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Hernandez-Fuentes GA, Gómez-Bueno JDD, Pérez-Santos VM, Valle-Capitaine IJ, Villaseñor-Gonzalez PM, Hernández-Zamorano CJ, Silva-Vázquez CG, de la Cruz-Ruiz M, Diaz-Martinez J, Garza-Veloz I, Rodriguez-Sanchez IP, Martinez-Fierro ML, Guzmán-Esquivel J, Rojas-Larios F, Delgado-Enciso I. Comparing Perspectives on Traditional and Complementary Medicine Use in Oncology: Insights from Healthcare Professionals and Oncology Patients in Western Mexico. Curr Oncol 2025; 32:71. [PMID: 39996871 PMCID: PMC11854627 DOI: 10.3390/curroncol32020071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2024] [Revised: 01/14/2025] [Accepted: 01/25/2025] [Indexed: 02/26/2025] Open
Abstract
Traditional and complementary medicine (T&CM) plays a significant role in healthcare practices among healthcare professionals and oncology patients in Mexico, reflecting its cultural importance. This study aimed to analyze the prevalence, frequency, and factors associated with T&CM use in these two groups, highlighting the differences in practices and perceptions. A total of 382 individuals participated, including 152 healthcare professionals and 230 oncology patients. The findings revealed that while T&CM use was similarly prevalent among healthcare professionals (85.7%) and oncology patients (90.8%), frequent use (≥2 times per week) was significantly higher among patients (46.3%) compared to healthcare professionals (19.1%, p < 0.001). Healthcare professionals showed a preference for non-conventional nutritional interventions (32.5%) and yoga (14.6%) while oncology patients favored plant-based remedies (73.6%) and the consumption of exotic animals and venoms (4.8%). Females were more likely to use T&CM across both groups, with a stronger association among healthcare professionals (AdOR 3.695, 95% CI 1.8-7.4). Oncology patients were less likely to understand T&CM concepts and were more commonly associated with lower socioeconomic status and educational attainment. These findings underscore the importance of considering cultural and demographic factors when integrating T&CM into conventional medical care, especially in regions where T&CM remains widely practiced and trusted.
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Affiliation(s)
- Gustavo A. Hernandez-Fuentes
- Department of Molecular Medicine, School of Medicine, University of Colima, Colima 28040, Mexico; (G.A.H.-F.); (J.d.D.G.-B.); (V.M.P.-S.); (I.J.V.-C.); (P.M.V.-G.); (C.J.H.-Z.); (F.R.-L.)
- State Cancerology Institute of Colima, Health Services of the Mexican Social Security Institute for Welfare (IMSS-BIENESTAR), Colima 28085, Mexico;
- Faculty of Chemical Sciences, University of Colima, Coquimatlan 28400, Mexico
| | - Juan de D. Gómez-Bueno
- Department of Molecular Medicine, School of Medicine, University of Colima, Colima 28040, Mexico; (G.A.H.-F.); (J.d.D.G.-B.); (V.M.P.-S.); (I.J.V.-C.); (P.M.V.-G.); (C.J.H.-Z.); (F.R.-L.)
| | - Verónica M. Pérez-Santos
- Department of Molecular Medicine, School of Medicine, University of Colima, Colima 28040, Mexico; (G.A.H.-F.); (J.d.D.G.-B.); (V.M.P.-S.); (I.J.V.-C.); (P.M.V.-G.); (C.J.H.-Z.); (F.R.-L.)
| | - Imri J. Valle-Capitaine
- Department of Molecular Medicine, School of Medicine, University of Colima, Colima 28040, Mexico; (G.A.H.-F.); (J.d.D.G.-B.); (V.M.P.-S.); (I.J.V.-C.); (P.M.V.-G.); (C.J.H.-Z.); (F.R.-L.)
| | - Paula M. Villaseñor-Gonzalez
- Department of Molecular Medicine, School of Medicine, University of Colima, Colima 28040, Mexico; (G.A.H.-F.); (J.d.D.G.-B.); (V.M.P.-S.); (I.J.V.-C.); (P.M.V.-G.); (C.J.H.-Z.); (F.R.-L.)
| | - Cristopher J. Hernández-Zamorano
- Department of Molecular Medicine, School of Medicine, University of Colima, Colima 28040, Mexico; (G.A.H.-F.); (J.d.D.G.-B.); (V.M.P.-S.); (I.J.V.-C.); (P.M.V.-G.); (C.J.H.-Z.); (F.R.-L.)
