title: Knowledge, attitude and use of alternative medical therapy amongst urban residents of Osun State, southwestern Nigeria.
abstract: Alternate medicine which has a long history has been relegated to the background by the evolution of modern medicine. In recent times, however, alternative medical therapy has been growing in popularity and getting increasing attention and interest. This study assessed the knowledge, attitude and use by urban dwellers of alternative medical therapies. This was a cross-sectional descriptive study which used a semi-structured questionnaire to gather information from 812 randomly selected urban respondents. Majority 734 (90.4%) of the respondents were aware of an alternative way of getting treatment for their ailments apart from the orthodox medicine. The forms of alternative medical therapy (AMT) respondents were aware of include: concoction (herbal preparations) 683 (94.2%); herbalists/traditionalists 616 (85.0%); traditional bone setters therapy 434 (59.9%); among others. The main source of information was through radio 439 (70.9%). About half 403 (54.9%) of the respondents were aware of side effects from AMT and these include diarrhea, abdominal pain and vomiting which accounts for 69.7%; 42.2% and 40.2% respectively. About 347 (47.3%) think AMT could be injurious to health. About a third 262 (35.7%) of the respondents who were aware of AMT prefers it to orthodox medicine. Reasons given for the preference were that: AMT is cheap 56 (21.4%); accessible 43 (16.4%) and acceptable 35 (13.4%) to them. About half 367 (50.0%) also believed AMT alone could cure their illness without resort to orthodox medical therapy (OMT). Over half 401 (54.6%) of the 734 respondents that were aware of AMT had patronized or taken one form of alternative medical therapy or the other in the last 12 months prior to the study. Of these number, 323 (80.5%) had taken concoction (herbal preparations). However, there was no relationship between respondents' age, sex, educational level or religion and the patronage of AMT as all test of associations were not statistically significant p>0.05. This study has revealed that the use of alternative medical therapies is quite popular among the studied population and a high proportion of the respondents use AMT notwithstanding that they live in the urban communities where they have better access to orthodox medical care and medical practitioners. Regulations should be made concerning the advertisement of alternative medicine and practices as orthodox medicine and practices are usually not advertised.
authors.affiliation: Department of Community Medicine, LAUTECH College of Health Sciences, Osogbo, Osun State. Nigeria. bjobam2004@yahoo.co.uk
authors.forename: James Olusegun
authors.initials: JO
authors.lastname: Bamidele
authors.forename: Wasiu Olalekan
authors.initials: WO
authors.lastname: Adebimpe
authors.forename: Edward Adekola
authors.initials: EA
authors.lastname: Oladele
mesh_terms: D000328:Adult; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D016488:Medicine, African Traditional; D008875:Middle Aged; D009549:Nigeria; D012651:Self Medication; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014505:Urban Population; D055815:Young Adult
references.citation: Adv Data. 2004 May 27;(343):1-19
references.pmid: 15188733
references.citation: Adverse Drug React Toxicol Rev. 1991 Winter;10(4):189-208
references.pmid: 1793770
references.citation: J Am Board Fam Pract. 2003 Jul-Aug;16(4):318-26
references.pmid: 12949033
references.citation: J R Soc Health. 1993 Aug;113(4):190-4
references.pmid: 8410912
references.citation: Am Fam Physician. 1987 May;35(5):135-42
references.pmid: 3577986
references.citation: Emerg Med Clin North Am. 1984 Feb;2(1):133-44
references.pmid: 6394299
references.citation: N Engl J Med. 1998 Sep 17;339(12):839-41
references.pmid: 9738094
references.citation: Ann Intern Med. 1997 Jul 1;127(1):61-9
references.pmid: 9214254
references.citation: Integr Med. 2000 Mar 21;2(2):97-103
references.pmid: 10882883
references.citation: JAMA. 1995 Feb 22;273(8):607-9
references.pmid: 7844858
references.citation: West Afr J Med. 2004 Jan-Mar;23(1):81-4
references.pmid: 15171536