement>Copyright © Afr. J. Traditional Complementary and Alternative Medicines 2012</copyright-statement><copyright-year>2012</copyright-year></permissions><abstract abstract-type="executive-summary"><p>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.</p></abstract><kwd-group><kwd>AIDS</kwd><kwd>HIV infection</kwd><kwd>traditional medicine</kwd><kwd>alternative medicine</kwd><kwd>ARV</kwd></kwd-group></article-meta></front></pmc><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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