Factors Associated with Pediatrician Attitudes over the Use of Complementary and Traditional Medicine on Children in Muscat, Oman

Document Type: Short Communication

Authors

1 Department of Child Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman

2 Ministry of Health, Muscat, Oman

3 Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman

Abstract

This study aimed to evaluate the attitude of pediatricians toward the use of complementary and Traditional Medicine (TM) on children in Muscat, Oman. A cross-sectional survey was performed using a self-completed questionnaire during the year 2012. A total of 67 pediatricians, comprising of 30 males (44.8%) and 37 females (55.2%) participated in the study. The majority of the studied group (83.5%) was of the opinion that most types of complementary and TM are not safe for children, except spiritual healing, to which 53.7% considered as safe. About one third (29.9%) of the participants reported that they might recommend complementary and TM for sick children in the future. Almost half the participants (52.2%) acknowledged personal use of complementary and TM in the past and 67.2% reported that their family members used these medicines. Herbal therapy was found to be the most commonly used method (38.9%) followed by spiritual (33.9%), cautery (20.2%) and Curucoma (15.7%). Other methods, which include; acupuncture, bone healing and Chinese healing were also found to be in use but in rare manner. Knowledge level of TM and complementary medicine of most of the doctors was found to be low but one third of them acknowledged that they may recommend these treatments to their patients in future. Therefore, training pediatricians on the types, benefits and side effects of complementary and TM is recommended.

Keywords

Main Subjects


  1. World Health Organization (WHO). WHO traditional medicine strategy [internet]. 2012. Available from:  http://www.who.int/medicines/publications/traditionalpolicy/en/index.html
  2. World Health Organization (WHO). Traditional medicine [WWW Document]. 2012. Available from:  http://www.who.int/mediacentre/factsheets/fs134/en/
  3. Gooneratne NS. Complementary and alternative medicine for sleep disturbances in older adults. Clin Geriatr Med 2008; 24: 121-8. doi: 10.1016/j.cger.2007.08.002
  4. World Health Organization (WHO). Traditional medications: global situation, issues and challenges. Geneva: WHO; 2011.
  5. Johnson PJ, Ward A, Knutson L, Sendelbach S. Personal use of complementary and alternative medicine (CAM) by U.S. health care workers. Health Serv Res 2012; 47: 211-27. doi: 10.1111/j.1475-6773.2011.01304.x
  6. Adib-Hajbagherya M, Hoseinian M. Knowledge, attitude and practice toward complementary and traditional medicine among Kashan health care staff. Complement Ther Med 2014; 22: 126-32. doi: 10.1016/j.ctim.2013.11.009
  7. Gruber M, Ben-Arye E, Kerem N, Cohen-Kerem R. Use of complementary alternative medicine in pediatric otolaryngology patients: A survey. Int J Pediatr Otorhinolaryngol 2014; 78: 248-52. doi: 10.1016/j.ijporl.2013.11.016
  8. Birdee GS, Phillips RS, Davis RB, Gardiner P. Factors associated with pediatric use of complementary and alternative medicine. Pediatrics 2010; 125: 249-56. doi: 10.1542/peds.2009-1406
  9. Farag TH, Kotloff KL, Levine MM, Onwuchekwa U, Van Eijk AM, Doh S, et al. Seeking care for pediatric diarrheal illness from traditional healers in Bamako, Mali. Am J Trop Med Hyg 2013; 89: 21-8. doi: 10.4269/ajtmh.12-0753
  10. Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Rep 2008; 12: 1-23. doi: 10.1037/e623942009-001
  11. Abolhassani H, Naseri M, Mahmoudzadeh S. A Survey of Complementary and Alternative Medicine in Iran. Chin J Integr Med 2012; 18: 409-16. doi: 10.1007/s11655-012-1124-9
  12. Ito A, Munakata K, Imazu Y, Watanabe K. First nationwide attitude survey of Japanese physicians on the use of traditional Japanese medicine (Kampo) in cancer treatment. Evid Based Complement Alternat Med 2012; 2012: 957082. doi: 10.1155/2012/957082
  13. Ghazanfar SA, Al-Sabahi MA. Medicinal plants of northern and central Oman. Econ Bot 1993; 47: 89-98. doi: 10.1007/bf02862209
  14. Al Saadoon M, Al-jashemi RM, Al-Farsi AM, Al-Suleimani SH, Al-Khayari HY. Medical student attitude toward traditional, complementary and alternative medicine: cross-sectional study. The Journal of Ethnobiology and Traditional Medicine 2014; 122: 900-5.
  15. Mbutho NP, Gqaleni N, Korporaal CM. Traditional complementary and alternative medicine: knowledge, attitudes and practices of health care workers in HIV and AIDS clinics in Durban hospitals. Afr J Tradit Complement Altern Med 2012; 9: 64-72. doi: 10.4314/ajtcam.v9i3s.8