Prevalence and associated factors with homeopathy use in Brazil: a population-based study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7996 |
Resumo: | Despite the controversy about its efficacy, homeopathy is considered a medical practice alternative to the conventional medical model. Prevalence of homeopathy use varies greatly among countries and the literature has conflicting evidence about the relation between sociodemographic factors and health conditions associated with homeopathy use. We aim to estimate the prevalence of homeopathy use and its association with self-perceived health status, depression, and sociodemographic factors. We used data from 90,846 participants in the 2019 Brazilian National Survey of Health (PNS 2019), a population-based study with complex and probabilistic sampling. Sociodemographic and clinical data and information on homeopathy use during the last 12 months were collected. The Patient Health Questionnaire-9 (PHQ-9) was used to assess depression. All variables were categorized. Logistic regression models were built to obtain crude and adjusted odds ratios (OR) and 95% confidence intervals (95%CI). The prevalence of homeopathy use was 0.99% (95%CI: 0.98-1.00). In the adjusted analysis, the following variables were associated with higher use of homeopathy: female gender, age above 51 years, white ethnicity, higher socioeconomic and educational attainment, residence in Southern/Southeastern Brazil, poorer self-reported health status, and depression. Brazil shows increased offer of complementary medicine, including homeopathy. Nevertheless, the use of homeopathy treatment is very low and clearly associated with a higher socioeconomic status, poorer self-reported health status, and depression. |
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Prevalence and associated factors with homeopathy use in Brazil: a population-based studyHomeopathyDepressionComplementary TherapiesTraditional MedicineUnified Health SystemDespite the controversy about its efficacy, homeopathy is considered a medical practice alternative to the conventional medical model. Prevalence of homeopathy use varies greatly among countries and the literature has conflicting evidence about the relation between sociodemographic factors and health conditions associated with homeopathy use. We aim to estimate the prevalence of homeopathy use and its association with self-perceived health status, depression, and sociodemographic factors. We used data from 90,846 participants in the 2019 Brazilian National Survey of Health (PNS 2019), a population-based study with complex and probabilistic sampling. Sociodemographic and clinical data and information on homeopathy use during the last 12 months were collected. The Patient Health Questionnaire-9 (PHQ-9) was used to assess depression. All variables were categorized. Logistic regression models were built to obtain crude and adjusted odds ratios (OR) and 95% confidence intervals (95%CI). The prevalence of homeopathy use was 0.99% (95%CI: 0.98-1.00). In the adjusted analysis, the following variables were associated with higher use of homeopathy: female gender, age above 51 years, white ethnicity, higher socioeconomic and educational attainment, residence in Southern/Southeastern Brazil, poorer self-reported health status, and depression. Brazil shows increased offer of complementary medicine, including homeopathy. Nevertheless, the use of homeopathy treatment is very low and clearly associated with a higher socioeconomic status, poorer self-reported health status, and depression.A pesar de una controversia en cuanto a la eficacia, la homeopatía es un método terapéutico alternativo a la medicina convencional. La práctica de la homeopatía varía mucho entre países, y la evidencia existente es contradictoria cuanto a la relación entre los factores sociodemográficos y las condiciones de salud asociadas a ella. Se pretende estimar la prevalencia de la práctica de homeopatía y su asociación con la autopercepción del estado de salud, depresión y factores sociodemográficos. Se utilizaron datos de 90.846 participantes de la Encuesta Nacional de Salud de Brasil de 2019 (PNS 2019), estudio de base poblacional, con método de muestreo complejo y probabilístico. Se recogieron datos sociodemográficos, clínicos e información sobre la práctica de la homeopatía en los últimos 12 meses. El Cuestionario de Salud del Paciente-9 (PHQ-9) se utilizó para evaluar la depresión. Todas las variables fueron categorizadas. Se aplicaron modelos de regresión logística para obtener las razones de probabilidad (OR) crudas y ajustadas y los intervalos del 95% de confianza (IC95%). La prevalencia de la práctica de la homeopatía fue del 0,99% (IC95%: 0,98-1,00). En el análisis ajustado las siguientes variables se asociaron a un mayor empleo de la homeopatía: sexo femenino, tener más de 51 años, raza blanca, mayor nivel socioeconómico y educativo, residir en las regiones Sur/Sudeste del país, peor estado de salud autoidentificado y depresión. Hubo un aumento en Brasil en la prescripción de diferentes medicamentos complementarios, incluida la homeopatía. Sin embargo, la práctica del tratamiento de la homeopatía es muy baja y está asociada con un nivel socioeconómico más alto, peor estado de salud autoidentificado y depresión.Apesar da controvérsia sobre sua eficácia, a homeopatia é considerada uma prática médica alternativa ao modelo médico convencional. A prevalência de uso de homeopatia varia muito entre os países e há evidências conflitantes sobre a relação entre fatores sociodemográficos e condições de saúde associadas ao