Indo adult cam

Most patients were generally satisfied (93.6%) and considered CAM helpful (89.8%), but the majority never informed their health care provider of CAM use (78.8%).

Patients reported the simultaneous use of more than one type of CAM, without considering or knowing of possible side-effects.

CAM use was more prevalent among females (68.6%), Indo-Trinidadians (63.5%), and patients aged 41–50 years (37.2%).

Indo adult cam-43Indo adult cam-46

Complementary and alternative medicine (CAM) is defined as “a group of diverse medical and health care systems, practices, and products that are not generally considered part of conventional medicine” [.

According to the WHO, “the term complementary and alternative medicine is used in some countries to refer to a broad set of health care practices that are not part of the country's own tradition and are not integrated into the dominant health care system” [].

The data collection instrument was a 37-item questionnaire covering patient demographics (age, sex, marital status, ethnicity, educational level, employment status, residence, religion, and religiosity) (8 items), oncology-related variables (5 items), and various aspects of CAM usage (types, experiences, reasons, benefits, influences, effects and consequences, source, and access to CAM) (24 items).

CAM types were detailed with each type being further categorised into the many areas of practice as follows: Medicinal herbs/Biological-based medicine (Aloe Vera, Evening Primrose, Calcium, Ginger, Vitamins, etc.), Spiritual therapy/Mind-body systems (Faith healing, Divinations, Meditation, Hypnotherapy, etc.), Alternative systems (Chinese medicine, Indian/Ayurveda medicine, Acupuncture, Homeopathy), Physical therapy/Body manipulations (Chiropractic, Osteopathy, Massage, Manual healing), Energy therapies (bio-electro magnetics, Oxygen/Ozone treatment), Local/Folk remedies (Bloodletting cupping, Local surgery/Sacrification, Ritual sacrifice, Urine therapy, etc.).

CAM use may therefore pose a major public health problem.

These concerns were raised by the WHO Traditional Medicine Strategy of 2002–2005, which emphasised four public health areas of CAM: policy; safety, efficacy, and quality; access; and rational use [This cross-sectional study was conducted among all cancer patients undergoing treatment at the South West Regional Health Authority (SWRHA) of Trinidad and Tobago between March 1, 2015, and July 31, 2015.Medicinal herbs and spiritual therapy are commonly used among cancer patients because of perceived benefits and satisfaction.CAM use is more prevalent among females, Indo-Trinidadians, and patients aged 41–50 years old. More than one type of CAM is commonly used simultaneously without disclosure to health care providers.This study explored the prevalence, patterns, and perceived value of CAM among cancer patients.This quantitative descriptive study was conducted between March 1, 2015, and July 31, 2015, among a cross-sectional, convenience sample of patients from the Oncology Department of San Fernando General Hospital in Trinidad and Tobago.This questionnaire was tested and used in a previous study of cardiac patients in Trinidad [].

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