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Herbal medicine: women's views, knowledge and interaction with doctors: a qualitative study
Kathryn A Vickers1, Kate B Jolly, Sheila M Greenfield
1Foundation Year One Doctor, Stepping Hill Hospital, Poplar Grove, Stockport, Cheshire SK2 7JE, UK. Butterflykv@yahoo.co.uk <Butterflykv@yahoo.co.uk>
BMC Complementary and Alternative Medicine
|December 13, 2006
Summary
Many women using herbal medicines do not inform their doctors due to lack of inquiry and fear of negative responses. This lack of communication highlights a critical gap in understanding potential herb-drug interactions and patient safety.
Area of Science:
- Pharmacovigilance
- Integrative Medicine
- Patient Communication
Background:
- Growing concern regarding interactions between conventional and herbal medicines.
- Lack of patient disclosure of herbal product use to healthcare providers.
- Need to explore women's perspectives on herbal remedy safety and herb-drug interactions.
Purpose of the Study:
- To investigate women's views on the safety of herbal remedies.
- To understand patient perspectives on herb-drug interactions.
- To explore communication patterns between patients using herbal medicines and their doctors.
Main Methods:
- Qualitative, cross-sectional study design.
- Purposive sampling in Cheshire, UK.
- Eighteen in-depth semi-structured interviews with female herbal medicine users (aged 18+).
Main Results:
- Majority of women did not disclose herbal medicine use to General Practitioners (GPs).
- Reasons for non-disclosure included lack of physician inquiry, perceived low importance, and fear of negative responses.
- Many women were unaware of potential herb-drug interactions; adverse effects were not reported due to perceived low importance.
Conclusions:
- Women exhibit limited knowledge regarding herb-drug interactions.
- Disclosure of herbal medicine use to doctors is infrequent.
- Improved physician communication and increased public/healthcare access to accurate herbal medicine information are essential.