Use of herbal products and associated factors among patients with non-communicable diseases in a rural northern Thai community: A cross-sectional study
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This cross-sectional study investigated the prevalence of herbal product use and associated factors among patients with non-communicable diseases (NCDs) in the community of Phayao province via home visits. Data were collected from 361 patients at three sub-district health-promoting hospitals using a developed structured questionnaire. Descriptive analysis and multivariable logistic regression were established. The results showed that 61.2% of patients used herbal products, totaling 398 items, with herbal extracts being the most common (30.4%). The primary purpose was treating or relieving symptoms of illness. Factors associated with increased herbal use included age over 60 years (aOR 2.11; 95% CI 1.14–3.91), monthly income below 10,000 THB (aOR 3.47; 95% CI 1.27–9.52), former smoking status (aOR 5.78; 95%CI 1.31–25.50), use of multiple health centers (aOR 2.46; 95% CI 1.55–3.92), receiving treatment at private hospitals/clinics (aOR 6.08; 95% CI 1.15–32.07), and obtaining information about herbal products from social media (aOR 3.49; 95%CI 1.87–6.52). Herbal product use is prevalent among rural patients with NCDs in Thailand. Influencing factors include patient characteristics (older age, former smoking), socioeconomic status, healthcare utilization patterns, and information sources. Healthcare providers should be aware of these trends to ensure safe and effective patient care for NCDs in rural settings.
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Almogbel, E. S., AlHotan, F. M., AlMohaimeed, Y. A., Aldhuwayhi, M. I., AlQahtani, S. W., Alghofaili, S. M., Bedaiwi, B. F., & AlHajjaj, A. H. (2022). Habits, traditions, and beliefs associated with the use of complementary and alternative medicine among diabetic patients in Al-Qassim Region, Saudi Arabia. Cureus, 14(12), Article e33157. https://doi.org/10.7759/cureus.33157
Budreviciute, A., Damiati, S., Sabir, D. K., Onder, K., Schuller-Goetzburg, P., Plakys, G., Katileviciute, A., Khoja, S., & Kodzius, R. (2020). Management and prevention strategies for non-communicable diseases (NCDs) and their risk factors. Frontiers in Public Health, 8, Article 574111. https://doi.org/10.3389/fpubh.2020.574111
Deenoo, S., Mattavangkul, C., Kawitu, K., & Sinwannakool, S. (2019). Factor related to herbal use behavior for self-care among people in Phasi-Chareon district. Journal of Nursing, Siam University, 20(39), 99–109. https://doi.org/10.14456/jnsu.v20i39.220474 [in Thai]
Department of Thai Traditional and Alternative Medicine. (2016, June 17). National master plan on development of Thai herbs (Report No. 1). Ministry of Public Health. https://www.dtam.moph.go.th/images/download/dl0021/MasterPlan-Thaiherb.pdf [in Thai]
Güngör, Ö., & Baykal, H. (2023). Attitudes toward herbal medicine for COVID-19 in healthcare workers: A cross-sectional observational study. Medicine, 102(38), Article e35176. http://dx.doi.org/10.1097/MD.00000000000
Hui, H., Tang, G., & Go, V. L. W. (2009). Hypoglycemic herbs and their action mechanisms. Chinese Medicine, 4, Article 11. https://doi.org/10.1186/1749-8546-4-11
Israel, G. D. (2003, August 2). Determining sample size. University of Florida Cooperative Extension Service. Institute of Food and Agriculture Sciences, EDIS. https://web.tarleton.edu/academicassessment/wp-content/uploads/sites/119/2022/05/Samplesize.pdf
Kanjanahattakij, N., Kwankhao, P., Vathesatogkit, P., Thongmung, N., Gleebbua, Y., Sritara, P., & Kitiyakara, C. (2019). Herbal or traditional medicine consumption in a Thai worker population: Pattern of use and therapeutic control in chronic diseases. BMC Complementary and Alternative Medicine, 19, Article 258. https://doi.org/10.1186/s12906-019-2652-z
Ministry of Public Health. (2016, July 25). The national strategy (Report No. 2018–2037). Public Health Part. https://waa.inter.nstda.or.th/stks/pub/2017/20171117-MinistryofPublicHealth.pdf
Ministry of Public Health. (2017, July 26). Standard reporting group: Major non-communicable diseases. Public Health Part. https://hdcservice.moph.go.th/hdc/reports/page.phpcat_id=6a1fdf282fd28180eed7d1cfe0155e11&fbclid=IwAR3yAKvZVpjKTgcq_NOHuIxUEJuTKQvFiQn6mT8iNxvGAPcaqS6PaUdgxeY
Mueangchang, W. (2016). Factors related to self treatment with herbal remedies of people in Mea Chai district, Phayao province [Master’s thesis, Thammasat University]. TU Digital Collections. https://doi.org/10.14457/TU.the.2016.1625 [in Thai]