uso da homeopatia. Pretende-se estimar a prevalência de uso de homeopatia e sua associação com autopercepção de saúde, depressão de cada indivíduo e fatores sociodemográficos. Foram utilizados dados de 90.846 participantes da Pesquisa Nacional de Saúde de 2019 (PNS 2019), estudo de base populacional, com método amostral complexo e probabilístico. Foram coletados dados sociodemográficos, clínicos e informações sobre o uso da homeopatia nos últimos 12 meses. Para avaliar depressão, o Questionário de Saúde do Paciente-9 (PHQ-9) foi utilizado. Todas as variáveis foram categorizadas. Foram realizados modelos de regressão logística para obtenção de odds ratios (OR) brutos e ajustados e intervalos de 95% de confiança (IC95%). A prevalência de uso de homeopatia foi de 0,99% (IC95%: 0,98-1,00). Na análise ajustada, as seguintes variáveis estiveram associadas ao maior uso de homeopatia: mulheres, ter mais de 51 anos, ser branca, maior nível socioeconômico e educacional, residindo nas regiões Sul/Sudeste do país, pior estado de saúde autorreferido e depressão. No Brasil, houve um aumento na oferta de diferentes tipos de medicamentos complementares, incluindo a homeopatia. No entanto, o uso do tratamento da homeopatia é muito baixo e está claramente associado a um maior nível socioeconômico, pior estado de saúde autorreferido e depressão.Reports in Public HealthCadernos de Saúde Pública2022-09-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7996Reports in Public Health; Vol. 38 No. 9 (2022): SeptemberCadernos de Saúde Pública; v. 38 n. 9 (2022): Setembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7996/17908https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7996/17909Alexandre Faisal-CuryDaniel Maurício de Oliveira Rodriguesinfo:eu-repo/semantics/openAccess2024-03-06T15:30:17Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7996Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:09:09.706979Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Prevalence and associated factors with homeopathy use in Brazil: a population-based study |
title |
Prevalence and associated factors with homeopathy use in Brazil: a population-based study |
spellingShingle |
Prevalence and associated factors with homeopathy use in Brazil: a population-based study Alexandre Faisal-Cury Homeopathy Depression Complementary Therapies Traditional Medicine Unified Health System |
title_short |
Prevalence and associated factors with homeopathy use in Brazil: a population-based study |
title_full |
Prevalence and associated factors with homeopathy use in Brazil: a population-based study |
title_fullStr |
Prevalence and associated factors with homeopathy use in Brazil: a population-based study |
title_full_unstemmed |
Prevalence and associated factors with homeopathy use in Brazil: a population-based study |
title_sort |
Prevalence and associated factors with homeopathy use in Brazil: a population-based study |
author |
Alexandre Faisal-Cury |
author_facet |
Alexandre Faisal-Cury Daniel Maurício de Oliveira Rodrigues |
author_role |
author |
author2 |
Daniel Maurício de Oliveira Rodrigues |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Alexandre Faisal-Cury Daniel Maurício de Oliveira Rodrigues |
dc.subject.por.fl_str_mv |
Homeopathy Depression Complementary Therapies Traditional Medicine Unified Health System |
topic |
Homeopathy Depression Complementary Therapies Traditional Medicine Unified Health System |
description |
Despite the controversy about its efficacy, homeopathy is considered a medical practice alternative to the conventional medical model. Prevalence of homeopathy use varies greatly among countries and the literature has conflicting evidence about the relation between sociodemographic factors and health conditions associated with homeopathy use. We aim to estimate the prevalence of homeopathy use and its association with self-perceived health status, depression, and sociodemographic factors. We used data from 90,846 participants in the 2019 Brazilian National Survey of Health (PNS 2019), a population-based study with complex and probabilistic sampling. Sociodemographic and clinical data and information on homeopathy use during the last 12 months were collected. The Patient Health Questionnaire-9 (PHQ-9) was used to assess depression. All variables were categorized. Logistic regression models were built to obtain crude and adjusted odds ratios (OR) and 95% confidence intervals (95%CI). The prevalence of homeopathy use was 0.99% (95%CI: 0.98-1.00). In the adjusted analysis, the following variables were associated with higher use of homeopathy: female gender, age above 51 years, white ethnicity, higher socioeconomic and educational attainment, residence in Southern/Southeastern Brazil, poorer self-reported health status, and depression. Brazil shows increased offer of complementary medicine, including homeopathy. Nevertheless, the use of homeopathy treatment is very low and clearly associated with a higher socioeconomic status, poorer self-reported health status, and depression. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-09-23 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7996 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7996 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7996/17908 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7996/17909 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 38 No. 9 (2022): September Cadernos de Saúde Pública; v. 38 n. 9 (2022): Setembro 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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1798943396631412736 |