Factors Influencing Preferences for Traditional and Complementary Medicine Offered by Informal Practitioners in Türkiye
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Abstract
Traditional and Complementary Medicine (T&CM) has a long history and is gaining global popularity. In Europe, official regulations are increasingly shaping its practice. Standardized definitions, country-specific core practices, and reporting guidelines are suggested to enhance study quality. This study aims to identify and evaluate key factors influencing the preference for T&CM services provided by informal providers in Türkiye. The study was conducted in Karaman, Türkiye, among informal practitioners, service users, and experts. A purposive sampling method was used, and data were collected through semi-structured face-to-face interviews with 20 participants. Thematic analysis was performed using MAXQDA 18 software, with 680 minutes of recorded interviews transcribed and analyzed. Participants had a mean age of 36 years, 75% had an income at least twice the minimum wage, and 62.5% were male. The most used methods were cupping (hijama), chiropractic intervention, and phytotherapy. Factors influencing T&CM preference included contemporary medicine-based orientations, a positive attitude towards T&CM, a positive attitude towards practitioners, religion-based factors, feelings of helplessness, recollections, and experiences, non-serious conditions, and a lack of awareness or education. Understanding these determinants is crucial for healthcare professionals and managers to integrate T&CM into regulated healthcare settings, ensuring safer and more controlled treatment options.
World Health Organization. WHO global report on traditional and complementary medicine 2019. Geneva: World Health Organization; 2019.
Bodeker G, Kronenberg F. A public health agenda for traditional, complementary, and alternative medicine. Am J Public Health 2002;92:1582-1591.
Eardley S, Bishop FL, Prescott P, Cardini F, Brinkhaus B, et al. A systematic literature review of complementary and alternative medicine prevalence in EU. Forsch Komplementmed 2012;19 Suppl 2:18-28.
Hao P, Jiang F, Cheng J, Ma L, Zhang Y, et al. Traditional chinese medicine for cardiovascular disease evidence and potential mechanisms. J Am Coll Cardiol 2017;69:2952-2966.
Lazic A, Petrovic MB, Brankovic M, Zezelj I. Quick natural cure-alls: portrayal of traditional, complementary, and alternative medicine in serbian online media. Collabra-Psychol 2023;9:82189.
Souček I, Hofreiter R. Complementary and alternative medicine use in slovakia: results of a national population survey. SAGE Open 2022;12:21582440211068480.
Ke-ji C, Ai-ping L. Situation of integrative medicine in China: Results from a national survey in 2004. Chin J Integr Med 2006;12:161-165.
Othman CN, Farooqui M. Traditional and complementary medicine. Procedia - Social and Behavioral Sciences 2015;170:262-271.
Bilgili P, Gumustakim RS, Cevik M, Baser DA, Doganer A, et al. Turkish primary care patients’ overviews and attitudes about traditional and complementary medicine: a cross-sectional study. The Medical Bulletin of Haseki 2023.
Armano L, Vasiljev V, Rukavina T, Juraga D, Racz A, et al. Bridging the gap: attitudes and practices toward complementary and alternative medicine among oncology patients and healthcare professionals in Croatia. Front Psychol 2025;16.
Tozun M, Bag HK, Pektas M, Soyacikgoz E, Tekindal MA. Knowledge, attitudes, and opinions of health professionals and students on traditional and complementary medicine practices in turkey: a systematic review and meta-analysis. Eur J Env Public Hlt 2022;6:em0115.
Clarke TC, Black LI, Stussman BJ, Barnes PM, Nahin RL. Trends in the Use of Complementary Health Approaches Among Adults: United States, 2002–2012. Natl Health Stat Report 2015:1–16.
Härtel U, Volger E. Inanspruchnahme und akzeptanz klassischer naturheilverfahren und alternativer heilmethoden in deutschland – ergebnisse einer repräsentativen bevölkerungsstudie. forschende komplementärmedizin und klassische naturheilkunde. Research in Complementary and Classical Natural Medicine 2004;11:327-334.
Gürbüz S, Şahin F. Sosyal Bilimlerde Araştırma Yöntemleri. 5. Baskı. Ankara: Seçkin Yayıncılık; 2018.
Karataş Y, Khan Z, Bilen Ç, Boz A, Özagil ESG, et al. Traditional and complementary medicine use and beliefs during COVID-19 outbreak: A cross-sectional survey among the general population in Turkey. Adv Integr Med 2021;8:261-266.
Mwaka AD, Achan J, Orach CG. Traditional health practices: A qualitative inquiry among traditional health practitioners in northern Uganda on becoming a healer, perceived causes of illnesses, and diagnostic approaches. PLoS One 2023;18:e0282491.
Pun J, Wong W. Navigating communication between conventional medicine and traditional Chinese medicine: a case study of cancer patients in Hong Kong. Support Care Cancer 2022;30:5729-5735.
Thipanyane MP, Nomatshila SC, Oladimeji O, Musarurwa H. Perceptions of pregnant women on traditional health practices in a rural setting in South Africa. Int J Environ Res Public Health 2022;19:4189.
