Objective: In this study, it was aimed to investigate the frequency of herbal medicine (HM) use, the factors affecting the use of HM and from where information about the use of HM was obtained. Material and Methods: The study was conducted in the Eastern Mediterranean Region of Turkey. All data were gathered between the dates 01/Feb/2016 and 15/Feb/2017 through a survey developed by the researchers. Results: In the study where 956 people have participated, the frequency of HM use was determined to be 53.73%. A significant relation was determined between HM use and gender, marital status, place of birth, education, family income and working status (p0.05). The participants have specified that they use mostly Tilia sp. (13.2%) and 9.20% reported that they faced the adverse effect of HM use. Conclusion: As is the case in all over the world, it is determined that HM use is also prevalent in Turkey. To meet this increasing demand in HM consumption in a more controlled and secure way, the use of HM should be included in the national health system. Herbal medicine licensing and sales control should be done in accordance with the regulations published by Ministry of Health, Turkey Pharmaceuticals and Medical Devices Agency. In this sense, the only authorized institution should be Ministry of Health.
Keywords: Herbal medicine; prevalence; attitude; behavior; complemantary alternative therapy; phytotherapy; public health
Amaç: Bu çalışmada, Türkiye'nin güneyinde yaşayan 18 yaş ve üzeri kişilerde bitkisel ilaç (HM) kullanım sıklığı, HM kullanımı üzerinde etkili olan faktörlerin tespit edilmesi ve HM kullanımı ile ilgili bilgilerin nereden temin edildiği araştırılmıştır. Gereç ve Yöntemler: Çalışma, Türkiye'nin Doğu Akdeniz Bölgesi'nde gerçekleştirilmiştir. Tüm veriler araştırmacılar tarafından geliştirilen bir anket ile 01/Şubat/ 2016 ve 2015/Şubat/2017 tarihleri arasında toplanmıştır. Bulgular: 956 kişinin katıldığı çalışmada HM kullanım sıklığı %53.73 olarak belirlendi. HM kullanımı ile cinsiyet, medeni durum, doğum yeri, eğitim, aile geliri ve çalışma durumu arasında anlamlı ilişki saptandı (p0,05). Katılımcılar en çok ıhlamur (Tilia sp.) tüketmektedir (%13,2). Katılımcıların %9,20'si HM kullanımının kötü etkisi ile karşılaştıklarını bildirmiştir. Sonuç: Tüm dünyada olduğu gibi Türkiye'de HM kullanımının yaygın olduğu tespit edilmiştir. HM tüketimindeki bu artan talebi daha kontrollü ve güvenli bir şekilde karşılamak için HM kullanımı ulusal sağlık sistemi içerisine dahil edilmelidir. Bitkisel ilaçların ruhsatlandırılması ve satışının denetimi Sağlık Bakanlığı Türkiye İlaç ve Tıbbi Cihaz Kurumu tarafından yayınlanan yönetmeliklere göre yapılmalıdır. Bu anlamda tek yetkili kurum Sağlık Bakanlığı olmalıdır.
Anahtar Kelimeler: Bitkisel tıp; prevalans; tutum; davranış; tamamlayıcı alternatif tedavi; fitoterapi; halk sağlığı
- Picking D, Younger N, Mitchell S, Delgoda R. The prevalence of herbal medicine home use and concomitant use with pharmaceutical medicines in Jamaica. J Ethnopharmacol. 2011;137(1):305-11.[PubMed]
- Illamola SM, Amaeze OU, Krepkova LV, Birnbaum AK, Karanam A, Job KM, et al. Use of herbal medicine by pregnant women : what physicians need to know. Front Pharmacol. 2020;10:1483.[Crossref] [PubMed] [PMC]
- Laelago T, Yohannes T, Lemango F. Prevalence of herbal medicine use and associated factors among pregnant women attending antenatal care at public health facilities in Hossana Town , Southern Ethiopia: facility based cross sectional study. Arch Public Heal. 2016;74:7.[Crossref] [PubMed] [PMC]
- Ali BAM, Mahfouz MS. Herbal medicine use among patients with type 2 diabetes in North Sudan. Annu Res Rev Biol. 2014;4(11):1827-38.[Crossref]
- Şahan D, İlhan MN. [Traditional and complementary medicine practices and evaluation in public health]. Gazi Heal Sci J. 2019;4(3):12-9.
- Robinson MM, Zhang X. The World Medicines Situation 2011-Traditional Medicines: Global Situation, Issues and Challenges. 3rd ed. Geneva: WHO; 2011. p.12.
