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Abstract
BackgroundAnecdotally, use of Complementary and Alternative Medicine (CAM) for Musculoskeletal Pain (MSP) is common in Nigeria; however, there seems to be a dearth of empirical data on its prevalence and mode of use. This study investigated the prevalence and modes of use of CAM for MSP among farmers in a rural community in South-western Nigeria.MethodsThis cross-sectional survey employed multistage sampling technique guidelines for conducting community survey by the World Health Organization among rural community farmers in Gudugbu village, Oyo State, Nigeria. A questionnaire developed from previous studies and validated by expert reviews was used to assess prevalence and modes of CAM use. Data was analyzed using descriptive and inferential statistics. Alpha level was set at p < 0.05.ResultsA total of 230 consenting rural farmers volunteered for this study with a valid response rate of 93.9 % (n = 216). The lifetime, 12-month and point prevalence of CAM for MSP was 96.8 % respectively. Herbal therapy and massage were the predominant types of CAM therapies among previous (83.8 and 80.1 %) and current CAM users (37.5 and 37.5 %). CAM was largely used as sole therapy for MSP (75.5 %) and also in combination with orthodox medicine (23.6 %), and it is consumed on daily basis (21.8 %). CAM was perceived to be very good in maintaining a healthy life (87.1 %) and has less side effects (74 %) and more healthy than taking doctors’ prescriptions (63.4 %).ConclusionThere is a high prevalence of CAM among Nigerian rural farmers. The most commonly employed CAM for MSP were herbal remedies and massage which are attributable to beliefs on their perceived efficacy.
Highlights
Musculoskeletal Pain (MSP), especially in the chronic stage is a major public health problem [1] and it is associated with limitation in activity of daily living, loss of workplace productivity, high cost of unemployment compensation, disability and high frequency of health seeking [2, 3]
Modes of Complementary and Alternative Medicine (CAM) use within the past 12-month to the study showed that Herbal therapy (83.8 %) and massage (80.1 %) were mostly employed for MSP
This present study found a high prevalence of 96.8 % on the use of CAM for MSP among Nigerian rural farmers
Summary
Musculoskeletal Pain (MSP), especially in the chronic stage is a major public health problem [1] and it is associated with limitation in activity of daily living, loss of workplace productivity, high cost of unemployment compensation, disability and high frequency of health seeking [2, 3]. Studies suggest that the use of Complementary and Alternative Medicine (CAM) is high and increasing globally [4,5,6,7] and chronic MSP is the single most reported reason for use of CAM [6, 7]. Use of Complementary and Alternative Medicine (CAM) for Musculoskeletal Pain (MSP) is common in Nigeria; there seems to be a dearth of empirical data on its prevalence and mode of use.
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