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Patient factors associated with complementary and alternative medicine use among cancer patients at a county referral hospital, Kenya


Bravin George Etole
Sherry Oluchina
Bernard Wambua Mbithi

Abstract

BACKGROUND                                               


Despite numerous global reports on the use of complementary and alternative medicine (CAM), no studies have been published regarding its use at Machakos Level 5 Hospital. Therefore, this study aims to identify patient-related factors associated with CAM use among cancer patients at this Level 5 hospital in Kenya.


METHODOLOGY                                                     


A mixed method, cross-sectional design was implemented at Machakos level five hospital in Kenya. A Census was carried out, using a face-to-face researcher-administered questionnaire among 80 cancer patients receiving treatment at the clinic. Critically ill and mentally unstable patients were excluded. A Chi-square test assessed variable associations, considering p < 0.05 as statistically significant. Logistic regression analyzed variable relationships.


RESULTS                                                         


 Gender was significantly associated with CAM use (p=0.014). Regression analysis revealed that Male patients were 79% less likely to use CAM (OR=0.21, 95% CI 0.042-1.003, p=0.050). Patients who had received radiotherapy were likely to use CAM (p=0.032), however, on regression analysis there was no significant association. Believes that CAM improves health (χ2=9.231, p-0.010), supports conventional treatment (χ2=15.620, p-0.001), cures cancer (χ2=12.661, p-0.002), manages treatment side effects (χ2=11.045, p-0.004), relieves cancer symptoms (χ2=9.008, p-0.011), promotes self-healing (χ2=16.969, p-0.001), and gives hope (χ2=17.512, p-0.001) were significantly associated with CAM use.


CONCLUSION AND RECOMMENDATION. 


 There was a significant association between patient characteristics and CAM use among cancer patients. Improving patient-healthcare worker communication could encourage reporting of CAM usage. Further research is needed to explore the efficacy, safety, and tolerability of CAM in cancer patients.


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eISSN: 1022-9272