Qu SQ, Dumay J. The qualitative research interview. Qualitative Research in Accounting & Management 2011;8:238-264.
Judson PL, Abdallah R, Xiong Y, Ebbert J, Lancaster JM. Complementary and alternative medicine use in individuals presenting for care at a comprehensive cancer center. Integr Cancer Ther 2017;16:96-103.
Agrawal A, Sharma A, Mathur M, Sharma A, Modi G, et al. Perspective toward complementary & Alternative medicines in the prevention of COVID-19 infection. Indian J Commun Med 2023;48:401-406.
Bilgili P, Gumustakim RS, Cevik M, Baser DA, Doganer A, et al. Turkish primary care patients’ overviews and attitudes about traditional and complementary medicine: a cross-sectional study. Haseki Tip Bul 2023;61:238-246.
Okka B, Durduran Y, Duman I, Eryilmaz A. Trends in traditional and complementary medicine practices in Turkey: Results of two consecutive surveys 2012-2018. J Pak Med Assoc 2022;72:691-695.
Küçükkaya B, Işık HK. Attitudes pregnant women in Turkiye towards holistic complementary and alternative medicine and influencing factors: a web-based cross-sectional study. BMC Complement Med Ther 2023;23:223.
Barbieri V, Lombardo S, Gartner T, Piccoliori G, Engl A, et al. Trust in conventional healthcare and utilization of complementary and alternative medicine in south tyrol, Italy: a population-based cross-sectional survey. Ann Ig Med Prev Comunita 2024;36:377-391.
Ampomah IG, Malau-Aduli BS, Seidu A-A, Malau-Aduli AEO, Emeto TI. The practice of integrated healthcare and the experiences of people in Ghana’s Ashanti region. BMC Health Serv Res 2022;22:32.
Chen K, Chung K, Hsu C. The intention of utilization and experience toward traditional Chinese medicine among breast cancer patients in the early and late stages: a qualitative study. BMC Complement Med Ther 2023;23:226.
Ortiz CE, Smeltzer SC. Utilization of traditional healing practices from Mexico by U. S. women of Mexican origin: A systematic review. Explore-J Sci Heal 2024;20:102997.
Soleymani MR, Esmaeilzadeh M, Taghipour F, Ashrafi-rizi H. COVID-19 information seeking needs and behaviour among citizens in Isfahan, Iran: A qualitative study. Health Information & Libraries Journal 2023;40:359-370.
Risberg T, Kaasa S, Wist E, Melsom H. Why are cancer patients using non-proven complementary therapies? A cross-sectional multicentre study in Norway. Eur J Cancer 1997;33:575-380.
Vardanjani HM, Salehi Z, Alembizar F, Cramer H, Pasalar M. Prevalence and the determinants of traditional, complementary, and integrative medicine use among breastfeeding mothers: a cross-sectional study. J Integr Complement Med 2022;28:67-76.
Ostovar M, Shams M, Mahmoudi M, Dehghan A, Jazani AM, et al. Prevalence, patterns, and disclosure of complementary and alternative medicine (CAM) use among patients with thyroid diseases: A cross-sectional study in Iran. Heliyon 2024;10:e33436.
Molemans M, Reis R, Shabalala F, Dlamini N, Masilela N, et al. Reasons for using traditional and complementary care by people living with HIV on antiretroviral therapy and association with interrupted care: a mixed methods study in Eswatini. BMC Complement Med Ther 2023;23:350.
Jeitler M, Ortiz M, Brinkhaus B, Sigl M, Hoffmann R, et al. Use and acceptance of traditional, complementary and integrative medicine in Germany-an online representative cross-sectional study. Front Med 2024;11:1372924.
Hentschel C, Kohnen R, Hauser G, Lindner M, Ernst E, et al. Entscheidung zur Komplementärmedizin: sachorientiert oder irrational? DMW - Deutsche Medizinische Wochenschrift 1996;121:1553-1560.
Lorenc A, Ilan-Clarke Y, Robinson N, Blair M. How parents choose to use CAM: a systematic review of theoretical models. BMC Complement Altern Med 2009;9:9.
Park M. An integrative path model of healthcare utilization determinants in traditional korean medicine and western medicine based on the anderson behavioral model. Healthcare 2025;13.
Zörgő S, Peters G-JY, Mkhitaryan S. Attitudes underlying reliance on complementary and alternative medicine. Integr Cancer Ther 2020;19:1534735420910472.
James PB, Wardle J, Steel A, Adams J. Traditional, complementary and alternative medicine use in Sub-Saharan Africa: a systematic review. BMJ Glob Health 2018;3:e000895.
| Issue | Vol 11, No 1, 2026 -In Press- | |
| Section | Research Article(s) | |
| Keywords | ||
| Cultural and religious factors Health-seeking behaviors Informal practitioners Patient preferences Traditional and complementary medicine | ||
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