Complementary and Alternative Medicine Use among Dermatology Outpatients in Southeastern Nigeria: A Tertiary Hospital Study

Abstract

Background: Complementary and Alternative Medicine (CAM) is widely used globally, including among dermatology patients. CAM includes different practices not typically part of conventional medicine and is classified into five categories, including biologically based therapies and mind-body interventions. Despite its popularity, little is known about CAM usage patterns among dermatology outpatients in Southeastern Nigeria. Aim: This study aimed to assess the prevalence, the sociodemographic characteristics of dermatology outpatients using CAM and reasons for its usage. Study Design: Cross-sectional study. Place and Duration of Study: Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Anambra State, Nigeria, between August to November 2022. Methodology: We recruited 212 dermatology outpatients through convenient sampling. Data were collected using interviewer-administered structured questionnaires capturing sociodemographics, dermatological conditions, and CAM usage patterns.Data analysis was performed using SPSS™ Version 23.0, with chi-square tests determining associations between variables at a significance level of P < 0.05. Results: Among 212 participants recruited, the prevalence of CAM use was 34.4%. The median age was 28 years, and more females (56.1%) than males (43.9%) used CAM. Acne (17.8%), psoriasis (16.4%), and mycoses (11%) were the most common conditions among CAM users. Biologically based therapies, particularly plant-based products like aloe vera, were the most frequently used CAM. Family recommendations (16%) and perceived safety (12.3%) were key reasons for CAM use. CAM usage was significantly associated with longer disease duration (P < .001). Conclusion: The high prevalence of CAM use among dermatology outpatients in Southeastern Nigeria highlights the need for clinicians to recognize and consider alternative therapies in patient care. Understanding the patterns of CAM use can also guide clinicians in advising patients on safe and evidence-based alternatives. Future research on the efficacy and safety of CAM in dermatology is crucial to develop comprehensive, evidence-based treatment strategies that encompass both conventional and complementary therapies.