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Usage of herbal medicines among the elderly in a primary care unit in Hat Yai, Songkhla province, Thailand Cover

Usage of herbal medicines among the elderly in a primary care unit in Hat Yai, Songkhla province, Thailand

Open Access
|Feb 2021

Figures & Tables

Table 1

Patient characteristics (n = 204)

CharacteristicNumber (%)
Sex
  Male62 (30.4)
  Female142 (69.6)
Age (years) (median [IQR])69.0 (9.0)
Education
  Uneducated13 (6.4)
  Educated191 (93.6)
Marital status
  Couple138 (67.6)
  Single13 (6.4)
  Widowed/divorced53 (26.0)
Career
  No142 (69.6)
  Yes62 (30.4)
Salary§
  No52 (25.5)
  Yes152 (74.5)
Underlying diseases
  No9 (4.4)
  Yes195 (95.6)
Type of underlying diseases
  Dyslipidemia145 (71.1)
  Hypertension144 (70.6)
  Diabetes mellitus64 (31.4)
  Osteoarthritis17 (8.3)
  Cardiovascular diseases14 (6.9)
  Gout10 (4.9)
  Dyspepsia9 (4.4)
  Asthma/chronic obstructive pulmonary disease9 (4.4)
  Cancer7 (3.4)
  Allergic rhinitis7 (3.4)
Number of underlying diseases (median [IQR])2.0 (1.0)
Number of current medications || per day (median [IQR])3.0 (1.0)

IQR, interquartile range.

† Data are presented as n (%) unless indicated otherwise. IQR, interquar-tile range.

‡ Educated group means patient who had some degree of education.

§ Salary means fixed regular income from any sources (accept elderly living allowance, a right of all elderly Thai), such as salary from work or monthly money from relatives.

|| Current medications refers to medications that patients use regularly for treatment of their underlying diseases (not including vitamin supplements or medication to treat acute illness).

Table 2

Prevalence of herbal medicine usage (n = 204)

Usage of herbal medicineNumber (%)
No80 (39.2)
History of use, but stopped after more than 1 year23 (11.3)
Current usage101 (49.5)

† Current usage means having a history of herbal medicine use within the past 1 year.

Table 3

Reasons for usage, source of influence to initiate use, disclosure to health care providers, and perceived effects after use in patients with a history of herbal medicine usage (n = 124)

TopicNumber (%)
Reasons for use
  Thought that herbal medicines are interesting81 (65.3)
  Herbal medicines may add benefits to conventional medicine60 (48.4)
  Health care provider suggested use7 (5.6)
  Conventional medicine was ineffective6 (4.8)
  Other8 (6.5)
Expected benefits
  Cardiovascular system80 (64.5)
  Gastrointestinal system36 (29.0)
  Respiratory system33 (26.6)
  Endocrine system28 (22.6)
  Musculoskeletal system27 (21.8)
  Other60 (39.0)
Consideration before herbal medicine usage
  Did not consider any topic before consumption98 (79)
  Considered at least 1 of the following topics before consumption26 (21)
    Product reliability20 (16)
    Safety8 (7)
    Efficacy2 (2)
    Cost–benefit effectiveness2 (2)
Source of influence initial usage
  Oneself because of their tradition or culture25 (20)
  Suggestion by neighbor25 (20)
  Suggestion by relatives24 (19)
  Advertising media20 (16)
  Suggestion by friends18 (15)
  Suggestion by health care providers12 (10)
  Suggestion by other patients9 (7)
  Other13 (11)
Perceived effects after use
  Beneficial95 (77)
  No difference23 (19)
  Experienced side effects6 (5)
Drug interaction awareness
  No78 (63)
  Yes46 (37)
Preferences of disclosure to health care providers
  Would only report if medical professionals asked80 (68)
  Would always ask before use16 (13)
  Would always report after use12 (10)
  Would disclose only if complications occurred8 (7)
  Would not disclose about use4 (3)
History of being asked about herbal medicine use by health care providers
  No91 (73)
  Yes33 (27)

† Participants can choose more than 1 answer.

‡ Side effects included diarrhea in 3 patients, abdominal discomfort in 2 patients, and dizziness in 1 patient.

Table 4

Number and name of herbal medicine usage in current user (n = 101)

Number
Number of herbal medicines used together
  163
  216
  315
  44
  51
  72
Name of herbal medicine used
  Kariyat37
  Turmeric19
  Bai yanang17
  Laurel14
  Gotu kola10
  Ginger10
  Moringa9
  Garlic7
  Cordyceps7
  Collagen7
  Herbal medicine (name unknown)17
  Other80

† Participants can choose more than 1 answer.

Table 5

Multivariate analysis for factors associated with herbal medicine usage in elderly patients (n = 204)

Herbal medicine usageAdjusted OR (95% CI)P (Wald test)P (LR test)
No (n = 80)Yes (n = 124)
Sex0.28
  Male21 (34%)41 (66%)1
  Female59 (42%)83 (59%)0.68 (0.34 to 1.37)0.28
Age (median [IQR])68.8 (8.5)69.0 (9)0.99 (0.95 to 1.04)0.900.90
Education0.03*
  Uneducated9 (69%)4 (31%)1
  Educated71 (37%)120 (63%)4.12 (1.12 to 15.2)0.03*
Marital status0.36
  Couple51 (37%)87 (63%)1
  Single7 (54%)6 (46%)0.43 (0.13 to 0.39)0.16
  Widowed/divorced22 (42%)31 (59%)1.04 (0.51 to 2.14)0.91
Career0.28
  No58 (41%)84 (59%)1
  Yes22 (36%)40 (65%)1.46 (0.74 to 2.88)0.28
Salary0.85
  No21 (40%)31 (60%)1
  Yes59 (39%)93 (61%)0.94 (0.46 to 1.89)0.85
Number of underlying diseases (median [IQR])2.0 (1.0)2.0 (1.0)0.74 (0.52 to 1.06)0.100.10
Number of current medications per day (median [IQR])3.0 (1.25)3.0 (1.0)1.06 (0.84 to 1.34)0.630.63

CI, confidence interval; IQR, interquartile range; OR, odds ratio; LR, likelihood ratio.

† Data are presented as n (%) unless indicated otherwise.

* P < 0.05.

DOI: https://doi.org/10.2478/abm-2020-0005 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415
Language: English
Page range: 35 - 42
Published on: Feb 21, 2021
Published by: Chulalongkorn University
In partnership with: Paradigm Publishing Services

© 2021 Thareerat Ananchaisarp, Supeecha Rungruang, Saralee Theerakulpisut, Peerada Kamsakul, Nichapat Nilbupha, Napat Chansawangphop, Jirameth Yiambunya, Jirayu Jarudamrongsak, Kanokwan Prasertsri, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.