- Uzun MB, Aykaç G, Özçelikay G. [Improper use and harms of herbal products]. Lokman Hekim J. 2014;4(3):1-5.
- Aydın S, Bozkaya AO, Mazıcıoğlu M, Gemalmaz A, Özçakır A, Öztürk A. What influences herbal medicine use ? - Prevalence and related factors. Turk J Med Sci. 2008;38(5):455-63.
- Tokem Y, Aytemur ZA, Yildirim Y, Fadiloglu C. Investigation into the use of complementary and alternative medicine and affecting factors in Turkish asthmatic patients. J Clin Nurs. 2012;21(5-6):698-707.[Crossref] [PubMed]
- Soner BC, Sahin AS, Sahin TK. A survey of Turkish hospital patients' use of herbal medicine. Eur J Integr Med. 2013;5(6):547-52.[Crossref]
- Dagli R, Kocaoglu N, Bayir H, Hakki M, Doylan MR. Evaluation of medical drug and herbal product use before anesthesia. Int J Clin Exp Med. 2016;9(2):4670-4.
- Polat R, Cakilcioglu U, Satıl F. Traditional uses of medicinal plants in Solhan (Bingöl-Turkey). J Ethnopharmacol. 2013;148(3):951-63.[Crossref] [PubMed]
- Korkmaz M, Karakuş S. Traditional uses of medicinal plants of Üzümlü district, Erzincan, Turkey. Pak J Bot. 2015;47(1):125-34.
- Sucaklı MH, Ölmez S, Keten HS, Yenicesu C, Sarı N, Çelik M. [Evaluation of the usage of herbal products among university students]. Med Sci. 2014;3(3):1352-60.[Crossref]
- Yilmazel G, Naçar M. Herbal products : utilization , knowledge and attitudes of Turkish adults. Int J Basic Clin Pharmacol. 2016;5(6):2426-31.[Crossref]
- Batı Akdeniz Kalkınma Ajansı. Tıbbi ve aromatik bitkiler sektör raporu 2012. (Accessed date: 20.1.2019)[Link]
- Özçelik G, Toprak D. [Why is phytotherapy preferred?]. Ankara Med J. 2015;15(2):48-58.[Crossref]
- Doğan Ö, Avcı A. [Herbs and drug interactions]. Turkiye Klinikleri J Public Health-Special Topics. 2018;4(1):49-54.
- Upton R. Traditional Chinese medicine and the dietary supplement health and educational act. J Altern Complement Med. 1999;5(2):115-8.[Crossref] [PubMed]
- WHO. WHO guidelines for assessing quality of herbal medicines with reference to contaminants and residues. 2007. p.105.[Link]
- Parthik P, Patel NM, Patel PM. WHO guidelines on quality control of herbal medicines. IJRAP. 2011;2(4):1148-54.
- Damery S, Gratus C, Grieve R, Warmington S, Jones J, Routledge P, et al. The use of herbal medicines by people with cancer: a cross-sectional survey. Br J Cancer. 2011;104(6):927-33.[Crossref] [PubMed] [PMC]
- Yeşil M. [Determination of medical plant use habits in Giresun province]. Turk J Agric-Food Sci Technol. 2020;8(3):547-59.[Crossref]
- Kaner G, Karaalp C, Seremet-Kürklü N. [Determining the frequency use of herbal products and factors affecting the use herbal products among university students and their families]. Turk Hij Den Biyol Derg. 2017;74(1):37-54.[Crossref]
- Shakeel M, Newton JR, Bruce J, Ah-See KW. Use of complementary and alternative medicine by patients attending a head and neck oncology clinic. J Laryngol Otol. 2008;122(12):1360-4.[Crossref] [PubMed]
- Zahn R, Perry N, Perry E, Mukaetova-Ladinska E. Use of herbal medicines: pilot survey of UK users' views. Complement Ther Med. 2019;44:83-90.[Crossref] [PubMed]
- Kücükgüçlü Ö, Kizilci S, Mert H, Uğur Ö, Büyükkaya Besen D, Ünsal E. Complementary and alternative medicine use among people with diabetes in Turkey. West J Nurs Res. 2012;34(7):902-16.[Crossref] [PubMed]
- Giveon SM, Liberman N, Klang S, Kahan E. Survey of primary care physicians' perceptions of their patients' use of complementary medicine. Complement Ther Med. 2003;11(4):254-60.[Crossref] [PubMed]
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