| | - César G. Silva-Vázquez
- State Cancerology Institute of Colima, Health Services of the Mexican Social Security Institute for Welfare (IMSS-BIENESTAR), Colima 28085, Mexico;
| | - Miriam de la Cruz-Ruiz
- Oficina de Investigación en Salud, Servicios de Salud Del Instituto Mexicano del Seguro Social Para el Bienestar (IMSS-BIENESTAR), Colima 28085, Mexico;
| | - Janet Diaz-Martinez
- Department of Dietetics & Nutrition, Robert Stempel College of Public Health, & Research Center in Minority Institutions, Florida International University, Miami, FL 33199, USA;
| | - Idalia Garza-Veloz
- Molecular Medicine Laboratory, Academic Unit of Human Medicine and Health Sciences, Autonomous University of Zacatecas, Zacatecas 98160, Mexico; (I.G.-V.); (M.L.M.-F.)
| | - Iram P. Rodriguez-Sanchez
- Molecular and Structural Physiology Laboratory, School of Biological Sciences, Autonomous University of Nuevo Leon, San Nicolas de los Garza 66455, Mexico;
| | - Margarita L. Martinez-Fierro
- Molecular Medicine Laboratory, Academic Unit of Human Medicine and Health Sciences, Autonomous University of Zacatecas, Zacatecas 98160, Mexico; (I.G.-V.); (M.L.M.-F.)
| | - José Guzmán-Esquivel
- Clinical Epidemiology Research Unit, Mexican Institute of Social Security, Villa de Alvarez, Colima 28984, Mexico;
| | - Fabian Rojas-Larios
- Department of Molecular Medicine, School of Medicine, University of Colima, Colima 28040, Mexico; (G.A.H.-F.); (J.d.D.G.-B.); (V.M.P.-S.); (I.J.V.-C.); (P.M.V.-G.); (C.J.H.-Z.); (F.R.-L.)
| | - Ivan Delgado-Enciso
- Department of Molecular Medicine, School of Medicine, University of Colima, Colima 28040, Mexico; (G.A.H.-F.); (J.d.D.G.-B.); (V.M.P.-S.); (I.J.V.-C.); (P.M.V.-G.); (C.J.H.-Z.); (F.R.-L.)
- State Cancerology Institute of Colima, Health Services of the Mexican Social Security Institute for Welfare (IMSS-BIENESTAR), Colima 28085, Mexico;
- Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA
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Emogor CA, Ingram DJ, Balmford A, Fletcher RJ, Detoeuf D, Balmford B, Agbor DO, Coad L. Predictors of Frequency and Success of Wild Meat Hunting Trips and Carcass Prices in an African Biodiversity Hotspot. HUMAN ECOLOGY: AN INTERDISCIPLINARY JOURNAL 2025; 53:41-51. [PMID: 40190586 PMCID: PMC11971138 DOI: 10.1007/s10745-025-00572-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 01/10/2025] [Indexed: 04/09/2025]
Abstract
Hunting wild animals for food and income, which is pervasive across tropical regions, drives biodiversity loss. Interventions to promote sustainable wild meat harvesting require information on hunter behavior. Here we monitored the hunting activities of 33 hunters in SE Nigeria over three years (1,106 hunter-months) to identify correlates of (a) the probability of initiating a hunting trip on any given day; (b) trip success - whether an animal was caught, and if so, how many; and (c) carcass price. We found a higher probability of initiating a trip during periods with bright moon phases and in peak agriculture season. Hunters were more likely to catch at least one animal when there was less rainfall and on shorter hunting trips. However, among successful trips, the number of animals caught increased with trip duration. Taken together, these results suggest hunters set themselves a minimum target of not returning empty-handed rather than optimally adjusting their hunting effort. Lastly, the carcass price per kilogram of a species' meat increased with its palatability but decreased with mass, with the fall in price observed to be greater for rarely caught, smaller-bodied animals than more frequently caught animals. Our results provide deeper insights into the behavioral plasticity of wild meat hunters. Supplementary Information The online version contains supplementary material available at 10.1007/s10745-025-00572-2.
