Evidence map›Paper›PMID 27514380›Full record

ArticleBMC complementary and alternative medicine2016

Traditional medicine practices among community members with diabetes mellitus in Northern Tanzania: an ethnomedical survey.

Joseph Lunyera, Daphne Wang, Venance Maro, Francis Karia, David Boyd, Justin Omolo, Uptal D Patel, John W Stanifer, Comprehensive Kidney Disease Assessment For Risk factors, epidemiology, Knowledge, and Attitudes (CKD AFRiKA) Study

Open access · goldAbstract read
In one paragraph

Article in BMC complementary and alternative medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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  10. Hypoglycemic Assessment of Aqueous Leaf Extract ofBiochemistry research international · 2024
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  14. Metabolism open · 2021
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  16. Protective Effects of Ethanolic Extract from Rhizome ofInternational journal of molecular sciences · 2021
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  19. BioMed research international · 2021
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  20. Effects ofThe British journal of nutrition · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Joseph LunyeraDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27705, USA. josephlunyera@gmail.com.ORCID http://orcid.org/0000-0002-9350-320X
Daphne WangDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27705, USA.
Venance MaroKilimanjaro Christian Medical University College, Moshi, Tanzania.
Francis KariaKilimanjaro Christian Medical University College, Moshi, Tanzania.
David BoydDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27705, USA.
Justin OmoloNational Institute for Medical Research, Dar es Salaam, Tanzania.
Uptal D PatelDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27705, USA.
John W StaniferDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27705, USA.
Comprehensive Kidney Disease Assessment For Risk factors, epidemiology, Knowledge, and Attitudes (CKD AFRiKA) Study
Duke University · USClinical Research Institute · USKilimanjaro Christian Medical Centre · TZ

Funding

Vanderbilt-Emory-Cornell-Duke Global Health Fellowship Consortium-Expanding Diversity for Global Equity (EDGE)D43TW009337 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ALIYU, MUKTAR HASSAN, HEIMBURGER, DOUGLAS CORBETT · 2017 to 2021
$6.3M
Vanderbilt-Emory-Cornell-Duke Consortium for Global Health Fellows (VECDor)R25TW009337 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HEIMBURGER, DOUGLAS CORBETT, VERMUND, STEN H. · 2012 to 2016
$6.3M
FIC NIH HHS D43 TW009337FIC NIH HHS R25 TW009337
6 · The paper itself

Abstract

backgroundDiabetes is a growing burden in sub-Saharan Africa where traditional medicines (TMs) remain a primary form of healthcare in many settings. In Tanzania, TMs are frequently used to treat non-communicable diseases, yet little is known about TM practices for non-communicable diseases like diabetes.

methodsBetween December 2013 and June 2014, we assessed TM practices, including types, frequencies, reasons, and modes, among randomly selected community members. To further characterize TMs relevant for the local treatment of diabetes, we also conducted focus groups and semi-structured interviews with key informants.

resultsWe enrolled 481 adults of whom 45 (9.4 %) had diabetes. The prevalence of TM use among individuals with diabetes was 77.1 % (95 % CI 58.5-89.0 %), and the prevalence of using TMs and biomedicines concurrently was 37.6 % (95 % CI 20.5-58.4 %). Many were using TMs specifically to treat diabetes (40.3 %; 95 % CI 20.5-63.9), and individuals with diabetes reported seeking healthcare from traditional healers, elders, family, friends, and herbal vendors. We identified several plant-based TMs used toward diabetes care: Moringa oleifera, Cymbopogon citrullus, Hagenia abyssinica, Aloe vera, Clausena anisata, Cajanus cajan, Artimisia afra, and Persea americana.

conclusionsTMs were commonly used for diabetes care in northern Tanzania. Individuals with diabetes sought healthcare advice from many sources, and several individuals used TMs and biomedicines together. The TMs commonly used by individuals with diabetes in northern Tanzania have a wide range of effects, and understanding them will more effectively shape biomedical practitices and public health policies that are patient-centered and sensitive to TM preferences.

Indexed as

Medicine, TraditionalAdolescentAdultCross-Sectional StudiesDiabetes MellitusFemaleHumansMaleMiddle AgedTanzaniaYoung AdultBiomedicineLow- and middle-income countriesNon-communicable diseasesSub-Saharan AfricaTraditional medicine

Identifiers

PMID27514380
PMCPMC4982437
OpenAlexW2509327661

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.