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Complementary and Alternative Medicine: A Cross-Sectional Observational Study in Pediatric Inpatients
11 Lady Hardinge Medical College, New Delhi, India.
Insights
Complementary and alternative medicine (CAM) is frequently used by hospitalized children in India. Factors like younger age and female gender are linked to CAM use in pediatric patients.
Area of Science:
- Pediatrics
- Public Health
- Traditional Medicine
Background:
- Complementary and alternative medicine (CAM) use is prevalent globally, yet data on acutely sick hospitalized children, particularly in tertiary care settings in India, remains limited.
- Understanding CAM usage patterns and associated factors is crucial for integrated healthcare approaches.
Purpose of the Study:
- To determine the prevalence of complementary and alternative medicine (CAM) use among acutely sick hospitalized children.
- To identify factors associated with CAM use in this pediatric population.
Main Methods:
- A cross-sectional, hospital-based study was conducted in a tertiary care center in Delhi, India.
- A specially designed questionnaire assessed 887 admitted children for CAM usage.
- Data analysis identified demographic and socioeconomic factors correlated with CAM use.
Main Results:
- 18.1% of hospitalized children reported using CAM, with 70.2% using it for the current illness.
- Commonly used CAM modalities included combined Ayurveda and spiritual approaches (25.5%), Ayurveda (24.8%), and spiritual practices like 'Jhada' (47.2%).
- Younger age, female gender, and paternal employment were significant factors associated with CAM use.
Conclusions:
- Complementary and alternative medicine (CAM) is commonly utilized by acutely sick hospitalized children in this Indian tertiary care setting.
- Healthcare providers should be aware of CAM use in pediatric patients to facilitate informed discussions and potentially integrated care.
- Further research is warranted to explore the efficacy and safety of specific CAM practices in hospitalized children.
Abstract:
The aim was to study the prevalence of complementary and alternative medicine use in acutely sick hospitalized children and factors associated with it. This is a cross-sectional, hospital-based study in a tertiary care center of Delhi, India. Children admitted to a pediatric unit during the study period were assessed using a specially designed questionnaire. Out of the total 887 admitted children, 161 (18.1%) were using complementary and alternate medicine in one form or another. Of these, 113 (70.2%) were using complementary and alternate medicine for the current illness directly leading to admission and the remaining 48 (29.8%) had used complementary and alternate medicine in past. The common complementary and alternate medicine use observed in our study was combined ayurveda and spiritual approach (25.5%), ayurveda (24.8%), spiritual (21.7%), homeopathic (13%), and 47.2% of children were using spiritual approach in form of Jhada (tying piece of cloth on arm or leg or keeping a knife by the side of child). The significant factors associated with complementary and alternate medicine use were younger age, female gender, and father being employed. Complementary and alternate medicine is commonly used even in acutely sick children.
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