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Journal Publication
Title of Article Health Literacy andComplementary and Alternative Medicine Use among Type 2 Diabetes Mellitus Patients in the Northeast of Thailand 
Date of Acceptance 21 May 2019 
Journal
     Title of Journal KATHMANDU UNIVERSITY MEDICAL JOURNAL 
     Standard SCOPUS 
     Institute of Journal Kathmandu University Medical Journal Dhulikhel Hospital Kathmandu University Hospital Dhulikhel, Kavre 
     ISBN/ISSN  
     Volume 17 
     Issue 66 
     Month April - June
     Year of Publication 2019 
     Page  
     Abstract Introduction: Globally, type 2 Diabetes Mellitus (DM) is in increasing trend.With its chronic and incurable natures, type 2 DMpatients have been increasingly seeking various regiments to relive their sufferings. However, magnitude and influencing factors are still unclear. Methodology:This cross-sectional study aimed to determine the prevalence of Complementary and Alternative Medicine (CAM) use and the roles of health literacy (HL) on CAM use among type 2 patientsin the Northeast Region of Thailand. A total of 1,012 type 2 DM patients were systematic randomly selected to response to a structured questionnaire interview. An association between health literacy and CAM use was determined by using generalized linear mixed model (GLMM). Results: There were 30.89 %( 95%CI: 28.25 to 33.67) of type 2 DM patients used CAM. Majority of these patients (52.23%, 95%CI:49.30 to 55.15) had sufficient level of health literacy related to CAM. The generalized linear mixed model indicated that type 2 DM patients who hadsufficient to excellent levels of health literacy had 2.64 times higher Odds of CAM use (95%CI:1.91 to 3.65) when compared with those who had inadequate to problematic levels of health literacy. Others covariates that were also associated with CAM use were had adequate income (ORadj. = 2.52; 95%CI: 1.81 to 3.52), had Hb. A1C < 7 (OR Adj. = 2.50; 95%CI: 1.86 to 3.37) and had comorbidity (OR Adj. = 2.07; 95%CI: 1.57 to 2.73) Conclusion: About thirty percent of type 2 DM patients used CAM. Health literacy, economic status, comorbidity and diabetic control had strong influence on CAM use. 
     Keyword type 2 diabetes mellitus (DM) patients, complementary and alternative medicine use, health literacy. 
Author
557110001-4 Mr. CHATREE CHAROENCHEEWAKUL [Main Author]
Public Health Doctoral Degree

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