Nailwal, D., Reddy B, V., & Gupta, A. (2021). Patterns and predictors of complementary and alternative medicine use in people presenting with the non-communicable disease in an urban health facility, North India. Journal of Public Health Research, 10, Article 2109. https://doi.org/10.4081/jphr.2021.2109
Nguanchoo, V., Balslev, H., Sadgrove, N. J., & Phumthum, M. (2023). Medicinal plants used by rural Thai people to treat non-communicable diseases and related symptoms. Heliyon, 9(1), Article e12758. https://doi.org/10.1016/j.heliyon.2022.e12758
Oyebode, O., Kandala, N.-B., Chilton, P. J., & Lilford, R. J. (2016). Use of traditional medicine in middle-income countries: A WHO-SAGE study. Health Policy and Planning, 31(8), 984–991. https://doi.org/10.1093/heapol/czw022
Peduzzi, P., Concato, J., Kemper, E., Holford, T. R., & Feinstein, A. R. (1996). A simulation study of the number of events per variable in logistic regression analysis. Journal of Clinical Epidemiology, 49(12), 1373–1379. https://doi.org/10.1016/S0895-4356(96)00236-3
Peltzer, K., & Pengpid, S. (2019). The use of herbal medicines among chronic disease patients in Thailand: A cross-sectional survey. Journal of Multidisciplinary Healthcare, 2019(12), 573–582. https://doi.org/10.2147/JMDH.S212953
Phayao Provincial Public Health Office. (2022a, August 13). Number of service units under the office of the permanent secretary. Ministry of Public Health Classified by Level of Nursing Facility. https://pyo.hdc.moph.go.th/hdc/reports/report.php?source=hospital/hospital1.php&cat_id=b415510618e13273b2f2918587f86e5d&id=67c3037f24c14781b03159583f5b7a58
Phayao Provincial Public Health Office. (2022b, August 13). Summarize the number of outpatient data of sub-district health-promoting hospitals. Ministry of Public Health Classified by Level of Nursing Facility. https://pyo.hdc.moph.go.th/hdc/reports/so_report.php?id=06c37818472cadb8a40faa8732bde66a&tb_name=service
Ploylearmsang, C., Kanjanasilp, J., Tadtiyanant, J., & Sisala, P. (2022). Promoting rational herb-drug use through pharmacy-led advice and home visits in NCD patients. Pharmacy Practice, 20(4), Article 2747. https://doi.org/10.18549/PharmPract.2022.4.2747
Prasopthum, A., Insawek, T., & Pouyfung, P. (2022). Herbal medicine use in Thai patients with type 2 diabetes mellitus and its association with glycemic control: A cross-sectional evaluation. Heliyon, 8(10), Article e10790. https://doi.org/10.1016/j.heliyon.2022.e10790
Provincial Administration Committee Integrated Phayao Province. (2018, July 3). Phayao provincial development plan (2018–2022) Annual Review 2020. Provincial Administration Committee Integrated Phayao Province. http://www.oic.go.th/FILEWEB/CABINFOCENTER66/DRAWER028/GENERAL/DATA0000/00000715.PDF
Sangsrijan, S., Opasanant, P., & Katehom, M. (2018). Factors influencing health security of non-communicable diseases patients in Phayao province. Journal of Nursing and Health Care, 36(3), 117–126. [in Thai]
Spolarich, A. E., & Andrews, L. (2007). An examination of the bleeding complications associated with herbal supplements, antiplatelet and anticoagulant medications. Journal of Dental Hygiene, 81(3), Article 67.
Stanger, M. J., Thompson, L. A., Young, A. J., & Lieberman, H. R. (2012). Anticoagulant activity of select dietary supplements. Nutrition Reviews, 70(2), 107–117. https://doi.org/10.1111/j.1753-4887.2011.00444.x
Tangkiatkumjai, M., Boardman, H., & Walker, D.-M. (2014). Herbal and dietary supplement use in Bangkok: A survey. Journal of Complementary and Integrative Medicine, 11(3), 203–211. https://doi.org/10.1515/jcim-2013-0016
The National Committee on Drug System Development. (2023, May 4). The national lists of essential medicines 2023. Herbal products Division. https://herbal.fda.moph.go.th/
The Office of the National Economic and Social Development Council. (2017, May 4). The twelfth national economic and social development plan (2017–2021). The Office of the National Economic and Social Development Council. https://www.nesdc.go.th/ewt_dl_link.php?nid=9641&filename=index
Wiwatkunupakarn, N., Aramrat, C., Sanguanwai, P., Choksomngam, Y., Gilder, M. E., Jiraporncharoen, W., McGready, R., & Angkurawaranon, C. (2024). The use of herbal medicine for hypertension in rural and urban Thailand: A cross-sectional study. Journal of Herbal Medicine, 47, Article 100916. https://doi.org/10.1016/j.hermed.2024.100916
Yang, P. K., Odom, E. C., Patel, R., Loustalot, F., & Coleman King, S. (2022). Nonmedical marijuana use and cardiovascular events: A systematic review. Public Health Reports, 137(1), 62–71. https://doi.org/10.1177/0033354920988285