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Affiliation(s)
- Charles A. Emogor
- Conservation Science Group, Department of Zoology, University of Cambridge, Cambridge, CB2 3EJ UK
- Pangolin Protection Network, Calabar, Nigeria
- Wildlife Conservation Society, 2300 Southern Boulevard Bronx, New York, NY USA
| | - Daniel J. Ingram
- Durrell Institute of Conservation and Ecology (DICE), School of Natural Sciences, University of Kent, Canterbury, CT2 7NR UK
| | - Andrew Balmford
- Conservation Science Group, Department of Zoology, University of Cambridge, Cambridge, CB2 3EJ UK
| | - Robert J. Fletcher
- Department of Wildlife Ecology and Conservation, University of Florida, Gainesville, USA
| | - Diane Detoeuf
- Wildlife Conservation Society, 2300 Southern Boulevard Bronx, New York, NY USA
| | - Ben Balmford
- Economics Department, Land, Environment, Economics and Policy Institute, University of Exeter, Devon, UK
| | | | - Lauren Coad
- Center for International Forestry Research, Bogor, Indonesia
- Interdisciplinary Centre for Conservation Science, University of Oxford, Oxford, UK
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Ameade EPK, Amoah LAO, Ofori BY. The perspectives of clinical level medical students on animal-assisted therapy: a study in Ghana. BMC Complement Med Ther 2024; 24:382. [PMID: 39497072 PMCID: PMC11536823 DOI: 10.1186/s12906-024-04679-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Accepted: 10/11/2024] [Indexed: 11/06/2024] Open
Abstract
BACKGROUND The role of animal-assisted therapy (AAT) in complementary and alternative medicine is well acknowledged. AAT is widely patronized, in developed countries such as USA, Canada, and many European countries, but less so in developing countries in Africa including Ghana. For persons in developing African countries and elsewhere to benefit from AAT, healthcare professionals must be acquainted with it recommend it to their patients when necessary. This study therefore assessed the perspectives of clinical-level medical students on AAT. METHOD A semi-structured questionnaire was used to collect data in a cross-sectional study from 206 randomly selected clinical-level medical students of the University for Development Studies, Tamale, Ghana. The data was analyzed using Microsoft Excel and SPSS (Version 26) and the results were presented in Tables and charts. The association between demographic variables and the knowledge and attitude of the students were determined using ANOVA, while bivariate Pearson's correlation was used to measure the relationships between continuous variables. Associations were considered significant when p-value < 0.05. RESULTS The knowledge about AAT among the medical students was very poor (0.971 ± 2.407 over 10; 9.7%); almost all of them (≈ 99.0%) had very little or no exposure to AAT in school or at home. The attitude of the students was however averagely positive (3.845 ± 0.748 over 7; 54.9%), with a perceived health benefit of ATT score of 4.768 ± 1.002 (68.1%). The motivation of the students to acquire more knowledge and skills about AAT mostly through lectures and practical sessions (70.9%) was good (4.809 ± 1.221; 68.7%). Female students were significantly more knowledgeable about AAT than their male counterparts (1.5 versus 0.6; p-value = 0.006). No other sociodemographic characteristics had any significant association with knowledge, attitude, and perception of benefit variables. However, a significant positive relationship was found to exist between the students' knowledge, attitude and perception of animal-assisted therapy (r ≥ 0.236; p-value ≤ 0.001). CONCLUSION We conclude that the knowledge about AAT among medical students is inadequate and this is worrying given the beneficial complementary role of AAT in achieving SDG 3. Medical schools and their regulators in Ghana should incorporate complementary and alternative medicine (CAM) lessons in their training curricula. For practising medical doctors, topics on CAM should be discussed during their Continuous Professional Development sessions. With better knowledge, physicians would possibly be more willing and confident in recommending this useful complementary and alternative medicine to patients who may seek other forms of therapy besides conventional medicine or which will augment the orthodox medication the patients may have been using to treat their conditions.
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Affiliation(s)
- Evans Paul Kwame Ameade
- Department of Pharmacognosy and Herbal Medicine, School of Pharmacy and Pharmaceutical Sciences, University for Development Studies, P.O. Box TL 1350, Tamale, Ghana.
