Popularity and efficacy of complementary and alternative medicine in managing atopic dermatitis in Saudi Arabia

Abstract

Introduction: Atopic dermatitis (AD) or eczema is a common inflammatory skin condition in Saudi Arabia, impacting adults with a varying prevalence. Previous research in the Aseer province has indicated that a significant proportion of dermatological patients resort to complementary and alternative medicine (CAM) to treat AD.

Objective: To investigate the nature, prevalence, and influence of CAM usage among Saudi adults with AD.

Methods: This cross-sectional study utilized an electronic survey distributed to Saudi adults through social media platforms and included adults diagnosed with AD for over a year.

Results: Our study included 163 participants with atopic dermatitis; 73.6% were females, 57.7% were aged 18-24, and 65.0% were from the Central region. Most participants were single (63.2%), students (47.2%), and had a monthly income < 5000 SAR (69.3%). CAM usage was prevalent (62%), with 36.8% reporting positive effects. Gauze moistened with warm water and olive oil was the most common remedy (16.4%). Motivations for CAM usage included dissatisfaction with medical drugs (55.8%). Logistic regression revealed significant factors for CAM usage, including the impact of AD on quality of life (regression coefficient/beta coefficient [B] = 0.618, p= 0.005, odds ratio/Exp[B] = 1.856) and the belief in CAM for treating skin diseases (B = 1.282, p= 0.001, Exp[B] = 3.604).

Conclusion: Our study on AD in Saudi participants revealed a prevalence of CAM usage, notably gauze moistened with warm water. Various factors, including the impact of AD on quality of life and belief in CAM for treating skin diseases, significantly influence CAM usage.

Keywords

Complementary medicine / Eczema / Herbal medicine / Prevalence / Olive oil / Sidr

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