Herbal medicine use in the Jordanian population

Excerpt:


J Pharm Pharmacogn Res 8(6): 525-536, 2020. Original Article Herbal medicine use in the Jordanian population: A nationally representative cross-sectional survey [Uso de medicina herbal en la población jordana: Una encuesta transversal representativa a nivel nacional] Derar H. Abdel-Qader1*, Abdullah Albassam2, Najlaa Saadi Ismael3, Mohammed S. Aljamal4, Li-Chia Chen5, Kenza Mansoor1, Salim Hamadi1, Nadia Al Mazrouei6, Ahmad … Continue reading Herbal medicine use in the Jordanian population

J Pharm Pharmacogn Res 8(6): 525-536, 2020.

Original Article

Herbal medicine use in the Jordanian population: A nationally representative cross-sectional survey

[Uso de medicina herbal en la población jordana: Una encuesta transversal representativa a nivel nacional]

Derar H. Abdel-Qader1*, Abdullah Albassam2, Najlaa Saadi Ismael3, Mohammed S. Aljamal4, Li-Chia Chen5, Kenza Mansoor1, Salim Hamadi1, Nadia Al Mazrouei6, Ahmad Z. Al Meslamani7

1Faculty of Pharmacy and Medical Sciences, University of Petra, Jordan.
2Department of Pharmacy Practice, Faculty of Pharmacy, Kuwait University, Kuwait.
3Faculty of Pharmacy, Philadelphia University, Jordan.
4King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
5Centre for Pharmacoepidemiology and Drug Safety, Division of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom.
6Department of Pharmacy Practice and Pharmacotherapeutics, College of Pharmacy, University of Sharjah. United Arab Emirates.
7College of Pharmacy, Al Ain University of Science and Technology, Abu Dhabi, United Arab Emirates.
Abstract

Context: Despite of potential adverse effects, the use of herbal medicines has grown globally without proper regulatory measures. There is a scarcity of data on the pattern of use and general awareness towards herbal products among the Jordanians.

Aims: To assess the prevalence, utilization, and attitude toward herbal medicines among the Jordanian public.

Methods: A national cross-sectional self-reported survey on a random sample of adult population aged ≥ 18 years was conducted over two months to include 1820 adults in Jordan. A representative sample was collected using a proportionate random sampling technique, which enabled us to categorize the study population geographically. SPSS V26 was used for data analysis.

Results: The prevalence of herbal medicine use was 53.3% (971/1820), and respondents who aged >29 years were more likely to use herbal products. Predictors for using herbal products were: females (OR 4.23; 95%CI 1.97-9.55; p=0.0004), fair health status (OR 7.19; 95%CI 5.49-13.85; p=0.0001), and participants without chronic diseases were significantly less likely to use herbal medicines (OR 0.21; 95%CI 0.11-0.61; p=0.0007). The majority of respondents (86.5%, 1574/1820) thought herbal products were safe because they were made from natural ingredients. The most common reasons for using herbal products were chronic disease treatments (41.9%, 407/971), weight reduction (23.6%, 229/971), and to less extent improving the well-being (16.2%, 157/971).

Conclusions: More than half of the targeted population used herbal medicines, a quarter of whom experienced adverse effects. The findings of this study have major community health implications for Jordan.

Keywords: herbal medicine; Jordan; pharmacognosy; public health.

Resumen

Contexto: A pesar de los posibles efectos adversos, el uso de medicamentos a base de hierbas ha crecido a nivel mundial sin las medidas reglamentarias adecuadas. Hay escasez de datos sobre el patrón de uso y la conciencia general sobre los productos a base de hierbas entre los jordanos.

Objetivos: Evaluar la prevalencia, la utilización y la actitud hacia las medicinas a base de hierbas entre el público jordano.

Métodos: Se llevó a cabo una encuesta nacional transversal autonotificada sobre una muestra aleatoria de población adulta de ≥18 años durante dos meses para incluir a 1820 adultos en Jordania. Se recolectó una muestra representativa mediante una técnica de muestreo aleatorio proporcional, que nos permitió categorizar geográficamente la población de estudio. Se utilizó SPSS V26 para el análisis de datos.

Resultados: La prevalencia del uso de medicamentos a base de hierbas fue del 53,3% (971/1820), y los encuestados con >29 años tenían más probabilidades de usar productos a base de hierbas. Los predictores para el uso de productos a base de hierbas fueron: mujeres (OR 4,23; IC del 95%: 1,97-9,55; p=0,0004), estado de salud aceptable (OR 7,19; IC del 95%: 5,49-13,85; p=0,0001) y los participantes sin enfermedades crónicas usaron menos medicamentos a base de hierbas (OR 0,21; IC del 95%: 0,11-0,61; p=0,0007). La mayoría de los encuestados (86,5%, 1574/1820) pensaba que los productos a base de hierbas eran seguros porque estaban hechos con ingredientes naturales. Las razones más comunes para usar productos a base de hierbas fueron los tratamientos de enfermedades crónicas (41,9%, 407/971), la reducción de peso (23,6%, 229/971) y, en menor medida, la mejora del bienestar (16,2%, 157/971).

Conclusiones: Más de la mitad de la población destinataria utilizaba medicamentos a base de hierbas, una cuarta parte de los cuales experimentó efectos adversos. Los hallazgos de este estudio tienen importantes implicaciones para la salud comunitaria de Jordania.

Palabras Clave: farmacognosia; Jordania; medicina herbal; salud pública.

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Citation Format: Abdel-Qader DH, Albassam A, Ismael NS, Aljamal MS, Chen L, Mansoor K, Hamadi S, Al Mazrouei N, Al Meslamani AZ (2020) Herbal medicine use in the Jordanian population: A nationally representative cross-sectional survey. J Pharm Pharmacogn Res 8(6): 525–536.

© 2020 Journal of Pharmacy & Pharmacognosy Research (JPPRes)

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