- Department of Animal Biology and Conservation Science, University of Ghana, Legon, Accra, Ghana.
| | - Linda Ama Owusuaa Amoah
- Department of Animal Biology and Conservation Science, University of Ghana, Legon, Accra, Ghana
| | - Benjamin Yeboah Ofori
- Department of Animal Biology and Conservation Science, University of Ghana, Legon, Accra, Ghana
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Patrick PG, Singkam AR. Biodiversity conservation, human-animal interactions, and zootherapy in ecological knowledge of Indonesian Healers. CONSERVATION BIOLOGY : THE JOURNAL OF THE SOCIETY FOR CONSERVATION BIOLOGY 2024; 38:e14278. [PMID: 38682639 DOI: 10.1111/cobi.14278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Revised: 02/06/2024] [Accepted: 02/15/2024] [Indexed: 05/01/2024]
Abstract
We examined the entanglement of biodiversity conservation, human-animal interactions, zootherapy, and local beliefs among Sumatran Healers and their local community by completing an ethnography of 43 Indigenous Healers across 8 tribes in Bengkulu Province, Sumatra, Indonesia. Data collection tools were interviews, observations, videos, photographs, and a researcher journal. Of the 43 Healers, 30 used animals and mentioned 62 species. Of the animals identified, the International Union for Conservation of Nature Red List lists 34% (n = 21) as endangered, decreasing, or vulnerable, including Sumatran tiger (Panthera tigris sumatrae), Sumatran elephant (Elephas maximus sumatranus), and Sumatran rhinoceros (Dicerorhinus sumatrensis). Of the 30 Healers using animals, 50% (n = 15) practiced healing with at least one endangered, decreasing, or vulnerable animal. We defined 3 personas: Healer self-persona, Healer-imposed persona, and community-imposed persona. A persona represented a group's opinions and sentiments related to Healers killing animals for medicinal purposes. Using an iterative data analysis process, we grouped the data across the 3 personas into 5 themes: ease of killing and preparing animals, emotions related to killing animals, animal value, relationship to religion, and Healers are tricksters. The complexity of merging the identities of Healers and the community within an actor-network embodies the relationality of actions, interactions, and feelings among Healers, between Healers and animals, and between Healers and the community. Conservationists should be cognizant of Healers' medicinal use of animals, views of human-animal interactions, and zootherapy from all social and emotional perspectives. The data led to defining Indigenous Healer ecological knowledge components of zootherapy, human-animal interactions, and biodiversity conservation.
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Affiliation(s)
- Patricia G Patrick
- College of Education and Health Professions, Columbus State University, Columbus, Georgia, USA
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Pretelli I, Crittenden AN, Dounias E, Friant S, Koster J, Kramer KL, Mangola SM, Saez AM, Lew-Levy S. Child and adolescent foraging: New directions in evolutionary research. Evol Anthropol 2024; 33:e22020. [PMID: 38214699 DOI: 10.1002/evan.22020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 12/01/2023] [Accepted: 12/27/2023] [Indexed: 01/13/2024]
Abstract
Young children and adolescents in subsistence societies forage for a wide range of resources. They often target child-specific foods, they can be very successful foragers, and they share their produce widely within and outside of their nuclear family. At the same time, while foraging, they face risky situations and are exposed to diseases that can influence their immune development. However, children's foraging has largely been explained in light of their future (adult) behavior. Here, we reinterpret findings from human behavioral ecology, evolutionary medicine and cultural evolution to center foraging children's contributions to life history evolution, community resilience and immune development. We highlight the need to foreground immediate alongside delayed benefits and costs of foraging, including inclusive fitness benefits, when discussing children's food production from an evolutionary perspective. We conclude by recommending that researchers carefully consider children's social and ecological context, develop cross-cultural perspectives, and incorporate children's foraging into Indigenous sovereignty discourse.
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Affiliation(s)
- Ilaria Pretelli
- Institute for Advanced Study in Toulouse, Toulouse School of Economics, and University of Toulouse Capitole, Toulouse, France
- Department of Human Behavior, Ecology, and Culture, Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
| | | | - Edmond Dounias
- CEFE, Univ Montpellier, CNRS, EPHE, IRD, Montpellier, France
| | - Sagan Friant
- Department of Anthropology, The Pennsylvania State University, University Park, Pennsylvania, USA
| | - Jeremy Koster
- Department of Human Behavior, Ecology, and Culture, Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
| | - Karen L Kramer
- Department of Anthropology, University of Utah, Salt Lake City, Utah, USA
| | - Shani M Mangola
- The Law School of Tanzania, Dar es Salaam, Tanzania
- Olanakwe Community Fund, Mang'ola, Tanzania
| | - Almudena Mari Saez
- TransVHIMI Unit, French National Institute for Sustainable Development, IRD, Montpellier, France
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